Clinical Study

Epidemiology and Prognosis of Paraneoplastic Syndromes in Hepatocellular Carcinoma

Table 3

Comparison of prognostic variables in HCC patients with paraneoplastic hypercalcemia, hypercholesterolemia, and erythrocytosis against those without paraneoplastic syndromes.

Prognostic variableWithout PNSParaneoplastic hypercholesterolemiaParaneoplastic hypercalcemiaParaneoplastic erythrocytosis
( )( ) ( ) ( )

Young age (≤40 y)28 (8.5%)9 (8.0%)NS6 (25.0%)0.0202 (11.1%)NS
AFP ≥ 12,000  g/L88 (26.7%)54 (48.2%)<0.00114 (58.3%)0.0039 (50%)NS
Bilobar disease158 (47.9%)65 (58.0%)NS18 (75.0%)0.0138 (44.4%)NS
Multiple lesions216 (65.5%)82 (73.2%)NS22 (91.7%)0.02210 (55.6%)NS
Portal vein invasion141 (50.9%)67 (59.8%)NS15 (62.5%)NS13 (72.2%)NS
Distant metastases59 (17.9%)23 (20.5%)NS8 (33.3%)NS4 (22.2%)NS
TNM stage
(I&II/III&IV)
110/220
(33.3%/66.7%)
22/90
(19.6%/80.4%)
0.0492/22
(8.3%/91.7%)
0.0244/14
(22.2%/77.8%)
NS
Child-Pugh A/B/C 146/135/49
(44%/41%/15%)
48/46/18
(43%/41%/16%)
NS9/12/3
(38%/50%/12%)
NS11/7/0
(61%/39%/0%)
NS

PNS: paraneoplastic syndromes; NS: not statistically significant ( ).
: comparison against patients without PNS.