Table 3. Outcomes in incidental ICC or cHCC-CC after liver transplantation for hepatocellular carcinoma.
Case | Age (year); sex | MELD | Type | Size | Pathological findings | AFP (ng/mL) | CEA (ng/mL) | CA 19-9 (U/mL) | Pre-transplant number; maximum size of HCC | Post-transplant number; maximum size of HCC | Outcomes |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 64; female | 17 | ICC, as incidental | 1.8 cm solitary | Well to moderately differentiated adenocarcinoma | 17 | 11.2 | 80 | 1; 0.6 cm | 6 (necrosis); 1.8 cm | 26 months alive |
2 | 55; female | 15 | cHCC-CC, as misdiagnosis | 1.2 cm solitary | Well to moderately differentiated adenocarcinoma | 73 | 6.6 | 46 | 2; 2.0 cm | 7; 1.0 cm | 168 months alive |
3 | 62; male | 11 | cHCC-CC, as misdiagnosis | 1.8 cm solitary | Well to moderately differentiated adenocarcinoma | 7 | 2.4 | 9 | 1; 1.3 cm | 1; 1.8 cm | 90 months alive |
AFP, alpha-fetoprotein; CA 19-9, carbohydrate antigen 19-9; CEA, carcinoembryonic antigen; HCC, hepatocellular carcinoma; cHCC-CC, combined hepatocellular carcinoma; ICC, intrahepatic cholangiocarcinoma; MELD, model for end-stage liver disease.