Traditional Chinese Medicine Combined with Microwave Ablation Against Hepatocellular Carcinoma


Parameter

Non-exposure

Low exposure

High exposure

p

(n = 107)

(n = 93)

(n = 105)

Gender

 Male

90

78

85

0.797

 Female

17

15

20

Age (year)

57.1 ± 12.0

56.7 ± 10.8

56.4 ± 11.3

0.996

Number of lesions

 1

89

72

84

0.546

 2

15

19

16

 3

3

2

5

Maximum diameter (cm)

2.6 ± 1.1

2.7 ± 1.3

2.8 ± 1.3

0.802

Liver diseases

 HBV

90

83

88

0.052

 HCV

13

8

12

 Other

4

2

5

Child–Pugh classification

 A

97

83

93

0.485

 B

10

10

12

).


15.3.1 Recurrence and Metastasis


The recurrence and metastasis rate in the high, low and non-exposure groups were 61.9 % (65/105), 50.5 % (47/93), and 69.2 % (74/107) respectively. The 1- and 2-year recurrence and metastasis rates are shown in Table 15.2. In the low-exposure group, the rates were significantly lower than in the non-exposure group (p = 0.014 and 0.009). In the high-exposure group, the 1-year recurrence and metastasis rates were significantly lower than in the non-exposure group (p = 0.025), while there was no significant difference in the 2-year recurrence and metastasis rates, though a decrease trend was detected (p = 0.131). There was no significant difference between the high- and low-exposure groups in 1- and 2-year recurrence and metastasis rates (p = 0.880 and 0.306).


Table 15.2
The 1-, 2-year recurrence and metastasis rate of different cohort
























Cohort

1-year

2-year

Non-exposure

50.5 % (54/107)

63.6 % (68/107)

Low-exposure

32.3 % (30/93)a

44.1 % (41/93)c

High-exposure

34.3 % (36/105)b

52.4 % (55/105)


aCompared with non-exposure group, p = 0.014

bCompared with non-exposure group, p = 0.009

cCompared with non-exposure group, p = 0.025


15.3.2 Survival


The 1-, 2- and 3-year cumulative survival rates of each group are shown in Table 15.3. There was no significant difference in the 1-year OS rate among the three groups (all OS > 90 %, p > 0.05). It was detected that the 2- and 3-year OS rates of the high-exposure group were significant higher than in the non-exposure group (p = 0.000, p = 0.043). Different survival curves of exposure factors are shown in Fig. 15.1.


Table 15.3
The 1-, 2- and 3-year cumulative survival rate of different cohort





























Cohort

1-year

2-year

3-year

Non-exposure (%)

90.7

70.1

64.4

Low-exposure (%)

90.5

81.7

72.0

High-exposure (%)

93.3

84.8a

77.1b


aCompared with non-exposure group, p = 0.000

bCompared with non-exposure group, p = 0.043


A306271_1_En_15_Fig1_HTML.gif


Fig. 15.1
The OS rate of the high exposure group was significant higher than the non-exposure group (p = 0.002). There was no significant difference between the high- and low-exposure groups (p = 0.080), and there was also no significant difference between the low- and non-exposure groups (p = 0.208)


15.3.3 Cox Multivariate Regression Analysis of Disease-Free Survival


The data of gender, age, number of lesions, lesion size, the maximum diameter, the type of liver disease, Child–Pugh classification, exposure factors, and disease-free survival time were analyzed by Cox multivariate regression analysis, and are listed in Table 15.4.


Table 15.4
Multi-factor Cox multivariate regression analysis with disease-free survival time































































Factor

B

SE

Wald

Sig.

Exp(B)

95.0 % CI for Exp(B)

Lower

Upper

Exposure factor

−0.434

0.193

5.076

0.024

0.648

0.444

0.945

Age

0.007

0.007

1.033

0.309

1.007

0.994

1.020

Gender

0.070

0.205

0.115

0.734

1.072

0.717

1.603

Liver diseases

0.383

0.277

1.910

0.167

1.467

0.852

2.524

Number of lesions

0.139

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Jun 4, 2017 | Posted by in ULTRASONOGRAPHY | Comments Off on Traditional Chinese Medicine Combined with Microwave Ablation Against Hepatocellular Carcinoma

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