About register search current archives author guidelines cpd journals announcements events careers home > vol 47, no 4 (2009) > bhaijee user username password remember me open journal systems the south african medicines formulary (samf) 2012 (tenth edition) is currently available. kann man viagra online bestellen Contact the health & medical publishing group (hmpg) for details. generic viagra online South african journal of surgery, vol 47, no 4 (2009) fibrolamellar hepatocellular carcinoma at a tertiary centre in south africa: a case series feriyl bhaijee, michael l locketz, jake ej krige abstract background: fibrolamellar carcinoma (flc) is an uncommon malignant tumour of hepatocyte origin that differs from hepatocellular carcinoma (hcc) in aetiology, demographics, condition of the affected liver, and tumour markers. on line pharmacy uk viagra Controversy exists whether flc demonstrates a more favourable prognosis than typical hcc. viagra ad bathtub A review of existing literature reveals a dearth of flc data from the african continent. cheap viagra online Methods: we utilised the prospective liver resection database at groote schuur hospital (cape town, south africa) to identify all patients who underwent surgery for flc between 1990 and 2008. Slimming tablets female viagra Results: seven patients (median age 21 years, range: 19-42, 5 men, 2 women) underwent surgery for flc. whats better viagra viagra or viagra No patient had underlying liver disease or an elevated afp at either initial presentation or recurrence. 20 mg viagra vs 100mg viagra Six patients had a solitary tumour at diagnosis, (mean largest diameter = 12cm), and underwent left hepatectomy (n=2), right hepatectomy (n=1), extended right hepatectomy (n=1), and segmentectomies (n=2). Over the counter viagra uk Three patients underwent a portal lymphadenectomy for regional lymphatic tumour involvement. viagra ad bathtub One patient with advanced extrahepatic portal nodal metastasis was unresectable. buy generic viagra No peri-operative deaths occurred. generic viagra Recurrence occurred post resection in all 6 patients. http://classicmotocrossimages.com/mbs-cheap-viagra-without-prescription-usa-ys/ Median overall survival was 60 months, and overall 5-year survival was 4/7 (57%). average age of viagra use Post resection survival (n=6) was 61 months, with a 5-year survival rate of 4/6 (67%). cheap viagra online The patient with unresectable disease survived 38 months after tumour embolisation with lipiodol. generic viagra online Conclusion: our series suggests that despite i) a high resection rate of solitary lesions with clear tumour resection margins, and ii) absence of underlying liver disease, flc has a high recurrence rate with an ultimately poor clinical outcome. cheap viagra These findings concur with recent international experience of flc. buy viagra online Full text: pdf tweet other hmpg journals african journal of health professions education continuing medical education south african journal of bioethics and law south african journal of chi. buy generic viagra viagra ad bathtub Welcome to Abboud Research Consulting

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