Rabe C, Pilz T, Klostermann C, Berna M, Schild HH, Sauerbruch T, Caselmann WH. Clinical characteristics and outcome of a cohort of 101 patients with hepatocellular carcinoma. World J Gastroenterol 2001; 7(2): 208-215 [PMID: 11819762 DOI: 10.3748/wjg.v7.i2.208]
Corresponding Author of This Article
Prof. Wolfgang H. Caselmann, Sigmund-Freud Str. 25, D-53105 Bonn, Germany. Caselmann@uni-bonn.de
Article-Type of This Article
Original Articles
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World J Gastroenterol. Apr 15, 2001; 7(2): 208-215 Published online Apr 15, 2001. doi: 10.3748/wjg.v7.i2.208
Table 1 Patient characteristics: risk factors for HCC
Variable
Number/Total
Percentage
Sex
Male
72/95
76%
Female
23/95
24%
Markers of past or present HBV infection
Yes
25/85
29%
No
60/85
71%
Markers of HCV infection
Yes
21/85
25%
No
64/85
75%
Markers of both HBV and HCV-infection
Yes
6/85
7%
No
79/85
93%
History of alcoholism
Yes
31/90
34%
No
59/90
66%
Cirrhosis
Yes
79/94
84%
No
15/94
16%
Child score (only cirrhotics)
A
29/79
37%
B
32/79
40%
C
18/79
23%
AFP elevated
Yes
61/91
67%
No
30/91
33%
Table 2 Patient characteristics: age and clinical chemistry results
Variable
Median (Range)
Age
64 (31-85) years
GPT
32 (10-244) U/L
AP
214 (2-1490) U/L
Bilirubin
1.5 (0.4-14.4) mg/dL
Prothrombin time acc. to Quick
83 (25-122)%
Albumen
3.4 (1.9-4.6) g/dL
AFP
38 (0.9-831000) μg/L
Table 3 Tumor characteristics during initial presentation
Variable
Number/Total
Percentage
Type of tumor growth
One nodule
38/94
40%
> 1 Nodule
31/94
34%
Diffuse
25/94
26%
Size of largest nodule
< 3 cm
20/89
22%
3 cm-5 cm
31/89
35%
> 5 cm
38/89
43%
Involvement of both liver lobes
Yes
49/93
53%
No
44/93
47%
Portal vein thrombosis
Yes
19/94
20%
No
75/94
80%
Lymph node metastases
Yes
10/92
11%
No
82/92
89%
Distant metastases
Yes
8/93
9%
No
85/93
91%
Presence of ascites
Yes
43/95
45%
No
52/95
55%
Tumor stage according to Okuda
I
28/94
30%
II
53/94
56%
III
13/94
14%
Table 4 Comparison of viral parameters with studies reported in the literature
Author
Number
Cirrhosis
HBV
HCV
HBV + HCV (%)
Country
Northern/Central Europe
Van Roey
154
60
52
55
NA
Belgium
Widell
95
NA
29
17
NA
Sweden
Kubicka
268
74.6
35.1
26.9
10
Germany
Petry
100
89.5
22
37
0
Germany
Peters
86
90
49
37
NA
Germany
This study
95
84
29
25
7
Germany
Southern Europe
Kuper
333
NA
58
12
3
Greece
Stroffolini
1148
NA
12
71
5
Italy
Asia
Kubo
330
NA
17
26
53
Japan
Shiratori
205
NA
11
71
13
Japan
Zhang
113
NA
63
11
NA
China
Chuang
128
NA
77
20
NA
China
Citation: Rabe C, Pilz T, Klostermann C, Berna M, Schild HH, Sauerbruch T, Caselmann WH. Clinical characteristics and outcome of a cohort of 101 patients with hepatocellular carcinoma. World J Gastroenterol 2001; 7(2): 208-215