Moribata K, Tamai H, Shingaki N, Mori Y, Shiraki T, Enomoto S, Deguchi H, Ueda K, Inoue I, Maekita T, Iguchi M, Ichinose M. Ultrasonogram of hepatocellular carcinoma is associated with outcome after radiofrequency ablation. World J Hepatol 2012; 4(12): 374-381 [DOI: 10.4254/wjh.v4.i12.374]
Corresponding Author of This Article
Hideyuki Tamai, MD, PhD, Second Department of Internal Medicine, Wakayama Medical University, 811-1 Kimiidera Wakayama City, Wakayama 641-0012, Japan. tamahide@wakayama-med.ac.jp
Article-Type of This Article
Original Article
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World J Hepatol. Dec 27, 2012; 4(12): 374-381 Published online Dec 27, 2012. doi: 10.4254/wjh.v4.i12.374
Table 1 Comparison of patient characteristics according to B-mode ultrasound-based classification
Type 1(n = 29)
Type 2b(n = 43)
Type 2c(n = 16)
P value
Age (yr)
66.4 ± 9.5
66.9 ± 8.7
69.3 ± 6.8
0.554
Gender (male/female)
23/6
25/18
8/8
0.085
HCV (positive/negative)
28/1
36/7
14/2
0.241
Number of tumors
1.2 ± 0.4
1.2 ± 0.5
1.6 ± 0.7
0.046
Size of tumor (mm)
22.5 ± 3.8
19.0 ± 5.2
23.1 ± 5.6
0.003
Child-Pugh classification (A/B)
16/13
31/12
9/7
0.272
Tumor stage (I/II/III)
10/15/4
28/13/2
4/7/5
0.006
Activity grade (A0, 1/2, 3)
7/22
14/29
10/6
0.032
Fibrosis stage (F0-2/3, 4)
8/21
10/33
7/9
0.298
AFP (ng/mL)
124 ± 246
118 ± 274
207 ± 406
0.564
AFP-L3 (%)
7.3 ± 17.0
5.8 ± 16.5
17.5 ± 25.5
0.098
DCP (mAU/mL)
223 ± 489
210 ± 482
299 ± 486
0.817
Table 2 Univariate analysis of factors contributing to recurrence
Variables
HR
95%CI
P value
Age (yr)
1.007
0.972-1.043
0.717
Gender
Female
1
Male
1.036
0.577-1.859
0.906
HCV
Negative
1
Positive
1.176
0.527-2.625
0.693
Number of tumors
1.557
1.009-2.404
0.045
Size of tumor (mm)
1.035
0.980-1.092
0.214
Child-Pugh classification
A
1
B
1.481
0.838-2.617
0.177
Tumor stage
I
1
II
1.214
0.657-2.244
0.535
III
5.055
2.123-12.034
0.000
Activity grade
A0, 1
1
A2, 3
1.346
0.745-2.430
0.325
Fibrosis stage
F0-2
1
F3, 4
1.323
0.689-2.540
0.401
AFP (ng/mL)
1.000
1.000-1.001
0.318
AFP-L3 (%)
1.017
1.004-1.030
0.023
DCP (mAU/mL)
1.000
1.000-1.001
0.332
B-mode classification
Type 2b
1
Type 1
1.531
0.767-3.053
0.227
Type 2c
3.179
1.623-6.227
0.001
Table 3 Multivariate analysis of factors contributing to recurrence
Variables
HR
95%CI
P value
n
1.411
0.719-2.770
0.317
Tumor stage
I
1
II
0.645
0.283-1.467
0.296
III
2.540
0.784-8.224
0.120
AFP-L3
Negative
1
Positive
1.531
0.642-3.649
0.337
B-mode classification
Type 2b
1
Type 1
1.850
0.878-3.899
0.106
Type 2c
2.438
1.107-5.373
0.027
Table 4 Univariate analysis of factors contributing to survival
Variables
HR
95%CI
P value
Age (yr)
0.979
0.929-1.032
0.440
Gender
Female
1
Male
1.161
0.435-3.096
0.766
HCV
Negative
1
Positive
0.947
0.218-4.124
0.943
Number of tumors
1.700
0.840-3.440
0.140
Size of tumor (mm)
1.030
0.945-1.123
0.504
Child-Pugh classification
A
1
B
1.789
0.710-4.512
0.218
Tumor stage
I
1
II
1.588
0.551-4.579
0.392
III
3.847
1.081-13.690
0.037
Activity grade
A0, 1
1
A2, 3
1.978
0.698-5.606
0.200
Fibrosis stage
F0-2
1
F3, 4
1.292
0.425-3.930
0.652
AFP (ng/mL)
1.001
1.000-1.002
0.087
AFP-L3 (%)
1.012
0.995-1.031
0.212
DCP (mAU/mL)
1.000
0.999-1.001
0.919
B-mode classification
Type 2b
1
Type 1
6.911
1.897-25.176
0.003
Type 2c
4.466
1.066-18.709
0.041
Table 5 Multivariate analysis of factors contributing to survival
Variables
HR
95%CI
P value
Tumor stage
I
1
II
1.189
0.406-3.481
0.752
III
3.763
0.896-15.796
0.070
B-mode classification
Type 2b
1
Type 1
7.146
1.924-26.538
0.003
Type 2c
3.055
0.668-13.970
0.150
Citation: Moribata K, Tamai H, Shingaki N, Mori Y, Shiraki T, Enomoto S, Deguchi H, Ueda K, Inoue I, Maekita T, Iguchi M, Ichinose M. Ultrasonogram of hepatocellular carcinoma is associated with outcome after radiofrequency ablation. World J Hepatol 2012; 4(12): 374-381