Objective To investigate the clinicopathological features, postoperative survival and prognostic influencing factors of male patients with hepatocellular carcinoma （HCC）.
Methods The clinicopathological features and the follow-up data of 155 male HCC patients who received hepatectomy from Jan. 1995 to Dec. 2002 were retrospectively analyzed and the prognostic influencing factors were defined by uni- and multi-variate analysis.
Results Compared with 24 female patients at the same period, males were about six-year older and both of their hepatitis B surface antigen (HBsAg) and liver cirrhosis positive rates were higher (P＜0.05)， but there were no significant differences of the other clinicopathological parameters between the male group and the female group. Multivariate analysis showed that Edmondson-Steiner grade and portal vein tumor thrombosis (PVTT) were two independent prognostic influencing factors of both the overall survival and the tumor-free postoperative survival of male patients with HCC, while satellite nodule and tumor size only influenced the overall survival.
Conclusion The main clinicopathological features and the postoperative survival of male HCC patients were similar than those of female’s. Tumor differentiation and biological behaviors were major factors affecting postoperative survival of male patients with HCC.
Citation：
ZHOU Li,RUI Jingan,WANG Shaobin,CHEN Shuguang,Qu Qiang,CHI Tianyi,WEI Xue,HAN Kai,ZHANG Ning,ZHAO Haitao. Clinicopathological Features, Postoperative Survival and Prognostic Influencing Factors of Male Patients with Hepatocellular Carcinoma. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2007, 14(1): 42-45. doi:
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| 1. |
Lam CM, Yong JL, Chan AO, et al. Better survival in female patients with hepatocellular carcinoma: oral contraceptive pills related? [Ｊ]. J Clin Gastroenterol， 2005; 39(6)∶533.
|
| 2. |
Cong WM, Wu MC, Zhang XH, et al. Primary hepatocellular carcinoma in women of mainland China. A clinicopathologic analysis of 104 patients [Ｊ]. Cancer， 1993; 71(10)∶2941.
|
| 3. |
Lee CC, Chau GY, Lui WY, et al. Better post-resectional survival in female cirrhotic patients with hepatocellular carcinoma [Ｊ]. Hepatogastroenterology， 2000; 47(32)∶446.
|
| 4. |
Tangkijvanich P, Mahachai V, Suwangool P, et al. Gender di-fference in clinicopathologic features and survival of patients with hepatocellular carcinoma [Ｊ]. World J Gastroenterol， 2004; 10(11)∶1547.
|
| 5. |
Tsai TJ, Chau GY, Lui WY, et al. Clinical significance of microscopic tumor venous invasion in patients with resectable hepatocellular carcinoma [Ｊ]. Surgery， 2000; 127(6)∶603.
|
| 6. |
Yeh CN, Chen MF, Lee WC, et al. Prognostic factors of hepatic resection for hepatocellular carcinoma with cirrhosis: univariate and multivariate analysis [Ｊ]. J Surg Oncol， 2002; 81(4)∶195.
|
- 1. Lam CM, Yong JL, Chan AO, et al. Better survival in female patients with hepatocellular carcinoma: oral contraceptive pills related? [Ｊ]. J Clin Gastroenterol， 2005; 39(6)∶533.
- 2. Cong WM, Wu MC, Zhang XH, et al. Primary hepatocellular carcinoma in women of mainland China. A clinicopathologic analysis of 104 patients [Ｊ]. Cancer， 1993; 71(10)∶2941.
- 3. Lee CC, Chau GY, Lui WY, et al. Better post-resectional survival in female cirrhotic patients with hepatocellular carcinoma [Ｊ]. Hepatogastroenterology， 2000; 47(32)∶446.
- 4. Tangkijvanich P, Mahachai V, Suwangool P, et al. Gender di-fference in clinicopathologic features and survival of patients with hepatocellular carcinoma [Ｊ]. World J Gastroenterol， 2004; 10(11)∶1547.
- 5. Tsai TJ, Chau GY, Lui WY, et al. Clinical significance of microscopic tumor venous invasion in patients with resectable hepatocellular carcinoma [Ｊ]. Surgery， 2000; 127(6)∶603.
- 6. Yeh CN, Chen MF, Lee WC, et al. Prognostic factors of hepatic resection for hepatocellular carcinoma with cirrhosis: univariate and multivariate analysis [Ｊ]. J Surg Oncol， 2002; 81(4)∶195.
