{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:47:17Z","timestamp":1762865237372},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[1988,4,1]],"date-time":"1988-04-01T00:00:00Z","timestamp":575856000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1988,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The purpose of this analysis was to ascertain the resectability rate of symptomatic hepatocellular carcinoma in rural southern African black males. All 224 such patients proven to have hepatocellular carcinoma in a single hospital were included in the study. Of 205 patients undergoing a complete diagnostic work-up, 134 (65\u00b73 per cent) were judged on clinical criteria to be inoperable, 23 (11\u00b72 per cent) had pulmonary or osseous metastases, and 38 (18\u00b75 per cent) proved on hepatic imaging and 5 (2\u00b74 per cent) on hepatic arteriography to have an irresectable tumour. Thus, only five (2\u00b74 per cent) of these patients proceeded to laparotomy. Another 7 patients who did not have an arteriogram, 9 with surgical emergencies, and 2 mistakenly believed to have an amoebic hepatic abscess also underwent laparotomy. Only 2 patients (0\u00b79 per cent of 223) proved to have a resectable tumour. The extremely low resectability rate reinforces the urgent need for a surveillance programme to detect early tumours in high-risk members of this population.<\/jats:p>","DOI":"10.1002\/bjs.1800750413","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T10:51:10Z","timestamp":1172919070000},"page":"335-338","source":"Crossref","is-referenced-by-count":24,"title":["Resectability rate of hepatocellular carcinoma in rural southern Africans"],"prefix":"10.1093","volume":"75","author":[{"given":"Rinah","family":"Maraj","sequence":"first","affiliation":[{"name":"Department of Medicine, University of the Witwatersrand, and Surgical and Medical Services, Rand Mutual Hospital , Johannesburg,","place":["South Africa"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M C","family":"Kew","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of the Witwatersrand, and Surgical and Medical Services, Rand Mutual Hospital , Johannesburg,","place":["South Africa"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J","family":"Hyslop","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of the Witwatersrand, and Surgical and Medical Services, Rand Mutual Hospital , Johannesburg,","place":["South Africa"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1988,4,1]]},"reference":[{"key":"2024092719495970700_bib1","first-page":"179","volume-title":"Subclinical Hepatocellular Carcinoma","author":"Tang","year":"1985"},{"key":"2024092719495970700_bib2","first-page":"1","article-title":"Solid liver tumors","volume":"22","author":"Foster","year":"1977","journal-title":"Major Probl Clin Surg"},{"key":"2024092719495970700_bib3","doi-asserted-by":"crossref","first-page":"918","DOI":"10.1002\/1097-0142(19850815)56:4<918::AID-CNCR2820560437>3.0.CO;2-E","article-title":"Natural history of hepatocellular carcinoma and relation to treatment","volume":"56","author":"Okuda","year":"1985","journal-title":"Cancer"},{"key":"2024092719495970700_bib4","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1002\/bjs.1800600719","article-title":"The surgical management of primary hepatocellular carcinoma in Uganda","volume":"60","author":"Harrison","year":"1973","journal-title":"Br J Surg"},{"key":"2024092719495970700_bib5","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1097\/00005792-198203000-00004","article-title":"Hepatocellular carcinoma in rural southern African Blacks","volume":"61","author":"Kew","year":"1982","journal-title":"Medicine (Baltimore)"},{"key":"2024092719495970700_bib6","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/B978-0-444-41542-4.50008-0","volume-title":"Liver Cell Cancer","author":"Purves","year":"1976"},{"key":"2024092719495970700_bib7","first-page":"10","article-title":"Unusual clinical presentations of hepatocellular carcinoma","volume":"6","author":"Kew","year":"1985","journal-title":"Trop Gastroenterol"},{"key":"2024092719495970700_bib8","first-page":"387","volume-title":"Hepatocellular Carcinoma","author":"Okuda","year":"1976"},{"key":"2024092719495970700_bib9","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1002\/1097-0142(196011\/12)13:6<1085::AID-CNCR2820130603>3.0.CO;2-Y","article-title":"Cancer of the liver and cirrhosis in Trans-Saharan Africa and United States of America","volume":"13","author":"Steiner","year":"1960","journal-title":"Cancer"},{"key":"2024092719495970700_bib10","first-page":"1323","article-title":"The chest radiograph in primary liver cancer. 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