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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1998-9-9
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pubmed:abstractText |
The purpose of this work was to investigate the prevalence, associated features and effect on survival of portal vein thrombosis (PVT) complicating hepatocellular carcinoma (HCC). The autopsy data of a series of 72 consecutive patients (57 male, 15 female) with HCC were reviewed. PVT was found in 32/72 patients (44%), and tended to be more common in female patients (10/15 versus 22/57, P = 0.052). Stratifying the data according to gender, it appeared that the mean age of patients with PVT compared to those without was greater in woman (71.9 +/- 5.9 versus 63.2 +/- 6.9 years, P = 0.024) and younger in men (58.8 +/- 8.9 versus 66.0 +/- 9.9 years, P = 0.007). When PVT was present, it was more likely that a definite diagnosis of HCC had been obtained before autopsy (P = 0.0001) and that death had been caused by bleeding complications (P = 0.007). Median survival times were similar, irrespective of the presence of PVT. During the natural history of HCC, PVT occurs in a substantial proportion of patients. Hormonal factors may have a permissive role in thrombus formation or neoplastic vascular invasion. Although in the presence of PVT a diagnosis of HCC is rarely missed and bleeding complications are likely to occur, patient survival does not seem to be significantly affected.
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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 |
0171-5216
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
124
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
397-400
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:9719503-Age Factors,
pubmed-meshheading:9719503-Aged,
pubmed-meshheading:9719503-Autopsy,
pubmed-meshheading:9719503-Carcinoma, Hepatocellular,
pubmed-meshheading:9719503-Female,
pubmed-meshheading:9719503-Humans,
pubmed-meshheading:9719503-Liver Neoplasms,
pubmed-meshheading:9719503-Male,
pubmed-meshheading:9719503-Middle Aged,
pubmed-meshheading:9719503-Portal Vein,
pubmed-meshheading:9719503-Prevalence,
pubmed-meshheading:9719503-Sex Factors,
pubmed-meshheading:9719503-Thrombophlebitis
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pubmed:year |
1998
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pubmed:articleTitle |
Portal vein thrombosis in hepatocellular carcinoma: age and sex distribution in an autopsy study.
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pubmed:affiliation |
DPMSC, Cattedra di Medicina Interna, Università degli Studi, Udine, Italy.
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pubmed:publicationType |
Journal Article
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