Impact of remnant vital tissue after locoregional treatment and liver transplant in hepatocellular cancer patients. A multicentre cohort study

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Manzia Tommaso M., Lai Quirino, Iesari Samuele, Perera M. Thamara P. R., Komuta Mina, Carvalheiro Amanda, Shah Tahir, Angelico Roberta, Quaranta Claudia, Nicolini Daniele, Montalti Roberto, Scarpelli Marina, Palmieri Giampiero, Orlacchio Antonio, Vivarelli Marco, Angelico Mario, Lerut Jan, Tisone Giuseppe
ISSN: 0934-0874

The role of pathological findings after locoregional treatments as predictors of hepatocellular cancer recurrence after liver transplantation has been poorly addressed. The aim of the study was to identify the role of remnant vital tissue (RVT) of the target lesion in predicting hepatocellular cancer recurrence. Two hundred and seventy-six patients firstly undergoing locoregional treatment and then transplanted between January 2010 and December 2015 in four European Transplant Centres (i.e. Rome Tor Vergata, Birmingham, Brussels and Ancona) were enrolled in the study to investigate the role of pathological response at upfront locoregional treatment. At multivariable Cox regression analysis, RVT ≥2 cm was a strong independent risk factor for post-LT recurrence (HR = 5.6; P

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