Table 1.
Variables | n | Survival status | P‐values | |||
---|---|---|---|---|---|---|
Average ± SD | Median ± SD | Univariate | Multivariate | |||
Age (years) | ≤40 | 24 | 15.4 ± 16.2 | 8.6 ± 15.2 | 0.052 | 0.674 |
40–60 | 84 | 14.2 ± 15.6 | 8.5 ± 7.3 | |||
≥60 | 28 | 28.3 ± 33.9 | 17.4 ± 27.5 | |||
Gender | Female | 7 | 36.6 ± 29.6 | 59.1 ± 0 | 0.125 | 0.499 |
Male | 129 | 16.6 ± 21.6 | 9.0 ± 9.7 | |||
HBsAg | Negative | 12 | 23.3 ± 23.9 | 16.6 ± 17.3 | 0.346 | 0.752 |
Positive | 124 | 16.9 ± 22.3 | 9.0 ± 8.9 | |||
Hemoglobin (g/L) | ≤110 | 26 | 8.4 ± 6.1 | 7.2 ± 6.1 | 0.002 | 0.665 |
110–140 | 97 | 20.3 ± 25.6 | 10.3 ± 14.8 | |||
≥140 | 13 | 16.1 ± 13.3 | 15.4 ± 25.2 | |||
Platelet count (×109/L) | ≤100 | 64 | 20.9 ± 26.4 | 11.5 ± 15.2 | 0.005 | 0.659 |
100–200 | 54 | 15.3 ± 16.9 | 9.1 ± 7.3 | |||
≥200 | 18 | 8.4 ± 8.1 | 4.7 ± 2.5 | |||
Total bilirubin (mmol/L) | <20 | 79 | 16.5 ± 17.8 | 10.2 ± 7.1 | 0.711 | 0.947 |
≥20 | 57 | 18.6 ± 26.4 | 8.0 ± 7.5 | |||
Albumin (g/L) | ≤35 | 28 | 10.7 ± 16.4 | 7.2 ± 8.5 | 0.001 | 0.005 |
35–44 | 71 | 15.1 ± 16.9 | 8.6 ± 9.3 | |||
≥44 | 37 | 25.2 ± 26.8 | 15.4 ± 24.9 | |||
ALT (IU/mL) | <75 | 111 | 16.8 ± 21.1 | 9.1 ± 9.5 | 0.611 | 0.337 |
≥75 | 25 | 21.1 ± 25.0 | 11.5 ± 16.0 | |||
AST(IU/mL) | <75 | 98 | 19.7 ± 23.8 | 10.2 ± 14.6 | 0.006 | 0.718 |
≥ 75 | 38 | 9.8 ± 6.8 | 6.5 ± 9.6 | |||
ALP(IU/mL) | <150 | 86 | 20.1 ± 23.8 | 11.5 ± 15.8 | 0.014 | 0.146 |
≥150 | 50 | 10.7 ± 8.2 | 7.5 ± 4.2 | |||
γ‐GT (IU/L) | ≤75 | 25 | 27.6 ± 28.5 | 18.4 ± 22.2 | 0.028 | 0.018 |
75–150 | 39 | 15.5 ± 22.7 | 9.0 ± 10.1 | |||
≥150 | 72 | 13.6 ± 14.5 | 8.0 ± 7.5 | |||
AFP status (µg/L) | ≤20 | 49 | 23.1 ± 24.2 | 13.0 ± 26.3 | 0.008 | 0.032 |
20–400 | 32 | 15.3 ± 18.1 | 9.0 ± 9.4 | |||
≥400 | 55 | 12.5 ± 16.1 | 7.5 ± 5.3 | |||
Child–Pugh classification | A | 107 | 20.4 ± 24.8 | 10.7 ± 10.8 | <0.001 | 0.005 |
B | 28 | 7.4 ± 4.4 | 5.4 ± 3.9 | |||
C† | 1 | 3.3 ± 0 | 3.3 ± 0 | |||
Size of intrahepatic tumors (cm) | ≤5 | 48 | 24.3 ± 27.8 | 13.2 ± 13.2 | 0.009 | 0.269 |
5–10 | 58 | 12.2 ± 11.1 | 7.4 ± 6.8 | |||
≥10 | 30 | 13.1 ± 12.1 | 7.5 ± 4.1 | |||
Intrahepatic tumor number | Solitary | 68 | 22.3 ± 24.2 | 13.2 ± 22.6 | <0.001 | 0.008 |
Multiple | 68 | 12.5 ± 18.2 | 7.0 ± 5.2 | |||
Thrombus location | PV branches | 27 | 17.7 ± 18.7 | 10.1 ± 3.7 | 0.047 | 0.224 |
PV trunk | 67 | 14.7 ± 25.9 | 7.4 ± 7.3 | |||
IVC | 30 | 23.5 ± 23.6 | 18.4 ± 14.1 | |||
IVC + PV | 12 | 12.5 ± 6.6 | 7.5 ± 4.5 | |||
Presence of tumor thrombi | Synchronous | 71 | 12.6 ± 16.1 | 7.4 ± 6.4 | 0.002 | 0.382 |
Asynchronous | 65 | 22.3 ± 25.5 | 12.2 ± 20.9 | |||
LN metastases | Absent | 118 | 18.7 ± 23.1 | 10.2 ± 12.5 | 0.001 | <0.001 |
Present | 18 | 7.8 ± 6.2 | 5.0 ± 2.2 | |||
Distant metastases | Absent | 94 | 17.7 ± 22.9 | 8.2 ± 10.9 | 0.287 | 0.281 |
Lung | 38 | 12.7 ± 9.3 | 9.5 ± 9.2 | |||
Other sites | 4 | 37.2 ± 35.0 | 9.9 ± 54.1 | |||
Previous treatment modalities for intrahepatic tumors | Without therapy | 14 | 17.7 ± 25.6 | 5.7 ± 3.1 | 0.427 | 0.408 |
TACE | 90 | 16.5 ± 20.2 | 9.1 ± 9.9 | |||
Resection ± TACE | 32 | 18.7 ± 21.7 | 12.0 ± 10.0 | |||
EBRT dose (Gy) | 30–48 | 40 | 14.1 ± 18.0 | 8.0 ± 4.7 | 0.078 | 0.386 |
50 | 59 | 16.6 ± 22.8 | 9.7 ± 11.5 | |||
52–60 | 37 | 23.2 ± 23.5 | 12.5 ± 21.3 | |||
Response to EBRT | CR | 41 | 25.4 ± 22.6 | 19.5 ± 16.0 | <0.001 | <0.001 |
PR | 36 | 20.6 ± 30.8 | 10.2 ± 8.8 | |||
SD | 49 | 11.1 ± 13.6 | 7.2 ± 3.9 | |||
PD | 10 | 4.2 ± 1.8 | 3.5 ± 0.5 | |||
Radiation technique | 2‐D | 69 | 16.4 ± 19.1 | 8.5 ± 12.5 | 0.393 | <0.001 |
3‐D | 67 | 14.4 ± 11.5 | 10.7 ± 18.3 |
2‐D, two‐dimensional conformal EBRT; 3‐D, three‐dimentional conformal EBRT; AFP, α‐fetoprotein; ALP, alkaline phosphatase; ALT, alanine aminotransferase; AST, aspartate aminotransferase; CR, complete response; EBRT, external‐beam radiation therapy; HbsAg, hepatitis B surface antigen; LN, lymph node; PD, progressive disease; PR, partial response; SD, stable disease; SD, standard deviation; TACE, transcatheter arterial chemoembolization; WBC, white blood cell; γ‐GT, γ‐glutamyltransferase.
Child–Pugh C was excluded because of only one case; P‐value is the comparison between Child–Pugh A and B.