Publication: Prognostic factors in patients with HBV-related hepatocellular carcinoma following hepatic resection
Issued Date
2018-06-08
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ISSN
17509378
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2-s2.0-85048186922
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Mahidol University
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SCOPUS
Bibliographic Citation
Infectious Agents and Cancer. Vol.13, No.1 (2018)
Suggested Citation
Narongsak Rungsakulkij, Wikran Suragul, Somkit Mingphruedhi, Pongsatorn Tangtawee, Paramin Muangkaew, Suraida Aeesoa Prognostic factors in patients with HBV-related hepatocellular carcinoma following hepatic resection. Infectious Agents and Cancer. Vol.13, No.1 (2018). doi:10.1186/s13027-018-0192-7 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/45132
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Title
Prognostic factors in patients with HBV-related hepatocellular carcinoma following hepatic resection
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Abstract
© 2018 The Author(s). Background: To analyze prognostic factors following hepatic resection in patients with HBV-related hepatocellular carcinoma. Methods: We retrospectively analyzed 217 patients with HBV-related hepatocellular carcinoma who underwent hepatic resection at our hospital between January 2006 and December 2015. Disease-free survival and overall survival rates were analyzed using the Kaplan-Meier method and the log-rank test. The association between recurrence and survival and various clinicopathological factors, including serum alpha-fetoprotein (AFP) level, platelet count, platelet-to-lymphocyte ratio, neutrophil-to-lymphocyte ratio, antiplatelet therapy, antiviral therapy, hepatitis C virus infection, and tumor-related characteristics, were assessed using univariate and multivariate logistic regression analysis. Results: The 1-, 3-, and 5-year overall survival rates were 91, 84, and 79%, respectively, and the recurrence-free survival rates were 72, 51, and 44%, respectively. High post-operative AFP level (hazard ratio [HR] 1.112, 95% confidence interval [CI]: 1.02-1.21, P = 0.007), multiple tumors (HR 1.991, 95% CI: 1.11-3.56, P = 0.021), and no antiviral treatment (HR 1.823, 95% CI: 1.07-3.09, P = 0.026) were independent risk factors for recurrence. High post-operative AFP level (HR 1.222, 95% CI: 1.09-1.36, P < 0.001), multiple tumors (HR 2.715, 95% CI: 1.05-7.02, P = 0.039), and recurrence (HR 12.824, 95% CI: 1.68-97.86, P = 0.014) were independent risk factors for mortality. No other factors analyzed were associated with outcomes in this patient cohort. Conclusions: High post-operative serum alpha-fetoprotein level and multiple tumors, but not inflammatory factors, were risk factors for poor prognosis in HBV-related hepatocellular carcinoma patients after resection.