Overall Survival of Young Patients with Hepatocellular Carcinoma in Barcelona Clinic Liver Cancer Stage B in a Retrospective Study Based on a Multicenter Cohort.

IF 1.6 Q4 ONCOLOGY Journal of Gastrointestinal Cancer Pub Date : 2024-10-21 DOI:10.1007/s12029-024-01126-3
Koji Fujita, Kyoko Oura, Asahiro Morishita, Takashi Himoto, Hideki Kobara
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Abstract

Background: Hepatocellular carcinoma (HCC) is usually diagnosed in patients at the age of > 45 years. We aimed to determine the prognosis of patients with HCC at the age of 30-44 years compared with that of patients at a more senior age.

Methods: Based on the Sun Yat-sen University Cancer Center database, a total of 1745 patients with HCC were retrospectively enrolled and were assigned to three age groups (30-44, 45-59, and 60-70 years). The primary endpoint was overall survival. Among baseline characteristics, five variables including sex, serum albumin level, total bilirubin level, the maximum tumor diameter, and the number of tumor nodules were adjusted using propensity score matching.

Results: Patients aged 30-44 years presented a worse overall survival, a greater number of HCC nodules, a greater maximum tumor diameter, and higher serum alpha-fetoprotein (AFP) concentration than those aged 45-59 years in a crude analysis (p < 0.05). Using propensity score matching, the difference in overall survival between the two cohorts was canceled (p > 0.05).

Conclusion: The prognosis of patients with HCC at age 30-44 years was equal to that of patients aged 45-59 years.

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基于多中心队列的回顾性研究:巴塞罗那诊所肝癌 B 期年轻肝细胞癌患者的总生存率
背景:肝细胞癌(HCC)的确诊年龄通常大于 45 岁。我们旨在确定 30-44 岁 HCC 患者与高龄患者的预后比较:方法:基于中山大学肿瘤中心的数据库,我们回顾性地纳入了1745名HCC患者,并将其分为三个年龄组(30-44岁、45-59岁和60-70岁)。主要终点是总生存期。在基线特征中,包括性别、血清白蛋白水平、总胆红素水平、肿瘤最大直径和肿瘤结节数量在内的五个变量采用倾向评分匹配法进行了调整:结果:与 45-59 岁的患者相比,30-44 岁患者的总生存率较低、HCC 结节数量较多、肿瘤最大直径较大、血清甲胎蛋白(AFP)浓度较高(P 0.05):结论:30-44 岁的 HCC 患者的预后与 45-59 岁的患者相同。
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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
121
期刊介绍: The Journal of Gastrointestinal Cancer is a multidisciplinary medium for the publication of novel research pertaining to cancers arising from the gastrointestinal tract.The journal is dedicated to the most rapid publication possible.The journal publishes papers in all relevant fields, emphasizing those studies that are helpful in understanding and treating cancers affecting the esophagus, stomach, liver, gallbladder and biliary tree, pancreas, small bowel, large bowel, rectum, and anus. In addition, the Journal of Gastrointestinal Cancer publishes basic and translational scientific information from studies providing insight into the etiology and progression of cancers affecting these organs. New insights are provided from diverse areas of research such as studies exploring pre-neoplastic states, risk factors, epidemiology, genetics, preclinical therapeutics, surgery, radiation therapy, novel medical therapeutics, clinical trials, and outcome studies.In addition to reports of original clinical and experimental studies, the journal also publishes: case reports, state-of-the-art reviews on topics of immediate interest or importance; invited articles analyzing particular areas of pancreatic research and knowledge; perspectives in which critical evaluation and conflicting opinions about current topics may be expressed; meeting highlights that summarize important points presented at recent meetings; abstracts of symposia and conferences; book reviews; hypotheses; Letters to the Editors; and other items of special interest, including:Complex Cases in GI Oncology:  This is a new initiative to provide a forum to review and discuss the history and management of complex and involved gastrointestinal oncology cases. The format will be similar to a teaching case conference where a case vignette is presented and is followed by a series of questions and discussion points. A brief reference list supporting the points made in discussion would be expected.
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