The impact of HCC family history on the prognosis of HCC patients after curative hepatectomy
10.3760/cma.j.issn.1007-631X.2012.10.007
- VernacularTitle:肝癌家族史对原发性肝癌患者手术治疗预后的影响
- Author:
Jian YAN
;
Chuzhi PAN
;
Zhicheng YAO
;
Yuesi ZHONG
;
Mingliang LI
;
Ruiyun XU
;
Meihai DENG
- Publication Type:Journal Article
- Keywords:
Carcinoma,hepatocellular;
Neoplasm recurrence,local;
Family history;
Survival rate
- From:
Chinese Journal of General Surgery
2012;27(10):798-801
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate HCC family history on recurrence and survival of HCC patients after curative hepatectomy. Methods The family history,postoperative recurrence rate,1,2 and 5 year survival rate of 79 HCC patients who received surgical resection were collected.Patients were divided into two groups:34 cases in familial aggregation HCC group (FH group ) and 45 cases in non- familial aggregation HCC group (NH group).All these HCC patients were followed up for 3 months to10 years after surgery,and the median follow-up period was 48.5 months.We analyzed the survival rate of HCC patients by Kaplan -Meier survival curve to compare the postoperative recurrence rate and survival rate between two groups. Results 34 cases of HCC probands came from 33 families,and there were 104 cases of HCC patients in these families,an average of 3.2 cases per family.There were 6 families in which 3 or more cases developed HCC,and there were 13 families in which father or (and) mother had HCC accounting for 39.4％.The six months,1 year,2 year posthepatectomy recurrence rate in FH group was 15.1％,22.3％,40.1％,significantly higher than NH group of 10.3％,17.4％,25.6％ (x2 =5.762,6.434,5.987,P ＜0.05),and 1,2,5 year's survival rate in FH group was 57％,46％,40.3％,much lower than NH group of 85.3％,75.2％ and61.5％ (x2 =8.986,9.765,7.634,P＜0.05). Conclusions Family history of HCC affects the prognosis of HCC patients after surgery. Patients with HCC family history have higher postoperative recurrence rate and worse prognosis than that of patients who do not have HCC family history.
