Research Article

HCV Eradication with Direct-Acting Antivirals Does Not Impact HCC Progression on the Waiting List or HCC Recurrence after Liver Transplantation

Table 4

HCC Characteristics for transplanted patients.

HCV (N=30)Non-HCV  
(N=16)
P Value

Within Milan Pre-Transplant, N (%)12 (40.0)8 (50.0)P=0.525
Within UCSF Pre-Transplant, N (%)14 (46.7)12 (75.0)P=0.041
Listing:
 AFP (ug/L), mean±SD [range]17.3±23.5 8.8±14.0 P=0.211
 Number of Tumors, mean±SD [range]1.4±2.2 0.7±0.8 P=0.198
 Total Tumor Volume (cm3), mean±SD [range]6.4±10.8 5.4±7.5 P=0.761
Last Values Prior to Transplant:
 AFP(ug/L), mean±SD [range]39.1±76.8 4.8±3.3 P=0.082
 Total Tumor Volume (cm3), mean±SD [range]7.3±16.9 4.3±10.0 P=0.524
Explant Characteristics:
 Within Milan, N (%)19 (63.3)11 (68.8)P=0.721
 Number of Tumors, mean±SD [range]4.5±6.8 1.9±2.6 P=0.152
 Total Tumor Volume (cm3), mean±SD [range]14.5±27.2 19.9±31.9 P=0.550
 Histological Grade, N (%)
  Necrotic3 (10.0)3 (18.8)
  Well differentiated3 (10.0)3 (18.8)
  Moderately differentiated20 (66.7)8 (50.0)
  Poorly differentiated4 (13.3)2 (12.5)
 Microvascular invasion, N (%)3 (10.0)1 (6.3)
Pre-Transplant Therapy, N (%)
 None5 (16.7)4 (25.0)
 Alcohol Ablation1 (3.3)1 (6.3)
 Radiofrequency Ablation16 (53.3)9 (56.3)
 TACE18 (60.0)6 (37.5)
 SIRT4 (13.3)1 (6.3)
 Resection02 (12.5)
mTOR Inhibitor Post-Transplant, N (%)
 2 months post-transplant19 (63.3)9 (64.3)P=0.386
 1 year post-transplant14 (51.9)9 (60.0)P=0.739
HCC Recurrence among HCV+ LT Patients
 Pre-LT SVR (N=3):
  Time to recurrence post-LT, days144, 442, 521
  Location of recurrenceMultifocal, Lung, Lung
  HCC TreatmentSorafenib, None, None
 Post-LT SVR (N=2):
  Time to recurrence post-LT, days375, 674
  Location of recurrenceLung, Liver Allograft
  HCC TreatmentNone, RFA