Table 2. Demographics, etiology, staging, liver disease, imaging characteristics and laboratory findings of the patients with advanced (BCLC C) HCC before 1st TACE treatment and corresponding survivals from 1st TACE.
Parameters | Values N | Median Survival (months) (95% CI@) | P value from log rank test |
---|---|---|---|
[I] DEMOGRAPHICS | |||
Total number of BCLC C HCC patients | 238 | 16.2 (11.7, 20.7) | |
Age at Diagnosis (yrs) | |||
Mean(SD) | 62.4 (10.9) | ||
Gender | |||
Male | 179 (75.2%) | 15.8 (10.7, 20.9) | 0.77 |
Female | 59 (24.8%) | 17.7 (7, 28.5) | |
Ethnicity | |||
Caucasian | 156 (65.5%) | 19.5 (12.9, 26) | 0.08 |
African American | 53 (22.3%) | 17.8 (8.3, 27.3) | |
Others | 29 (12.2%) | 13 (8.8, 17.1) | |
[II] ETIOLOGY | |||
1. Hepatitis C | 146 (61.3%) | 15.3 (9.6, 21.1) | 0.1 |
2. Hepatitis B | 19 (8.0%) | 8.8 (5.1, 12.5) | |
3. Alcohol | 17 (7.2%) | 30.8 (1, 61.7) | |
4. Cryptogenic cirrhosis | 33 (13.8%) | 19.5 (1.3, 37.7) | |
5. Other causes of chronic liver disease | 9 (3.8%) | 20.8 (6.5, 35.1) | |
6. No cirrhosis | 14 (5.9%) | 11.8 (3.8, 16.2) | |
[III] STAGINGS | |||
Okuda staging | |||
I | 112 (47.1%) | 25.6 (19.5, 31.7) | <0.0001 |
II | 126 (52.9%) | 10.1 (8.2, 12.0) | |
Cancer of the Italian Liver Program staging | |||
Early | 31 (13.0%) | 34.5 (28.1, 40.8) | <0.0001 |
Intermediate | 188 (79.0%) | 13.6 (9.5 17.7) | |
Advanced | 19 (8.0%) | 4.5 (3.6, 5.4) | |
ECOG Perfomance status | |||
0 | 45 (18.9%) | 20.0 (6.5, 33.5) | 0.005 |
1 | 155 (65.1%) | 17.7 (12.7, 22.8) | |
>1 | 38 (16.0%) | 7.3 (3.5, 11.1) | |
Hong Kong Liver Cancer Staging System | |||
1. IIa | 74 (31.1%) | 28 (16.3, 39.7) | <0.0001 |
2. IIb | 27 (11.3%) | 24.2 (14.3, 34.1) | |
3. IIIa | 19 (8.0%) | 9.4 (8.1, 21.3) | |
4. IIIb | 25 (10.5%) | 12.9 (10.1, 15.8) | |
5. IVa | 37 (15.5%) | 9.3 (7.3, 11.3) | |
6. IVb | 18 (7.6%) | 11.3 (7.5, 15) | |
7. Va | 18 (7.6%) | 15.1 (0.7, 29.4) | |
8. Vb | 20 (8.4%) | 6.2 (2.5, 10) | |
[IV] ADJUVANT SORAFENIB THERAPY | |||
Present | 48 (20.2%) | 17.2 (10.2, 21.5) | 0.92 |
Absent | 190 (79.8%) | 15.8 (6.2, 28.2) | |
[V] LIVER DISEASE | |||
Child-Pugh class | |||
A | 132 (55.5%) | 22.3 (16.2, 28.3) | 0.004 |
B | 106 (44.5%) | 10.9 (7.7, 14.1) | |
Cirrhosis | |||
Present | 224 (94.1%) | 16.2 (11.7 20.7) | 0.83 |
Absent | 14 (5.9%) | 11.8 (3.8, 16.2) | |
Ascites | |||
Absent | 177 (74.4%) | 21.0 (15.5, 26.5) | 0.001 |
Present | 61 (25.6%) | 9.5 (7.7, 11.3) | |
Portal hypertension | |||
Absent | 85 (35.7%) | 19.9 (10.3, 29.4) | 0.005 |
Present | 153 (64.3%) | 12.9 (8.3, 17.5) | |
[VI] TUMOR MORPHOLOGY | |||
Tumor locations | |||
Unilobar | 164 (68.9%) | 19.5 (13.4, 25.5) | 0.057 |
Bilobar | 74 (31.1%) | 11.1 (6.5, 15.7) | |
Type of HCC on Imaging | |||
1. Typical feature of HCC | 183 (76.9%) | 17.2 (12.2, 22.1) | <0.0001 |
2. Blood products containing HCC | 7 (2.9%) | 9.4 (8.4, 10.4) | |
3. Fat containing HCC | 12 (5.1%) | 34 (28.4, 39.5) | |
4. Fibrolamellar HCC | 2 (0.8%) | 15.3 | |
5. Infiltrative HCC | 29 (12.2%) | 4.5 (2.3, 6.8) | |
6. Mixed features of HCC and intrahepatic cholangiocarcinoma | 5 (2.1%) | 17.7 (12.7, 21.7) | |
Number of tumors | |||
Solitary | 114 (47.9%) | 22.9 (18.5 27.4) | 0.018 |
Two HCCs | 54 (22.7%) | 11.3 (6.7, 15.8) | |
>2 HCCs | 70 (29.4%) | 11.8 (7.1, 16.6) | |
Size of index tumor | |||
<4cm | 102 (42.8%) | 21.7 (17.1, 26.4) | 0.12 |
4–8 cm | 88 (37.0%) | 15.9 (8.6, 23.1) | |
>8 cm | 48 (20.2%) | 10.3 (6.7, 13.7) | |
Portal vein thrombosis | |||
Present | 77 (32.3%) | 10.1 (6.7, 13.5) | 0.002 |
Absent | 161 (67.7%) | 20 (14.3, 25.7) | |
Extra-hepatic metastasis | |||
Present | 44 (18.5%) | 8.8 (5.7, 11.9) | <0.0001 |
Absent | 194 (81.5%) | 19.9 (15.1, 24.7) | |
[VII] LABORATORY FINDINGS | |||
Total serum bilirubin level (mg/dl) | |||
< 2 | 206 (86.6%) | 18.8 (14.4, 23.2) | 0.004 |
2 to 3 | 25 (10.5%) | 7.7 (4.3, 11.3) | |
>3 | 7 (2.9%) | 10.1 (0.4, 22) | |
Serum Albumin level (mg/dl) | |||
>3.5 | 64 (26.9%) | 28 (17.2, 38.8) | <0.0001 |
2.8 to 3.5 | 123 (51.7%) | 16.2 (9.9, 22.5) | |
<2.8 | 51 (21.4%) | 8.9 (4.0, 13.8) | |
Serum Creatinine (mg/dl) | |||
<1.2 | 196 (82.4%) | 17.7 (11.5, 24) | 0.04 |
>1.2 | 42 (17.6%) | 11.8 (8.7, 15) | |
International normalized ratio (INR) | |||
<1.5 | 224 (94.1%) | 17.7 (12.9, 22.6) | 0.02 |
>1.5 | 14 (5.9%) | 6.7 (1.6, 11.8) | |
Serum Alpha Fetoprotein level(ng/dl) | |||
<400 | 170 (71.4%) | 21.7 (16.6, 26.8) | <0.0001 |
>400 | 68 (28.6%) | 6.8 (5.4, 8.2) |
CI@—Confidence interval.