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1. Prospective validation of the CLIP score: A new prognostic system for patients with cirrhosis and hepatocellular carcinoma

Author

Francesco, Izzo, 1 Oreste Cuomo, 2 Gaetano Capuano, 3 Giuseppe Ruggiero, 4 Roberto Mazzanti, 5 Fabio Farinati, 7 Participating Investigators: Bruno Daniele, 6 Silvana E. l. b. a., 1 Sandro Pignata, 1 Francesco Cremona, 1 Francesco Izzo, 1 Valerio Parisi, 1 Francesco Fiore, 1 Paolo Vallone, 1 Francesco Perrone1, Oreste, Cuomo, 2 Massimo Di Palma, 2 Emilio Manno, 2 Giuseppe Militerno2, Gabriele, Budillon, 3 Gaetano Capuano, 3 Lucia Cimino, 3 Domenico Pomponi3, Luigi Elio Adinolfi, 4 Enrico Ragone, 4 Giuseppe Ruggiero, 4 Riccardo Utili4, Umberto, Arena, 5 Giuseppe Di Fiore, 5 Paolo Gentilini, 5 Roberto Mazzanti5, Fabio, Farinati, 6 Michela Rinaldi6, Silvana, Elba, 7 Angelo Coviello, 7 Onofrio Giuseppe Manghisi7, Bernardino, Crispino, 8 Raffaele Laviscio, 8 Guido Piai8, Nicola, Caporaso, 9 Ilario De Sio9, Giulio, Belli, 10 Antonio Iannelli, 10 Mario Luigi Santangelo10, Giovanni Battista Gaeta, 11 Tiziana Ascione, 11 Giuseppe Giusti11, Valentina, D’Angelo, 12 Giampiero Francica, 12 Giampiero Marone12, Giuseppe, Pasquale, 13 Felice Piccinino, 13 Maria Stanzione13, Angelo Raffaele Bianco, 14 Sabino De Placido, 14 Giovannella Palmieri14, Luciano, D’Agostino, 15 Daniele Mattera, Puzziello, Alessandro, Antonino, Aiello, 16 Oscar Ferrau`, 16 Maria Antonietta Freni16, Vincenza, Aloisio, 17 Antonio Giorgio, 17 Anna Perrotta17, Maria, Calandra, 18 Luigi Castellano, 18 Camillo Del Vecchio Blanco18, Fabiana, Castiglione, 19 Gabriele Mazzacca, 19 Antonio Rispo19, Raffaele, Colurcio, 20 Bruno Galanti, 20 Michele Russo20, Bruno, Palmentieri, Persico, Marcello, Martina, Felder, 22 Laura Zancanella22, Mario, Belli, 23 Giuseppe Colantuoni, 23 Guido De Sena23, Francesco, Guardascione, 24 Gino Petrelli24, Bruno, Lamorgese, 25 Luigi Manzione25, Tonino, Pedicini26, Modesto, D’Aprile27, Ciro G. a. l. l. o., 28, 29 Participating Institutions 1Istituto Nazionale Tumori, Napoli, Cardarelli, 2Ospedale A., 3gastroenterologia, Ii, Universita` Federico II, 4Terapia Medica II Seconda Universita` di Napoli, 5Medicina Interna Universita` di Firenze, 6Malattie dell’apparato digerente Universita` di Padova, 7IRCCS De Bellis, Castellana, Grotte, 8Ospedale di Marcianise, Magrassi, 9Dipartimento di Internistica Clinica F., Sun, dei Trapianti, 10Chirurgia Generale e., Fed, 11Istituto di Malattie Infettive, I, 12ospedale, Ascalesi, Subtropicali SUN, 13Malattie Tropicali e., 14Oncologia Medica FED, Chirurgia Generale FED, 15Dipartimento Patologia Digestiva e., 16gastroenterologia, Universita` di Messina, 17ospedale, Cotugno, 18gastroenterologia, Sun, 19gastroenterologia, I, 20servizio, Aids, 21VII Medicina Generale ed Epatologia, 22ospedale, Civile, Bolzano, 23ospedale, Civile, Avellino, 24Ospedale di Giugliano, Carlo, 25Ospedale S., Potenza, 26ospedale, Fatebenefratelli, Benevento, Maria Goretti, 27Ospedale S., Latina, 28Metodologia Epidemiologica Clinica, 29Centro Elaborazione Dati Clinici del Mezzogiorno, and CNR PF ACRO

Subjects
Oncology, medicine.medical_specialty, Hepatology, business.industry, Internal medicine, Hepatocellular carcinoma, Medicine, business, medicine.disease
Published
2000
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2. Hepatic resection and percutaneous ethanol injection as treatments of small hepatocellular carcinoma: a Cancer of the Liver Italian Program (CLIP 08) retrospective case-control study

Author

Ciro Gallo, Paolo Vallone, Francesco Perrone, G.B. Gaeta, A. Andreana, Gaetano Capuano, Antonino Aiello, Francesco Izzo, Roberto Mazzanti, Ilario de Sio, Sandro Pignata, Francesco Fiore, Bruno Daniele, Daniele, B, DE SIO, I, Izzo, F, Capuano, G, Andreana, A, Mazzanti, R, Aiello, A, Vallone, P, Fiore, F, Gaeta, Giovanni Battista, Perrone, F, Pignata, S, and Gallo, Ciro

Subjects
Surgical resection, Male, medicine.medical_specialty, Carcinoma, Hepatocellular, Hepatic resection, medicine.medical_treatment, macromolecular substances, Injections, Intralesional, Gastroenterology, Internal medicine, medicine, Carcinoma, Hepatectomy, Humans, Aged, Proportional Hazards Models, Ethanol, business.industry, Liver Neoplasms, technology, industry, and agriculture, Case-control study, Cancer, Middle Aged, medicine.disease, digestive system diseases, Surgery, Hepatocellular carcinoma, Case-Control Studies, Female, Percutaneous ethanol injection, business
Abstract

Patients with small hepatocellular carcinoma (HCC) are usually treated with hepatic resection or percutaneous ethanol injection (PEI).To compare the effects of hepatic resection versus PEI on survival in a matched case-control study. STUDY Patients with single-nodule HCC (or=5 cm) who were treated with hepatic resection (cases) or PEI (controls) were eligible. Matching criteria were date of diagnosis, Child-Pugh stage, and age at diagnosis. Kaplan-Meier survival curve of the control group was drawn weighing each stratum by the inverse of its size. Treatments were compared by a stratified Cox's model, adjusted by CLIP score.Of 912 patients, 197 were eligible and 82 (17 cases and 65 controls) were matched, creating 17 strata. Nine (53%) cases and 41 (63%) controls died. Cox model showed no survival difference between the two groups; hazard ratio of PEI versus hepatic resection was 1.04 (95% CI = 0.43-2.52). One- and 3-year survival rates in the hepatic resection and PEI groups were 82% versus 91% and 63% versus 65%, respectively.Patients with small HCC treated with hepatic resection or PEI have similar survival rates. In view of the higher cost and morbidity of hepatic resection, a prospective randomized study is warranted.

Published
2002

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