Risk factors for early recurrence of hepatocellular carcinoma after TACE / 中国介入影像与治疗学

ABSTRACT

Objective: To explore the risk factors of early recurrence of hepatocellular carcinoma (HCC) after TACE. Methods Totally 42 advanced HCC patients who underwent TACE were followed up for 6 months, and the clinical data and imaging data were compared and analyzed between early relapse and non-relapse patients. Results During 6 months' follow-up, early recurrence of HCC was detected in 23 patients (recurrence group), while no recurrence was found in 19 patients (no recurrence group). The ratio of Albumin>35 g/L patients was lower, of AFP >400 ng/ml patients was higher in recurrence group than in no recurrence group (both P400 ng/ml (OR=3.313, P=0.041), tumor differentiation (OR=1.463, P=0.038), tumor number (OR=2.216, P=0.028) and ADC value (OR=0.025, P=0.003) were independent risk factors for early recurrence of HCC after TACE. Conclusion: Early recurrence of HCC after TACE was independently related to AFP, pathological differentiation, the number of tumor foci and ADC values.