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Table 4 Prognostic Factors for Tumor Progression* after RFA

From: Long-term outcome of percutaneous radiofrequency ablation for periportal hepatocellular carcinoma: tumor recurrence or progression, survival and clinical significance

Factor

All patients without tumor progression

(N = 136, %)

All patients with tumor progression (N = 97, %)

Univariable Analysis

Multivariable Analysis

Hazard Ratio(95%CI)

P value

Hazard Ratio(95%CI)

P value

Child-Pugh classification

0.443

 A

127 (93.4)

86 (88.7)

1 (Reference)

0.148

1 (Reference)

 B

9 (6.6)

11 (11.3)

1.593 (0.847–2.993)

 

1.290 (0.673–2.473)

Etiology of tumor

 Hepatitis B virus

102 (75.0)

77 (79.4)

1.395 (0.607–3.205)

0.433

1.383 (0.574–3.330)

0.470

 Hepatitis C virus

11 (8.1)

10 (10.3)

1.888 (0.683–5.213)

 

2.329 (0.786–6.899)

0.127

 Non-B, non-C hepatitis

8 (5.9)

4 (4.1)

1.372 (0.385–4.881)

0.220

2.945 (0.784–11.057)

0.110

 No

15 (11.0)

6 (6.2)

1 (Reference)

0.626

1 (Reference)

AFP (ng/ml)

 

  ≤ 20

88 (64.7)

52 (53.6)

1 (Reference)

 

1 (Reference)

 >20 and<400

37 (27.2)

26 (26.8)

1.387 (0.801–2.233)

0.179

1.720 (1.045–2.832)

0.033

  ≥ 400

11 (8.1)

19 (19.6)

3.289 (1.907–5.670)

<0.001

2.955 (1.652–5.283)

<0.001

 Tumor size (cm)

2.40 ± 1.03

3.13 ± 1.13

1.518 (1.276–1.806)

<0.001

1.592 (1.313–1.930)

<0.001

TACE before RFA

 Yes

87 (64.0)

64 (66.0)

1.056 (0.693–1.610)

0.800

0.780 (0.498–1.220)

0.277

 No

49 (36.0)

33 (34.0)

1 (Reference)

 

1 (Reference)

Classification of HCC

 Periportal HCC

22 (16.2)

63 (64.9)

2.470 (1.622–3.761)

<

2.417 (1.559–3.745)

<

 Nonperiportal HCC

114 (83.8)

34 (35.1)

1 (Reference)

0.001

1 (Reference)

0.001

  1. *Tumor progression was defined as the appearance of any enhancing tumor foci in the liver or extrahepatic metastasis during the follow-up after ablation, including LTP, IDR, vascular invasion, extrahepatic metastasis