Research Article

Blood Transfusions and Tumor Biopsy May Increase HCC Recurrence Rates after Liver Transplantation

Table 2

Univariate and multivariate values of tumor and nontumor related risk factors for HCC recurrence after LT. The nontumor related risk factors were analyzed stratified for the most dominant tumor related risk factor (microvascular invasion).

UnivariateMultivariate

Tumor factors:
 Microvascular invasion<0.001<0.001
 Number of tumor nodules (≤3 versus >3)<0.0010.138
 Maximum diameter (≤5 versus >5 cm)0.0010.934
 AFP level0.0060.495
 HCC incidentally detected after LT0.108

Nontumor factors:
 Tumor biopsy0.0150.884
 Blood transfusions0.0230.033
 Age (≤60 versus >60 years)0.0450.118
 Waiting time0.091
 Child Pugh status0.175
 Sirolimus after LT0.183
 Underlying liver disease0.208
  Cyclosporine (versus tacrolimus)0.280
 Haemodialysis0.343
 Immunosupp. (dual versus triple versus quadruple)0.362
 ATG induction therapy0.398
 Pervious liver resection for HCC0.481
 Gender0.496
 OKT 3 therapy0.524
 Piggy back0.567
 Azathioprine0.571
 IL-2 induction therapy0.614
 Antirejection therapy (antibodies, steroids)0.646
 Mycophenolate0.674
 Duration of ICU treatment0.746
 Period of LT0.859
 Blood group0.891
 TACE before LT0.960