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Hepatocellular carcinoma in a rapidly growing community: Epidemiology, clinico-pathology and predictors of extrahepatic metastasis
Department of Surgery, Hamad Medical Corporation, Doha, Qatar / Department of Surgery, Sohag University, Sohag, Egypt.
Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar.
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2019 (English)In: Arab Journal of Gastroenterology, ISSN 1687-1979, Vol. 20, no 1, p. 38-43Article in journal (Refereed) Published
Abstract [en]

Background and study aims: Hepatocellular carcinoma (HCC) with extrahepatic metastasis has been studied, however, data from the Middle East remain scarce. In this study, we assess epidemiology of HCC in Qatar, and identify predictors of the metastatic behaviour. Patients and methods: All newly-diagnosed HCC patients on top of liver cirrhosis between 2011 and 2015 were included in the study. Results: A total of 180 patients met our inclusion criteria. The mean age was 58.8 ± 10.5 years with a mean follow-up of 1.0 ± 1.1 years. There were 150 male patients and HCV was the most common cause of liver cirrhosis 108 (60%), and 22 (12.2%) patients were classified as Child-Pugh class C. The overall survival of 51.1%, and 47 (26%) had at least one extrahepatic metastasis at the time of diagnosis. Single site metastasis was diagnosed in 10 patients, whereas 37 patients had multiple sites metastases. We compared patients who had metastases with patients who did not have metastasis at the time of diagnosis of HCC regarding several variables, and analysis revealed that tumour diameter larger than 5 cm (OR = 6.10, 95% CI = 1.85–20.12) (p = 0.003), and bilobar liver involvement (OR = 5.49, 95% CI = 1.10–27.30) (p = 0.037) were independent predictors of metastatic behaviour of HCC. Conclusion: The incidence of HCC is rising in our population, extrahepatic metastasis is no longer rare and tumours larger than 5 cm and bilobar involvement are determinants of the extrahepatic metastasis. © 2019 Pan-Arab Association of Gastroenterology

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 20, no 1, p. 38-43
Keywords [en]
Hepatocellular carcinoma, Incidence, Maximal tumour diameter, Metastasis, Prognosis, Risk factors, Total tumour volume
National Category
Gastroenterology and Hepatology
Research subject
Individual and Society VIDSOC
Identifiers
URN: urn:nbn:se:his:diva-16705DOI: 10.1016/j.ajg.2019.01.006ISI: 000463364700008PubMedID: 30853257Scopus ID: 2-s2.0-85062444660OAI: oai:DiVA.org:his-16705DiVA, id: diva2:1296895
Available from: 2019-03-18 Created: 2019-03-18 Last updated: 2019-04-30Bibliographically approved

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El Ansari, Walid

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