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Table 1 Comparison of clinicopathological data for patients classified into four groups

From: Prognostic significance of microvascular invasion in tumor stage for hepatocellular carcinoma

 

Total (n = 676)

Group A (N = 335)

Group B (N = 193)

Group C (N = 103)

Group D (N = 45)

P value

Gender

     

0.28

 Male

530 (78.4%)

260 (77.6%)

146 (75.6%)

85 (82.5%)

39 (86.7%)

 

 Female

146 (21.6%)

75 (22.4%)

47 (24.4%)

18 (17.5%)

6 (13.3%)

 

Ages (years)

52.3 ± 10.2

52.7 ± 10.0

52.1 ± 10.7

51.4 ± 10.5

51.7 ± 9.4

0.244

Hepatitis B surface antigen

    

0.171

 Negative

141 (21.5%)

76 (23.2%)

43 (23.2%)

17 (17.0%)

5 (11.1%)

 

 Positive

516 (78.5%)

251 (76.8%)

142 (76.8%)

83 (83.0%)

40 (88.9%)

 

Hepatitis C antibody

    

0.351

 Negative

593 (94.0%)

293 (93.3%)

166 (93.3%)

91 (94.8%)

43 (100.0%)

 

 Positive

38 (6.0%)

21 (6.7%)

12 (6.7%)

5 (5.2%)

0 (0.0%)

 

Platelet count (× 1000/uL)

170 ± 81

157 ± 75

174 ± 82

187 ± 85

204 ± 96

< 0.001

Serum creatinine (mg/dL)

1.0 ± 0.9

1.0 ± 0.8

1.1 ± 1.3

0.9 ± 0.2

0.9 ± 0.2

0.49

Serum albumin (g/dL)

4.0 ± 0.5

4.0 ± 0.5

3.9 ± 0.5

4.0 ± 0.4

3.8 ± 0.5

0.368

Serum total bilirubin (mg/dL)

0.9 ± 1.2

0.9 ± 0.6

1.1 ± 1.9

0.9 ± 1.0

0.9 ± 0.5

0.587

Serum AST (U/L)

59.5 ± 66.4

50.9 ± 40.5

69.6 ± 102.9

57.3 ± 37.0

85.1 ± 65.2

0.002

Serum ALT (U/L)

56.1 ± 59.8

54.2 ± 48.3

59.9 ± 84.0

50.7 ± 38.2

66.7 ± 52.8

0.471

Prothrombin time (seconds)

12.4 ± 1.4

12.5 ± 1.4

12.5 ± 1.6

12.1 ± 1.3

12.8 ± 1.4

0.587

ICG-R15 (%)

14.9 ± 9.8

15.4 ± 9.9

13.7 ± 7.9

15.8 ± 13.2

14.3 ± 8.5

0.608

Child–Turcotte–Pugh classification

    

0.062

 A

623 (92.6%)

317 (95.2%)

170 (88.5%)

94 (91.3%)

42 (93.3%)

 

 B

36 (5.3%)

9 (2.7%)

16 (8.3%)

8 (7.8%)

3 (6.7%)

 

 C

14 (2.1%)

7 (2.1%)

6 (3.1%)

1 (1.0%)

0 (0.0%)

 

Alpha-fetoprotein (ng/mL)

3705.9 ± 10,891.1

913.7 ± 4020.0

4598.0 ± 11,355.1

7336.6 ± 16,371.8

12,966.7 ± 18,814.6

< 0.001

Preoperative TACE

     

0.086

 No

413 (64.0%)

195 (60.7%)

126 (69.6%)

68 (68.7%)

24 (54.5%)

 

 Yes

232 (40.0%)

126 (39.3%)

55 (30.4%)

31 (31.3%)

20 (45.5%)

 

Types of hepatic resection

     

< 0.001

 Major

262 (38.7%)

87 (26.0%)

77 (39.9%)

57 (55.4%)

41 (91.1%)

 

 Sectionectomy

184 (27.2%)

104 (31.0%)

45 (23.3%)

33 (31.7%)

2 (4.4%)

 

 Segmentectomy or less

230 (34.1%)

144 (43.0%)

71 (36.8%)

13 (12.9%)

2 (4.4%)

 

Size of the tumor (cm)

5.4 ± 3.9

3.9 ± 2.9

6.1 ± 4.2

7.2 ± 3.7

9.5 ± 4.2

< 0.001

Tumor number

     

0.001

 Single

536 (79.3%)

287 (85.7%)

142 (73.6%)

76 (73.8%)

31 (68.9%)

 

 Multiple

140 (20.7%)

48 (14.3%)

51 (26.4%)

27 (26.2%)

14 (31.1%)

 

Portal vein invasion

     

< 0.001

 Negative

537 (79.4%)

335 (100.0%)

193 (100.0%)

7 (6.8%)

2 (4.4%)

 

 Positive

139 (20.6%)

0 (0.0%)

0 (0.0%)

96 (93.2%)

43 (95.6%)

 

Hepatic vein invasion

     

< 0.001

 Negative

647 (95.7%)

335 (100.0%)

193 (100.0%)

89 (86.4%)

30 (66.7%)

 

 Positive

29 (4.3%)

0 (0.0%)

0 (0.0%)

14 (13.6%)

15 (33.3%)

 

Microvascular invasion

     

< 0.001

 Negative

348 (51.5%)

335 (100.0%)

0 (0.0%)

9 (6.9%)

4 (4.7%)

 

 Positive

328 (48.5%)

0 (0.0%)

193 (100.0%)

94 (93.1%)

41 (95.3%)

 

Intrahepatic metastasis

     

< 0.001

 Negative

452 (66.9%)

265 (79.1%)

124 (64.2%)

48 (46.6%)

15 (33.3%)

 

 Positive

224 (33.1%)

70 (20.9%)

69 (35.8%)

55 (53.4%)

30 (66.7%)

 

Histologic grading by Edmondson and Steiner’s classification

   

< 0.001

 Negative

379 (60.7%)

227 (78.3%)

88 (46.1%)

46 (46.0%)

18 (41.9%)

 

 Positive

245 (39.3%)

63 (21.7%)

103 (53.9%)

54 (54.0%)

25 (58.1%)

 

Microscopic resection margin

     

< 0.001

 Negative

589 (87.9%)

312 (93.7%)

170 (89.0%)

79 (77.5%)

28 (63.6%)

 

 Positive

81 (12.1%)

21 (6.3%)

21 (11.0%)

23 (22.5%)

16 (36.4%)

 

Cirrhosis

     

0.346

 Negative

296 (47.0%)

141 (44.8%)

93 (50.8%)

47 (50.5%)

15 (38.5%)

 

 Positive

334 (53.0%)

174 (55.2%)

90 (49.2%)

46 (49.5%)

24 (61.5%)

 

AJCC TNM stage

     

< 0.001

 I

260 (38.4%)

265 (79.1%)

2 (1.0%)

0 (0.0%)

0 (0.0%)

 

 II

244 (36.1%)

40 (11.9%)

142 (73.6%)

65 (63.1%)

0 (0.0%)

 

 III-A

62 (9.2%)

14 (4.2%)

26 (13.5%)

24 (23.3%)

0 (0.0%)

 

 III-B

50 (7.4%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

38 (84.4%)

 

 III-C

54 (8.0%)

15 (4.5%)

21 (10.9%)

12 (11.7%)

6 (13.3%)

 

 IV-A

6 (0.9%)

1 (0.3%)

2 (1.0%)

2 (1.9%)

1 (2.2%)

 

LCSGJ TNM stage

     

< 0.001

 I

78 (11.8%)

67 (20.6%)

11 (5.7%)

0 (0.0%)

0 (0.0%)

 

 II

329 (49.8%)

207 (63.7%)

114 (59.1%)

5 (5.1%)

3 (6.7%)

 

 III

183 (27.7%)

51 (15.7%)

63 (32.6%)

54 (55.1%)

15 (33.3%)

 

 IV

71 (10.7%)

0 (0.0%)

5 (2.6%)

39 (39.8%)

27 (60.0%)

 
  1. Group A no microvascular invasion (McVI) or gross vascular invasion (VI), Group B McVI without gross VI, Group C VI confined to segmental/sectional branches, Group D gross VI within/beyond major vascular branches, ICG-R15 indocyanine green retention rate at 15 min, TACE transcatheter arterial chemoembolization, AJCC TNM American Joint Committee on Cancer Tumor Node Metastasis, LCSGJ the Liver Cancer Study Group of Japan