Clinical Study

Prognostic Factors for Tumor Recurrence after a 12-Year, Single-Center Experience of Liver Transplantations in Patients with Hepatocellular Carcinoma

Table 1

Demographic, clinical, and pathological parameters of 283 patients with HCC receiving OLT at the Bologna Center between 1997 and 2009.

Variables

Gender
 Male241 (85%)
 Female42 (15%)
Median age (years)57 (33–68)

Viral infection
 HCV-positive152 (54%)
 HBV-positive70 (25%)
 HCV, HBV-positive13 (5%)
 HCV, HBV-negative48 (17%)
Median real MELD score15 (6–45)

Preoperative treatments222 (78%)
 TACE158 (56%)
 PEI30 (10%)
 RF63 (22%)
 Liver resection16 (6%)

Median AFP level at OLT (ng/mL)9 (1–6826)
Median preoperative tumor number2 (1–6)
Median preoperative tumor diameter (cm)2.5 (0.8–5)
Down-staging to MC39 (14%)
Fulfilling MC at OLT224 (79%)
Fulfilling up-to-7 criteria at OLT267 (94%)
Median tumor number at histology1 (0–12)
Median tumor diameter at histology (cm)2.5 (0–6)
Fulfilling MC at histology208 (73%)
Fulfilling up-to-7 criteria at histology249 (88%)

Tumor grading
 G0–G2143 (50.5%)
 G3–G4140 (49.5%)

Microvascular invasion117 (41%)
Macrovascular invasion3 (1%)
Post-OLT M-TOR inhibitors43 (15%)

HCC: hepatocellular carcinoma. OLT: orthotopic liver transplantation. HCV: hepatitis C virus. HBV: hepatitis B virus. MELD: Model for End-stage Liver Disease. TACE: trans-arterial chemoembolization. PEI: percutaneous alcohol injection. RF: radiofrequency ablation. AFP: alpha-fetoprotein. MC: Milan criteria.