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Table 2 Clinical Characteristics and outcome of the HCC patients with EHMP

From: Prevalence and outcomes of extrahepatic primary malignancy associated with Hepatocellular Carcinoma in a Korean population

Variables

PriorEHPM group (n = 7)

SynchronousEHPM group (n = 17)

MetachronousEHPM group (n = 9)

Total (n = 33)

p-value

Age, yearsa, ‡

64.3 ± 2.6

62.5 ± 2.8

63.3 ± 4.2

63.1 ± 1.8

0.936

Male sexb

4 (57.1)

14 (82.4)

7 (77.8)

25 (75.8)

0.487

Smoking, >10 pack-yearsb

3 (42.9)

6 (35.3)

3 (37.5)

12 (37.5)

1.000

Etiology of liver diseaseb

    

0.471

 HBsAg (+)

5 (71.4)

6 (35.3)

5 (55.6)

16 (48.5)

 

 Anti-HCV (+)

1 (14.3)

1(5.9)

0 (0.0)

2 (6.1)

 Alcohol

0 (0.0)

5(29.4)

1 (11.1)

6 (18.2)

 Other

1 (14.3)

5(29.4)

3 (33.3)

9 (27.3)

CTP scoreb

    

0.212

 A

6 (85.7)

17 (100.0)

9 (100.0)

32 (97.0)

 

 B

1 (14.3)

0 (0.0)

0 (0.0)

1 (3.0)

pTNM stage of HCCb

    

0.191

 I

2 (28.6)

12 (70.6)

5 (55.6)

19 (57.6)

 

 II

4 (57.1)

3 (17.6)

4 (44.4)

11 (33.3)

 III or IV

1 (14.3)

2 (11.8)

0 (0.0)

3 (9.1)

AFP (ng/mL)b

    

0.470

 <20

5 (71.4)

11 (68.8)

4 (50.0)

20 (64.5)

 

 20–200

0 (0.0)

2 (12.5)

3 (37.5)

5 (16.1)

 >200

2 (28.6)

3 (18.8)

1 (12.5)

6 (19.4)

Location of EHPMb

     

 Esophagus

0 (0.0)

1 (5.9)

0 (0.0)

1 (3.0)

1.000

 Stomach

4 (57.1)

4 (23.5)

1 (11.1)

9 (27.3)

0.152

 Colorectal

1 (14.3)

6 (35.3)

3 (33.3)

10 (30.3)

0.697

 Pancreas

0 (0.0)

0 (0.0)

1 (11.1)

1 (3.0)

0.485

 Common bile duct

0 (0.0)

0 (0.0)

1 (11.1)

1 (3.0)

0.485

 Breast

2 (28.6)

2 (11.8)

0 (0.0)

4 (12.1)

0.222

 Thyroid

0 (0.0)

0 (0.0)

1 (11.1)

1 (3.0)

0.485

 Kidney

1 (14.3)

2 (11.8)

0 (0.0)

3 (9.1)

0.579

 Bladder

0 (0.0)

0 (0.0)

1 (11.1)

1 (3.0)

0.485

 Prostate

0 (0.0)

0 (0.0)

1 (11.1)

1 (3.0)

0.485

 Retroperitoneum

0 (0.0)

1 (5.9)

0 (0.0)

1 (3.0)

1.000

 Bone marrow

0 (0.0)

1 (5.9)

0 (0.0)

1 (3.0)

1.000

pTNM stage of EHPM

    

0.166

 0

0 (0.0)

1 (5.9)

0 (0.0)

1 (3.3)

 

 1

4 (80.0)

8 (47.1)

1 (12.5)

13 (43.3)

 

 2

1 (20.0)

4 (23.5)

1 (12.5)

6 (20.0)

 

 3

0 (0.0)

3 (17.6)

5 (62.5)

8 (26.7)

 

 4

0 (0.0)

1 (5.9)

1 (12.5)

2 (6.7)

 

Treatment of EHPMb

    

1.000

 Operation

7 (100.0)

14 (82.4)

7 (77.8)

28 (84.8)

 

 Radiation or Chemotherapy

0 (0.0)

1 (5.9)

1 (11.1)

2 (6.1)

 

 Supportive care

0 (0.0)

2 (11.8)

1 (11.1)

3 (9.1)

 

Progression or recurrence of EHPMb

0 (0.0)

6 (35.3)

3 (33.3)

9 (27.3)

0.221

Follow-up duration (months)a

18.4 ± 5.9

35.9 ± 6.7

49.8 ± 12.5

36.0 ± 5.2

0.115

Overall median survival (months)

18.0

32.0

38.0

28.0

 

Recurrence of HCCb

3 (42.9)

5 (29.4)

2 (22.2)

10 (30.3)

0.781

Deathb

2 (28.6)

7 (41.2)

2 (22.2)

11 (33.3)

0.628

Cause of deathb

    

0.697

 Liver-related

1 (50.0)

3 (42.9)

2 (100.0)

6 (100.0)

 

 Other

1 (50.0)

4 (57.1)

0 (0.0)

5 (100.0)

  1. AFP, alpha-fetoprotein; CTP, Child-Turcotte-Pugh; EHPM, extrahepatic primary malignant neoplasm; HBsAg, hepatitis B surface antigen; HCC, hepatocellular carcinoma; pTNM stage, pathologic TNM stage.
  2. amean ± standard deviation, bpercent.
  3. Prior EHPM group, EHPM developed more than 6 months before the diagnosis of HCC; Synchronous EHPM group, EHPM developed within 6 months of the diagnosis of HCC; Metachronous EHPM group, EHPM developed more than 6 months after the diagnosis of HCC.
  4. At the time of HCC diagnosis.
  5. *p < 0.05.