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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1992-12-3
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pubmed:abstractText |
This report summarizes our 5-year experience with cryosurgery for in situ ablation of liver tumors. The liver was exposed with laparotomy, and the tumors were subjected to two freeze-thaw cycles using liquid nitrogen delivered by insulated probes; cryoablation was monitored with intraoperative ultrasonography. Tumor markers and computed tomography evaluated tumor response during long-term follow-up. From 1985 to 1990, 32 patients (19 men and 13 women) were entered into this study. The histologic characteristics of the tumors were as follows: colorectal, 24 patients; hepatoma, three patients; neuroendocrine, two patients; and others, three patients. After a follow-up period of 5 to 60 months (median follow-up, 24 months), nine patients (28%) remained disease free, 11 patients (34%) were alive with disease, and 12 patients (38%) died. The patterns of failure included liver and extrahepatic disease in 54% of cases, liver disease only in 32% of cases, and extrahepatic disease only in 14% of cases. In patients with "liver only" failure, recurrence at the treatment site occurred in three patients (9%). This study establishes the long-term effectiveness of cryosurgery in the treatment of primary and metastatic liver tumors.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0004-0010
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
126
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1520-3; discussion 1523-4
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1842183-Adult,
pubmed-meshheading:1842183-Aged,
pubmed-meshheading:1842183-Aged, 80 and over,
pubmed-meshheading:1842183-Cryosurgery,
pubmed-meshheading:1842183-Female,
pubmed-meshheading:1842183-Follow-Up Studies,
pubmed-meshheading:1842183-Humans,
pubmed-meshheading:1842183-Length of Stay,
pubmed-meshheading:1842183-Liver Neoplasms,
pubmed-meshheading:1842183-Male,
pubmed-meshheading:1842183-Middle Aged,
pubmed-meshheading:1842183-Postoperative Complications,
pubmed-meshheading:1842183-Survival Rate
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pubmed:year |
1991
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pubmed:articleTitle |
A 5-year study of cryosurgery in the treatment of liver tumors.
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pubmed:affiliation |
Department of Surgery, Yale University School of Medicine, New Haven, CT 06510.
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pubmed:publicationType |
Journal Article
|