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Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas

  • Authors:
    • Yanyan Wei
    • Feng Dai
    • Yongxiang Yi
    • Wei Ye
    • Wei Zhao
  • View Affiliations / Copyright

    Affiliations: Department of Liver Disease, The Second Hospital of Nanjing, Medical School of Southeast University, Nanjing, Jiangsu 210000, P.R. China
    Copyright: © Wei et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 5050-5058
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    Published online on: August 3, 2018
       https://doi.org/10.3892/ol.2018.9263
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Abstract

The prognosis for small hepatocellular carcinomas (SHCC) remains uncertain. The aim of the present study was to compare three local tumor lesion treatments and identify the prognostic factors in patients with SHCC by analyzing preoperative indicators. A retrospective study was performed using data from 206 patients with SHCC from 2006‑2015. All of the patients had undergone transarterial chemoembolization (TACE) alone, TACE plus percutaneous microwave coagulation therapy (PMCT) or surgical resection (SR). The Kaplan‑Meier method was used to calculate the survival rates. Multivariate analysis was conducted using Cox regression analysis. The median survival time of patients with SHCC was 27 (range, 14‑49) months in the TACE group, 29.5 (range, 16‑52) months in the TACE‑PMCT group and 36.5 (range, 26‑52) months in the SR group (P=0.091). The 1, 3 and 5‑year survival rates for patients with SHCC were 82.4, 64.9 and 46.8% in the TACE group; 89.0, 72.6 and 58.3% in the TACE‑PMCT group and 88.8, 72.3 and 58.6% in the SR group (P=0.181), respectively. Analysis from the Cox regression model demonstrated that preoperative α‑fetoprotein (AFP; <400 ng/ml vs. ≥400 ng/ml; HR=0.548; P=0.036) was an independent predictor of the survival time of patients with SHCC. Analysis of patients with preoperative AFP levels of ≥400 ng/ml revealed that the median survival time in the SR group was 36 (range, 28.25‑52) months, significantly longer than the TACE (17 months; range, 12‑44 months) and TACE‑PMCT group (27 months; range, 14‑55 months; P=0.035). The 1, 2 and 3‑year survival rates for patients with SHCC with ≥400 ng/ml AFP were: 70.8, 55.5 and 49.9% in the TACE group; 83.7, 68.0 and 60.8% in the TACE‑PMCT group; and 90.9, 81.8 and 61.0% in SR group, respectively (P=0.664). However, there was no significant difference among the three groups in the survival time of patients with SHCC with <400 ng/ml preoperative AFP. The observations indicated that SR is not significantly different for overall survival time in the patients with SHCC between the two groups; this method can be employed for patients with SHCC. This was based on the median survival time of patients with ≥400 ng/ml AFP in the SR group who had a longer survival time and a higher survival rate than in the TACE and TACE‑PMCT group.
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Copy and paste a formatted citation
Spandidos Publications style
Wei Y, Dai F, Yi Y, Ye W and Zhao W: Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas. Oncol Lett 16: 5050-5058, 2018.
APA
Wei, Y., Dai, F., Yi, Y., Ye, W., & Zhao, W. (2018). Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas. Oncology Letters, 16, 5050-5058. https://doi.org/10.3892/ol.2018.9263
MLA
Wei, Y., Dai, F., Yi, Y., Ye, W., Zhao, W."Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas". Oncology Letters 16.4 (2018): 5050-5058.
Chicago
Wei, Y., Dai, F., Yi, Y., Ye, W., Zhao, W."Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas". Oncology Letters 16, no. 4 (2018): 5050-5058. https://doi.org/10.3892/ol.2018.9263
Copy and paste a formatted citation
x
Spandidos Publications style
Wei Y, Dai F, Yi Y, Ye W and Zhao W: Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas. Oncol Lett 16: 5050-5058, 2018.
APA
Wei, Y., Dai, F., Yi, Y., Ye, W., & Zhao, W. (2018). Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas. Oncology Letters, 16, 5050-5058. https://doi.org/10.3892/ol.2018.9263
MLA
Wei, Y., Dai, F., Yi, Y., Ye, W., Zhao, W."Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas". Oncology Letters 16.4 (2018): 5050-5058.
Chicago
Wei, Y., Dai, F., Yi, Y., Ye, W., Zhao, W."Impact of local tumor lesion treatments and preoperative indicators on the survival of patients with small hepatocellular carcinomas". Oncology Letters 16, no. 4 (2018): 5050-5058. https://doi.org/10.3892/ol.2018.9263
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