A study involving 953 patients identified four tumor-related factors that predict poor prognosis in intrahepatic cholangiocarcinoma (ICC): lymph node metastasis, tumor size over 5 cm, multinodular lesions, and major vascular invasion. A point system categorized patients as resectable or borderline resectable, significantly impacting overall survival rates. Patients classified as borderline resectable had a median survival of 24.6 months, compared to 69.7 months for those deemed resectable. These criteria enable better preoperative risk stratification.
Journal Article by Kawashima J, Akabane M (…) Pawlik TM et 24 al. in Ann Surg Oncol
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