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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1998-5-11
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pubmed:abstractText |
A total of 51 cases (19 males and 32 females) of intrahepatic cholangiocellular carcinoma (CCC) from a low-endemicity area of primary liver cancer was analyzed during the periods from 1958 to 1979 and from 1984 to 1991. The mean annual age-adjusted incidence rate was 0.44 for males and 0.56 for females per 100,000 inhabitants. CCC was diagnosed before death in only 31%. There was a female predominance in patients over 70 years of age (p < 0.05). At presentation, malaise (85%), weight loss (73%) abdominal pain (50%) and hepatomegaly (80%) were common. The median survival time from diagnosis was 2 months. The mean age at the time of death was 72 years (range 41-92). At autopsy, cholelithiasis was found in 61% (81% in patients older than 70 years) and cirrhosis in 30% of patients. Cholelithiasis was more common in CCC (p < 0.01) than in hepatocellular carcinoma cases with the same mean age. Not one case of inflammatory bowel disease was found. The gross appearance of the tumor was predominantly massive (49%) or multinodular (35%). The most common histological features were tubular pattern of growth (82%) and abundant fibrous stroma. Metastases were particularly associated with the lymph nodes (41%), skeleton (26%) and lungs (16%).
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0284-186X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
37
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
77-83
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pubmed:dateRevised |
2009-5-12
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pubmed:meshHeading |
pubmed-meshheading:9572658-Adult,
pubmed-meshheading:9572658-Aged,
pubmed-meshheading:9572658-Aged, 80 and over,
pubmed-meshheading:9572658-Bile Duct Neoplasms,
pubmed-meshheading:9572658-Bile Ducts, Intrahepatic,
pubmed-meshheading:9572658-Biliary Tract,
pubmed-meshheading:9572658-Carcinoma, Hepatocellular,
pubmed-meshheading:9572658-Cholangiocarcinoma,
pubmed-meshheading:9572658-Female,
pubmed-meshheading:9572658-Humans,
pubmed-meshheading:9572658-Liver Neoplasms,
pubmed-meshheading:9572658-Male,
pubmed-meshheading:9572658-Middle Aged,
pubmed-meshheading:9572658-Neoplasm Invasiveness,
pubmed-meshheading:9572658-Prognosis,
pubmed-meshheading:9572658-Veins
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pubmed:year |
1998
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pubmed:articleTitle |
Incidence, etiologic aspects and clinicopathologic features in intrahepatic cholangiocellular carcinoma--a study of 51 cases from a low-endemicity area.
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pubmed:affiliation |
Department of Medicine, Göteborg University, Sahlgren's University Hospital, Ostra, Sweden.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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