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Chinese Journal of Oncology Prevention and Treatment ›› 2012, Vol. 4 ›› Issue (1): 57-61.doi: 10.3969/j.issn.1674-5671.2012.01.14

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Analysis of prognostic factors in 169 patients with BCLC stage B hepatocellular carcinoma after hepatectomy

  

  • Online:2012-03-25 Published:2012-04-16

Abstract: Objective To investigate prognostic factors affecting the outcomes of patients with Barcelona Clinic Liver Cancer (BCLC) stage B hepatocellular carcinoma(HCC) after hepatectomy. Methods Clinicopathologic data of 169 patients with BCLC stage B HCC were analyzed retrospectively.All patients underwent hepatectomy between March 2003 and September 2007.Cumulative survival rates were calculated by the Kaplan-Meier method.Prognostic factors were screened initially by the log-rank test,and indepen-dent prognostic factors were further analyzed by Cox regression.Results Overall survival rates for 1,3,and 5 years were,respec-tively,76.3%,46.0%,and 38.8%.According to the log-rank test,preoperative serum ALT (P=0.029),tumor capsule (P=0.031),tumor number (P=0.026),liver cirrhosis (P=0.027),and postoperative adjuvant therapy (P<0.001) were significantly associated with prognosis of stage B HCC,and Cox regression indicated that independent prognostic factors were tumor capsule (P=0.032),tumor number (P=0.048),liver cirrhosis (P=0.049),and postoperative adjuvant therapy (P<0.001).Conclusions Hepatectomy is an effective therapy in patients with stage B HCC,and tumor capsule,tumor number,liver cirrhosis,and postoperative adjuvant therapy are independent prognostic factors.

Key words: Hepatocellular carcinoma, Hepatectomy, Survival rates, Prognosis