[Clinical related factors of portal vein tumor thrombosis in patients with hepatocellular carcinoma: a logistic regression analysis].
Zhonghua Wai Ke Za Zhi
; 46(10): 733-6, 2008 May 15.
Article
em Zh
| MEDLINE
| ID: mdl-18953925
ABSTRACT
OBJECTIVE:
To investigate the related factors of portal vein tumor thrombosis (PVTT) in patients with HCC.METHODS:
A total number of 234 patients with hepatocellular carcinoma (HCC) were included in this retrospective study. Uni-variate and multi-variate logistic regression analysis were employed to analyze the association between PVTT and 18 routine clinical parameters.RESULTS:
Among the 234 patients with HCC, 15% of patients (35/235) had PVTT. Univariate logistic regression analysis revealed significant association of age (P = 0.016), gamma glutamyl transferase (GGT, P = 0.003), number of segmental invasion (P = 0.007), microvascular invasion (P < 0.01), segment location of S2 (P = 0.001), S3 (P = 0.000), S4 (P = 0.004) and S6 (P = 0.016). Multivariate analysis shows potential significant predictors of PVTT in HCC were age (RR 0.373; 95% CI 0.146-0.954; P = 0.040), the tumor location of S3 (RR 4.625; 95% CI 1.916-11. 165;P = 0.001), GGT (RR 4.091; 95% CI 1.448-11.553; P = 0.008) and microvascular invasion (RR 20.912; 95% CI 4.745-92.172; P < 0.01).CONCLUSIONS:
PVTT occurred more commonly in the younger (< 50 years old), and those with high level of GGT, segment location of S3 and microvascular invasion.
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Base de dados:
MEDLINE
Assunto principal:
Veia Porta
/
Carcinoma Hepatocelular
/
Embolia
/
Neoplasias Hepáticas
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
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Aged
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Aged80
/
Child
/
Female
/
Humans
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Male
/
Middle aged
Idioma:
Zh
Ano de publicação:
2008
Tipo de documento:
Article