Open Access

Clinical features of hemodialysis patients treated for hepatocellular carcinoma: Comparison between resection and radiofrequency ablation

  • Authors:
    • Atsushi Hiraoka
    • Takashi Kumada
    • Kojiro Michitaka
    • Hidenori Toyoda
    • Toshifumi Tada
    • Koichi Takaguchi
    • Kunihiko Tsuji
    • Ei Itobayashi
    • Daichi Takizawa
    • Masashi Hirooka
    • Yohei Koizumi
    • Hironori Ochi
    • Koji Joko
    • Yoshiyasu Kisaka
    • Yuko Shimizu
    • Kazuto Tajiri
    • Joji Tani
    • Tatsuya Taniguchi
    • Akiko Toshimori
    • Shinichi Fujioka
  • View Affiliations

  • Published online on: March 10, 2017     https://doi.org/10.3892/mco.2017.1192
  • Pages: 455-461
  • Copyright: © Hiraoka et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

There is no consensus regarding which therapeutic option is better and/or safer for treating hemodialysis (HD) patients with hepatocellular carcinoma (HCC). The present study compared surgical resection (Hx) and radiofrequency ablation (RFA) with regard to therapeutic efficacy in HD patients with HCC. Of 108 HD patients with naïve HCC treated at 15 institutions between 1988 and 2014 enrolled in the present study, 58 fulfilled the up‑to‑7 criteria [7 as the sum of the size of the largest tumor (cm) and the number of tumors] and were treated with Hx (n=23) or RFA (n=35); their clinical features, complications and prognosis were assessed. The frequency of hepatitis C virus was higher in the RFA group compared with that in the Hx group (P=0.002), whereas there were no differences between the groups with regard to the average time from the first HD (P=0.953), tumor‑nodes‑metastasis (TNM) stage (Union for International Cancer Control 7th edition) (P=0.588), TNM stage (Liver Cancer Study Group of Japan 5th edition) (P=0.095), Child‑Pugh classification (P=0.094), and Japan Integrated Scoring system (P=0.489). There were no significant differences in overall survival (OS) and disease‑free survival (DFS) rates between the Hx and RFA groups [1‑, 3‑ and 5‑year OS rates: 81.7, 55.6 and 43.3% vs. 89.9, 67.1 and 56.3%, respectively (P=0.454); 1‑, 3‑ and 5‑year DFS rates: 71.1, 30.5 and 18.3% vs. 63.8, 31.6 and 21.1%, respectively (P=0.911)] Complications were observed in 4 patients (11.4%) in the RFA group (2 with subcapsular hemorrhage, 1 with intraperitoneal bleeding and 1 with tardive intrahepatic hematoma) and in 4 patients (17.4%) in the Hx group (2 with postoperative infection, 1 with liver failure and 1 with pleural effusion) (P=0.700). In conclusion, Hx and RFA have a similar therapeutic efficacy in HD patients with naïve HCC who fulfilled the up‑to‑7 criteria.
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April 2017
Volume 6 Issue 4

Print ISSN: 2049-9450
Online ISSN:2049-9469

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APA
Hiraoka, A., Kumada, T., Michitaka, K., Toyoda, H., Tada, T., Takaguchi, K. ... Fujioka, S. (2017). Clinical features of hemodialysis patients treated for hepatocellular carcinoma: Comparison between resection and radiofrequency ablation. Molecular and Clinical Oncology, 6, 455-461. https://doi.org/10.3892/mco.2017.1192
MLA
Hiraoka, A., Kumada, T., Michitaka, K., Toyoda, H., Tada, T., Takaguchi, K., Tsuji, K., Itobayashi, E., Takizawa, D., Hirooka, M., Koizumi, Y., Ochi, H., Joko, K., Kisaka, Y., Shimizu, Y., Tajiri, K., Tani, J., Taniguchi, T., Toshimori, A., Fujioka, S."Clinical features of hemodialysis patients treated for hepatocellular carcinoma: Comparison between resection and radiofrequency ablation". Molecular and Clinical Oncology 6.4 (2017): 455-461.
Chicago
Hiraoka, A., Kumada, T., Michitaka, K., Toyoda, H., Tada, T., Takaguchi, K., Tsuji, K., Itobayashi, E., Takizawa, D., Hirooka, M., Koizumi, Y., Ochi, H., Joko, K., Kisaka, Y., Shimizu, Y., Tajiri, K., Tani, J., Taniguchi, T., Toshimori, A., Fujioka, S."Clinical features of hemodialysis patients treated for hepatocellular carcinoma: Comparison between resection and radiofrequency ablation". Molecular and Clinical Oncology 6, no. 4 (2017): 455-461. https://doi.org/10.3892/mco.2017.1192