European experience of 573 liver resections for hepatocellular adenoma: a cross-sectional study by the AFC-HCA-2013 study group.

Details

Serval ID
serval:BIB_391727E0CB90
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
European experience of 573 liver resections for hepatocellular adenoma: a cross-sectional study by the AFC-HCA-2013 study group.
Journal
HPB
Author(s)
Laurent A., Dokmak S., Nault J.C., Pruvot F.R., Fabre J.M., Letoublon C., Bachellier P., Capussotti L., Farges O., Mabrut J.Y., Le Treut Y.P., Ayav A., Suc B., Soubrane O., Mentha G., Popescu I., Montorsi M., Demartines N., Belghiti J., Torzilli G., Cherqui D., Hardwigsen J.
Working group(s)
AFC-HCA-2013 Study Group
Contributor(s)
Régimbaud J.M., Riboud R., Dili A., Allemann P., Boleslawski E., Darnis B., Adham M., Bollon E., Pol B., Delpero J.R., Turrini O., Borie F., Gonot-Gachard M., Scatton O., Perotto L.O., Gauzolino R., Castagnet M., Kiamanesh R., Sommacale D., Chetboun M., Porcheron J.L., Filippello A., Pessaux P., Addeo P., Cesaretti M., Muscari F.
ISSN
1477-2574 (Electronic)
ISSN-L
1365-182X
Publication state
Published
Issued date
09/2016
Peer-reviewed
Oui
Volume
18
Number
9
Pages
748-755
Language
english
Notes
Publication types: Comparative Study ; Journal Article ; Multicenter Study
Publication Status: ppublish
Abstract
Hepatocellular adenoma (HCA) is a benign hepatic lesion that may be complicated by bleeding and malignant transformation. The aim of the present study is to report on large series of liver resections for HCA and assess the incidence of hemorrhage and malignant transformation.
A retrospective cross-sectional study, from 27 European high-volume HPB units.
573 patients were analyzed. The female: male gender ratio was 8:2, mean age: 37 ± 10 years. Of the 84 (14%) patients whose initial presentation was hemorrhagic shock (Hemorrhagic HCAs), hemostatic intervention was urgently required in 25 (30%) patients. No patients died after intervention. Tumor size was >5 cm in 74% in hemorrhagic HCAs and 64% in non-hemorrhagic HCAs (p < 0.001). In non-hemorrhagic HCAs (n = 489), 5% presented with malignant transformation. Male status and tumor size >10 cm were the two predictive factors. Liver resections included major hepatectomy in 25% and a laparoscopic approach in 37% of the patients. In non-hemorrhagic HCAs, there was no mortality and major complications occurred in 9% of patients.
Liver resection for HCA is safe. Presentation with hemorrhage was associated with larger tumor size. In males with a HCA >10 cm, a HCC should be suspected. In such situation, a preoperative biopsy is preferable and an oncological liver resection should be considered.

Keywords
Adenoma, Liver Cell/epidemiology, Adenoma, Liver Cell/pathology, Adenoma, Liver Cell/surgery, Adult, Cell Transformation, Neoplastic, Cross-Sectional Studies, Europe/epidemiology, Female, Hemorrhage/epidemiology, Hepatectomy/adverse effects, Hepatectomy/methods, Humans, Incidence, Laparoscopy/adverse effects, Laparoscopy/methods, Liver Neoplasms/epidemiology, Liver Neoplasms/pathology, Liver Neoplasms/surgery, Male, Middle Aged, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome, Tumor Burden
Pubmed
Web of science
Open Access
Yes
Create date
14/06/2016 16:08
Last modification date
20/08/2019 13:28
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