Prognosis of Early-Stage Hepatocellular Carcinoma: The Clinical Implications of Substages of Barcelona Clinic Liver Cancer System Based on a Cohort of 1265 Patients.


:The prognostic implication of Barcelona Clinic Liver Cancer (BCLC) substages in Asian patients with hepatocellular carcinoma (HCC) is still obscure.The aim to this study is to compare the prognoses among HCC patients in different substages of the BCLC stage 0 and A.We enrolled 1265 treatment-naive HCC patients with BCLC stage 0 or A from 2007 to 2014. Factors in terms of prognoses were analyzed by multivariate analysis.There were 184, 446, 271, 92, and 272 patients in substage 0, A1, A2, A3, and A4, respectively. After a median follow-up period of 21.0 months, patients in stages 0 and A1 had comparable prognoses (P = 0.136). Both of them had significantly higher overall survival rates than those in stages A2-A4 (all P < 0.001). Multivariate analysis revealed that the factors associated with mortality were serum albumin ≤3.5 g/dL (hazard ratio [HR] 1.459), alpha-fetoprotein >20 ng/mL (HR 1.863), tumor size >3 cm (HR 1.542), BCLC stage A2-A4 (HR 1.488), and treatment modality. Surgical resection had the highest overall survival rate followed by radiofrequency ablation (RFA) (HR 1.598), transarterial chemoembolization (HR 2.224), and other treatments (HR 3.707). Verus patients receiving RFA, those who underwent resection had a higher overall survival rate and lower recurrence rate especially in BCLC stages A2-A4.The BCLC-staging system provided good prognostic stratification for early-stage HCC. Patients with a single tumor >2 cm but without portal hypertension or jaundice had similar prognosis to those in BCLC stage 0. Curative therapies-especially hepatic resection-are suggested in early-stage HCC.


Medicine (Baltimore)




Kao WY,Chao Y,Chang CC,Li CP,Su CW,Huo TI,Huang YH,Chang YJ,Lin HC,Wu JC




Has Abstract


2015-10-01 00:00:00
















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    abstract:BACKGROUND:Preoperative anxiety is known to be related with the postoperative outcomes, although it remains unclear whether pharmacologic anxiolysis preoperatively leads to better postanesthesia recovery. Hence, the purpose of this study was to assess whether midazolam premedication would result in improved Quality of ...


    pub_type: 杂志文章,随机对照试验


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    更新日期:2017-02-01 00:00:00

  • Erratum: The Value of U/S to Determine Priority for Upper Gastrointestinal Endoscopy in Emergency Room: Erratum.

    abstract::[This corrects the article DOI: 10.1097/MD.0000000000002241.]. ...


    pub_type: 已发布勘误



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  • Interferon-Based Treatment of Hepatitis C Virus Infection Reduces All-Cause Mortality in Patients With End-Stage Renal Disease: An 8-Year Nationwide Cohort Study in Taiwan.

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    pub_type: 杂志文章


    authors: Hsu YH,Hung PH,Muo CH,Tsai WC,Hsu CC,Kao CH

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  • Step Counter Use and Sedentary Time in Adults: A Meta-Analysis.

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  • The association between normal-range admission potassium levels in Israeli patients with acute coronary syndrome and early and late outcomes.

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    pub_type: 杂志文章,多中心研究


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  • The efficacy and toxicity of paclitaxel plus S-1 compared with paclitaxel plus 5-FU for advanced gastric cancer: a PRISMA systematic review and meta-analysis of randomized controlled trials.

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    authors: Sands A,White C,Blankstein M,Zderic I,Wahl D,Ernst M,Windolf M,Hagen JE,Richards RG,Stoffel K,Gueorguiev B

    更新日期:2015-03-01 00:00:00

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    authors: Osculati A,Visonà SD,Ventura F,Castelli F,Andrello L

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    pub_type: 已发布勘误



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    pub_type: 杂志文章


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    pub_type: 杂志文章


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    pub_type: 杂志文章


    authors: Li Y,Liu J

    更新日期:2020-02-01 00:00:00