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Perspectives of Internists and Surgeons on Borderline Resectable Hepatocellular Carcinoma: The Kanagawa Internists-Surgical Hepatocellular Carcinoma Treatment Collaboration Meeting Questionnaire
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- Watanabe Tsunamasa
- Department of Internal Medicine, Division of Gastroenterology and Hepatology, St. Marianna University School of Medicine
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- Taniai Nobuhiko
- Department of Gastroenterological Surgery, Nippon Medical School Musashikosugi Hospital
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- Endo Itaru
- Department of Gastroenterological Surgery, Yokohama City University Graduate School of Medicine
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- Hidaka Hisashi
- Department of Gastroenterology, Internal Medicine, Kitasato University School of Medicine
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- Miura Fumihiko
- Dept. of Surgery, Teikyo University Hospital Mizunokuchi
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- Baba Toshiyuki
- Digestive Disease Center, Showa University Northern Yokohama Hospital
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- Takahashi Shinichiro
- Department of Gastroenterological Surgery, Tokai University School of Medicine
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- Nagahama Masatsugu
- Department of Internal, Medicine Division of Gastroenterology, Showa University Fujigaoka Hospital
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- Kumamoto Takafumi
- Gastroenterological Center, Yokohama City University Medical Center
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- Koizumi Satoshi
- Department of Gastroenterological and General Surgery, St. Marianna University School of Medicine
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- Yoneda Masato
- Department of Gastroenterology and Hepatology, Yokohama City University Graduate School of Medicine
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- Enami Yuta
- Digestive Disease Center, Showa University Northern Yokohama Hospital
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- Kobayashi Satoshi
- Hepatobiliary and Pancreatic Medical Oncology, Kanagawa Cancer Center Hospital
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- Arase Yoshitaka
- Department of Internal Medicine, Division of Gastroenterology, Tokai University School of Medicine
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- Tanabe Tomohide
- Division of Gastroenterology, Nippon Medical School Musashikosugi Hospital
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- Matsumoto Kotaro
- Department of Gastroenterology, Teikyo University Hospital Mizunokuchi
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- Numata Kazushi
- Gastroenterological Center, Yokohama City University Medical Center
Bibliographic Information
- Other Title
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- Borderline resectable HCCに対する内科と外科の考え方：“神奈川内科―外科HCC治療連携meeting”アンケート調査より
- Borderline resectable HCC ニ タイスル ナイカ ト ゲカ ノ カンガエカタ : "カナガワ ナイカ-ゲカ HCC チリョウ レンケイ meeting"アンケート チョウサ ヨリ
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Description
<p>A 30-question questionnaire survey was administered to 45 full-time surgeons board-certified by the Japanese Society of Hepatobiliary Surgery and internists board-certified by the Japanese Society of Gastroenterology or the Japan Society of Hepatology practicing in Kanagawa Prefecture. Responses to questions on the criteria for liver resection and multidisciplinary treatment of hepatocellular carcinoma were collected from 69 participants, including 41 internists and 28 surgeons, from 28 centers. Regarding the decision for surgical hepatocellular carcinoma resection after medical treatment, except in the down stage, the internists focused on achieving complete response whereas the surgeons focused on achieving no recurrence for a certain duration. In patients responding to medical treatment, internists were more likely to continue medical treatment and only chose resection if the tumor shrank with a change in response from Vp4 to Vp2, which was lower than the surgeon's resection selection rate. For multidisciplinary treatment, the recognition matching of both medical and surgical according to common criteria by the cancer board was important.</p>
Journal
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- Kanzo
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Kanzo 66 (4), 125-139, 2025-04-01
The Japan Society of Hepatology