Document Detail

A comparison of survival and pathologic features of non-alcoholic steatohepatitis and hepatitis C virus patients with hepatocellular carcinoma.
MedLine Citation:
PMID:  22919246     Owner:  NLM     Status:  MEDLINE    
AIM: To compare the clinical outcome and pathologic features of non-alcoholic steatohepatitis (NASH) patients with hepatocellular carcinoma (HCC) and hepatitic C virus (HCV) patients with HCC (another group in which HCC is commonly seen) undergoing liver transplantation.
METHODS: Patients transplanted for HCV and NASH at our institution from January 2000 to April 2011 were analyzed. All explanted liver histology and pre-transplant liver biopsies were examined by two specialist liver histopathologists. Patient demographics, disease free survival, explant liver characteristics and HCC features (tumour number, cumulative tumour size, vascular invasion and differentiation) were compared between HCV and NASH liver transplant recipients.
RESULTS: A total of 102 patients with NASH and 283 patients with HCV were transplanted. The incidence of HCC in NASH transplant recipients was 16.7% (17/102). The incidence of HCC in HCV transplant recipients was 22.6% (64/283). Patients with NASH-HCC were statistically older than HCV-HCC patients (P < 0.001). A significantly higher proportion of HCV-HCC patients had vascular invasion (23.4% vs 6.4%, P = 0.002) and poorly differentiated HCC (4.7% vs 0%, P < 0.001) compared to the NASH-HCC group. A trend of poorer recurrence free survival at 5 years was seen in HCV-HCC patients compared to NASH-HCC who underwent a Liver transplantation (P = 0.11).
CONCLUSION: Patients transplanted for NASH-HCC appear to have less aggressive tumour features compared to those with HCV-HCC, which likely in part accounts for their improved recurrence free survival.
Roberto Hernandez-Alejandro; Kris P Croome; Martin Drage; Nathalie Sela; Jeremy Parfitt; Natasha Chandok; Paul Marotta; Cheryl Dale; William Wall; Douglas Quan
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  18     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-24     Completed Date:  2013-04-04     Revised Date:  2014-05-20    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  4145-9     Citation Subset:  IM    
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MeSH Terms
Carcinoma, Hepatocellular / epidemiology,  mortality*,  surgery
Fatty Liver / epidemiology,  mortality*,  surgery
Hepatitis C / epidemiology,  mortality*,  surgery
Kaplan-Meier Estimate
Liver / pathology*,  surgery
Liver Neoplasms / epidemiology,  mortality*,  surgery
Liver Transplantation
Middle Aged
Retrospective Studies
Survival Rate
Treatment Outcome
Grant Support
MR/J006742/1//Medical Research Council

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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