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.

Variables3-yr survival5-yr survivalP value

GenderFemale (n=42)82%82%.1
Male (n=241)89%87%

Age 60 years (n=184)88%87%.9
> 60 years (n=99)89%85%

AFP > 30 ng/mL at OLTNo (n=201)92%91%< .0001
Yes (n=78)76%74%

Viral infectionHCV-positive (n=152)85%83%.4
HBV-positive (n=70)88%88%
HCV, HBV-positive (n=13)92%92%
HCV, HBV-negative (n=48)98%94%

Down-staging to MCNo (n=243)89%88%.2
Yes (n=39)83%79%

Preoperative MCFulfilled (n=224)90%89%.07
Not fulfilled (n=59)81%77%

Preoperative up-to-sevenFulfilled (n=267)88%86%.9
Not fulfilled (n=16)86%86%

Pre-OLT treatmentsNo (n=53)96%94%.05
Yes (n=222)86%84%

Histological MCFulfilled (n=208)94%92%< .0001
Not fulfilled (n=75)73%71%

Histological up-to-sevenFulfilled (n=249)91%89%< .0001
Not fulfilled (n=34)69%65%

GradingG0–G2 (n=143)96%95%< .0001
G3–G4 (n=140)80%78%

Microvascular invasionNo (n=166)97%96%< .0001
Yes (n=117)76%73%

Macrovascular invasionNo (n=280)88%87%.07
Yes (n=3)67%67%

Post-OLT m-TOR inhibitorsNo (n=240)89%87%.2
Yes (n=43)81%81%

OLT: orthotopic liver transplantation. HCC: hepatocellular carcinoma. AFP: alpha-fetoprotein. MC: Milan criteria. M-TOR: Mammalian Target Of Rapamycin.