Leung C, Yeoh SW, Patrick D, Ket S, Marion K, Gow P, Angus PW. Characteristics of hepatocellular carcinoma in cirrhotic and non-cirrhotic non-alcoholic fatty liver disease. World J Gastroenterol 2015; 21(4): 1189-1196 [PMID: 25632192 DOI: 10.3748/wjg.v21.i4.1189]
Corresponding Author of This Article
Christopher Leung, MBBS, FRACP, Liver Transplant Unit, Austin Hospital, 145 Studley Road, Heidelberg, Victoria 3084, Australia. chris.leung@y7mail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jan 28, 2015; 21(4): 1189-1196 Published online Jan 28, 2015. doi: 10.3748/wjg.v21.i4.1189
Table 1 Comparison between non-alcoholic fatty liver disease cirrhotics and cryptogenic cirrhosis in terms of demographics and hepatocellular carcinoma risk factors
NAFLD cirrhotics (n = 31)
Cryptogenic cirrhotics (n = 15)
P value
Median age (yr)
65
65
0.680
Median BMI (kg/m2)
31.35
28
0.407
Overweight/obesity
72%
73%
0.919
Diabetes
72%
40%
0.058
Hyperlipidaemia
29%
33%
0.952
Hypertension
48%
13%
0.025
Number of risk factors (n)
0.310
0
2
1
1
6
6
2
10
6
3
9
2
4
4
0
Child-Pugh Score
0.880
A
12
6
B
10
4
C
8
5
Table 2 Comparison between cirrhotics and non-cirrhotics in terms of demographics, non-alcoholic fatty liver disease grade and hepatocellular carcinoma characteristics
Cirrhotics (n = 46)
Non-cirrhotics (n = 8)
P value
Median age (yr)
65
69
0.227
Median BMI (kg/m2)
30
30
0.939
Median HCC diameter (cm)
3.2
4.7
0.041
Median number of HCCs
1
2
0.147
Number of risk factors (n)
0.969
0
3
0
1
12
3
2
16
2
3
11
2
4
4
1
NAFLD grade (n)
0.188
0
8
0
1
9
2
2
5
4
3
3
0
Level of HCC differentation (n)
0.317
Well
10
4
Moderate
7
1
Poor
0
0
Necrotic
1
0
Table 3 Comparison between cirrhotics and non-cirrhotics in terms of hepatocelullar carcinoma risk factors
Cirrhotics (n = 46)
Non-cirrhotics (n = 8)
P value
Overweight/obesity
74%
75%
0.660
Diabetes
61%
50%
0.410
Hyperlipidaemia
24%
37.50%
0.340
Hypertension
43%
50%
0.767
Table 4 Correlations between patient characteristics and tumour size
Pearson correlation
P value
Overweight/obesity
-0.256
0.093
Diabetes
0.038
0.791
Hypertension
0.106
0.470
Dyslipidaemia
0.146
0.510
Age at diagnosis
0.142
0.320
Gender
0.042
0.770
BMI
-0.026
0.867
Number of risk factors
-0.090
0.534
Stage of fibrosis
-0.308
0.030
Grade of NAFLD
0.243
0.196
Child-Pugh Score
-0.170
0.238
Table 5 Correlations between patient characteristics and tumour number
Pearson correlation
P value
Overweight/obesity
0.174
0.248
Diabetes
-0.270
0.053
Hypertension
-0.040
0.779
Dyslipidaemia
0.080
0.715
Age at diagnosis
-0.041
0.771
Gender
-0.090
0.523
BMI
0.064
0.677
Number of risk factors
0.055
0.696
Stage of fibrosis
-0.058
0.682
Grade of NAFLD
-0.192
0.310
Child-Pugh Score
0.179
0.208
Citation: Leung C, Yeoh SW, Patrick D, Ket S, Marion K, Gow P, Angus PW. Characteristics of hepatocellular carcinoma in cirrhotic and non-cirrhotic non-alcoholic fatty liver disease. World J Gastroenterol 2015; 21(4): 1189-1196