Research Article

Hepatocellular Carcinoma in the Pediatric Population: A Population Based Clinical Outcomes Study Involving 257 Patients from the Surveillance, Epidemiology, and End Result (SEER) Database (1973–2011)

Table 5

Tumor characteristics of fibrolamellar and nonfibrolamellar hepatocellular carcinoma for 63,514 adults and 257 pediatric patients from the Surveillance, Epidemiology, and End Results (SEER) database, 1973–2011.

TotalPediatricsAdults value
fHCCNon-fHCCfHCCNon-fHCCfHCCNon-fHCC

(%)274 (0.4%)63,497 (99.6%)62 (24.1%)195 (75.9%)212 (0.3%)63,302 (99.7%)
Grade, (%)
 Well differentiated22 (26.8%)7,791 (35.1%)6 (37.5%)28 (35.4%)16 (24.2%)7,763 (35.1%)NS
 Moderately diff.41 (50.0%)8,426 (38.0%)8 (50.0%)25 (31.6%)33 (50.0%)8,401 (38.0%)NS
 Poorly diff.19 (23.2%)5,298 (23.9%)2 (12.5%)20 (25.3%)17 (25.8%)5,278 (23.9%)NS
 Undifferentiated0 (0.0%)672 (3.0%)0 (0.0%)6 (7.6%)0 (0.0%)666 (3.0%)NS
Stage, (%)
 Localized96 (37.2%)25,659 (48.0%)15 (25.0%)53 (29.1%)81 (40.9%)25,606 (48.1%)<0.001
 Regional86 (33.3%)16,691 (31.2%)24 (40.0%)70 (38.5%)62 (31.3%)16,621 (31.2%)<0.001
 Distant76 (29.5%)11,117 (20.8%)21 (35.0%)59 (32.4%)55 (27.8%)11,058 (20.8%)<0.001
Size, (%)
 Microscopic0 (0.0%)45 (0.1%)0 (0.0%)0 (0.0%)0 (0.0%)45 (0.1%)NS
 Under 2 cm4 (2.0%)3,067 (7.9%)1 (1.8%)15 (14.0%)3 (2.0%)3,052 (7.9%)NS
 2 to 4 cm23 (11.2%)11,697 (30.1%)4 (7.3%)13 (12.1%)19 (12.7%)11,684 (30.1%)NS
 Over 4 cm178 (86.8%)24,077 (61.9%)50 (90.9%)79 (73.8%)128 (85.3%)23,998 (61.9%)NS

cm = centimeters; diff. = differentiated; fHCC = fibrolamellar hepatocellular carcinoma; = number; NS = not statistically significant with value > 0.05; NOS = not otherwise specified; SD = standard deviation; data presented for patients with available information only.