Clinical Study
Prognostic Factors for Tumor Recurrence after a 12-Year, Single-Center Experience of Liver Transplantations in Patients with Hepatocellular Carcinoma
Table 2
Univariate analysis of factors affecting recurrence-free survival after OLT in patients with HCC.
| Variables | | 3-yr survival | 5-yr survival | P value |
| Gender | Female () | 82% | 82% | .1 | Male () | 89% | 87% |
| Age | 60 years () | 88% | 87% | .9 | 60 years () | 89% | 85% |
| AFP 30 ng/mL at OLT | No () | 92% | 91% | .0001 | Yes () | 76% | 74% |
| Viral infection | HCV-positive () | 85% | 83% | .4 | HBV-positive () | 88% | 88% | HCV, HBV-positive () | 92% | 92% | HCV, HBV-negative () | 98% | 94% |
| Down-staging to MC | No () | 89% | 88% | .2 | Yes () | 83% | 79% |
| Preoperative MC | Fulfilled () | 90% | 89% | .07 | Not fulfilled () | 81% | 77% |
| Preoperative up-to-seven | Fulfilled () | 88% | 86% | .9 | Not fulfilled () | 86% | 86% |
| Pre-OLT treatments | No () | 96% | 94% | .05 | Yes () | 86% | 84% |
| Histological MC | Fulfilled () | 94% | 92% | .0001 | Not fulfilled () | 73% | 71% |
| Histological up-to-seven | Fulfilled () | 91% | 89% | .0001 | Not fulfilled () | 69% | 65% |
| Grading | G0–G2 () | 96% | 95% | .0001 | G3–G4 () | 80% | 78% |
| Microvascular invasion | No () | 97% | 96% | .0001 | Yes () | 76% | 73% |
| Macrovascular invasion | No () | 88% | 87% | .07 | Yes () | 67% | 67% |
| Post-OLT m-TOR inhibitors | No () | 89% | 87% | .2 | Yes () | 81% | 81% |
|
|
OLT: orthotopic liver transplantation. HCC: hepatocellular carcinoma. AFP: alpha-fetoprotein. MC: Milan criteria. M-TOR: Mammalian Target Of Rapamycin.
|