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. 2008 Nov 20;99(12):2510–2517. doi: 10.1111/j.1349-7006.2008.00981.x

Table 1.

Univariate and multivariate analysis of baseline predictors of survival in 136 patients with hepatocellular carcinoma with tumor thrombi

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.