Table 2.
Risk factors of tumour recurrence
| n | Recurrence-free survival median (95% CI) | Univariate analysis | Multivariate analysis | ||||||
|---|---|---|---|---|---|---|---|---|---|
| P | HR | 95% CI | P | HR | 95% CI | ||||
| Age | >65 | 136 | 38.7 (28.0–51.1) | 0.992 | |||||
| ≤65 | 144 | 32.4 (26.7–44.9) | |||||||
| Gender | Male | 210 | 35.6 (25.8–47.2) | 0.966 | |||||
| Female | 70 | 37.9 (25.8–50.0) | |||||||
| HBsAg | + | 59 | 41.0 (26.7–69.9) | 0.251 | |||||
| − | 221 | 34.3 (28.8–42.8) | |||||||
| HCV-Ab | + | 174 | 29.1 (24.0–37.9) | 0.003 | 1.64 | 1.18–2.30 | 0.001 | 1.79 | 1.27–2.52 |
| − | 106 | 55.5 (35.6–69.9) | |||||||
| Child–Pugh | B | 245 | 38.7 (28.9–50.4) | 0.608 | |||||
| A | 35 | 32.1 (24.0–37.9) | |||||||
| Background liver | LC | 129 | 50.4 (28.9–80.6) | 0.017 | 1.46 | 1.07–2.00 | 0.027 | 1.44 | 1.04–1.99 |
| non LC | 151 | 32.4 (24.7–38.9) | |||||||
| Maximum diameter | >2 cm | 202 | 35.6 (27.3–48.9) | 0.195 | 1.25 | 0.98–1.80 | 0.631 | ||
| ≤2 cm | 78 | 38.7 (28.8–64.7) | |||||||
| Gross classification a | SNEG or CM | 102 | 27.3 (21.0–48.3) | 0.246 | |||||
| VN or SN | 175 | 40.7 (32.4–55.5) | |||||||
| Capsule formation | + | 305 | 50.4 (33.3–69.4) | 0.084 | 0.74 | 0.53–1.02 | 0.062 | ||
| − | 78 | 28.8 )24.0–35.6) | |||||||
| Differentiation | mod/por | 54 | 29.9 (18.8–51.1) | 0.433 | |||||
| Wel | 219 | 37.9 (28.9–50.0) | |||||||
| Microvascular invasion | + | 60 | 28.8 (14.9–40.7) | 0.022 | 1.57 | 1.07–2.26 | 0.049 | 1.50 | 1.02–2.22 |
| − | 220 | 38.1 (30.0–55.5) | |||||||
| Micrometastases | + | 24 | 12.9 (6.6–25.8) | 0.004 | 2.24 | 1.33–3.57 | 0.004 | 2.09 | 1.26–3.46 |
| − | 256 | 38.1 (30.3–48.9) | |||||||
| AFP (ng/ml) | >20 | 125 | 35.8 (32.1–40.7) | 0.189 | 1.22 | 0.90–1.67 | 0.751 | ||
| ≤20 | 155 | 41.0 (32.1–59.4) | |||||||
| DCP (mAu/ml) | >100 | 79 | 24.0 (16.9–58.1) | 0.037 | 1.44 | 1.02–2.00 | 0.007 | 1.64 | 1.14–2.36 |
| <100 | 201 | 38.9 (30.3–50.0) | |||||||
| Types of resection | Non-anatomic | 96 | 28.8 (22.3–35.8) | 0.011 | 1.51 | 1.10–2.07 | 0.017 | 1.48 | 1.07–2.03 |
| Anatomic | 184 | 47.2 (30.4–64.4) | |||||||
| Transfusion | + | 7 | 37.9 ( 6.0–65.7) | 0.630 | 1.29 | 0.40–3.05 | |||
| − | 259 | 35.9 (29.1–47.2) | |||||||
| Tumour exposure b | + | 65 | 25.5 (19.6–39.9) | 0.012 | 1.57 | 1.11–2.20 | 0.200 | ||
| − | 215 | 38.1 (30.0–57.9) | |||||||
| Surgical margin +1 mm | 0.065 | 0.98 | 0.95–1.00 | 0.857 | |||||
Boldfaced entries represent significant factors in the final model.
Classification of the Liver Cancer Study Group of Japan.30
Exposure of the tumour capsule on the cut surface of the liver.
AFP, alfa-fetoprotein; DCP: des-gamma carboxyprothrombin; LC, liver cirrhosis; SNEG: simple nodular type with extranodular growth; CM, confluent multinodular type; VN, vague nodular type; SN, simple nodular type, wel/mod/por: well/moderately/poorly differentiated hepatocelluar carcinoma; HR, hazard ratio; 95% CI, 95% confidence interval.