Risk factor and prediction of spontaneous rupture of Barcelona Clinic Liver Cancer stage A primary hepatocellular carcinoma

Objective To explore the risk factor and prediction of rupture of Barcelona Clinic Liver Cancer (BCLC) stage A primary hepatocellular carcinoma (HCC). Methods We analyzed retrospectively the clinical data of 25 patients with spontaneous rupture of BCLC stage A HCC between March 2002 and November 201...

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Main Author: YE Feng, MA Di, GONG Xiaoyong, YANG Yuchen, CHEN Yongjun
Format: Article
Language:zho
Published: Editorial Office of Journal of Surgery Concepts & Practice 2020-01-01
Series:Waike lilun yu shijian
Subjects:
Online Access:https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1595690286092-1943558213.pdf
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author YE Feng, MA Di, GONG Xiaoyong, YANG Yuchen, CHEN Yongjun
author_facet YE Feng, MA Di, GONG Xiaoyong, YANG Yuchen, CHEN Yongjun
author_sort YE Feng, MA Di, GONG Xiaoyong, YANG Yuchen, CHEN Yongjun
collection DOAJ
description Objective To explore the risk factor and prediction of rupture of Barcelona Clinic Liver Cancer (BCLC) stage A primary hepatocellular carcinoma (HCC). Methods We analyzed retrospectively the clinical data of 25 patients with spontaneous rupture of BCLC stage A HCC between March 2002 and November 2019 in our hospital with 25 patients of HCC without rupture of HCC (rHCC) by random as control. Independent risk factor of rHCC was studied by both univariate and multivariate Logistic regression. Logistic regression model to predict rHCC was studied. Results Multivariate regression analysis identified tumor protrusion from liver surface as independent risk factor associated with BCLC stage A rHCC (OR=38.333, P<0.01). Logistic regression model to predict rHCC was established successfully. Receiver operating characteristic (ROC) curves was set up. The area under the ROC curve was 0.820 with Youden index 0.640, sensitivity 0.720 and specificity 0.920. Conclusions It was shown tumor protrusion from liver surface as an independent risk factor of BCLC stage A rHCC. Logistic regression model could be used to predict effectively the risk of rupture in patients with BCLC stage A HCC.
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spelling doaj.art-b281cc5ddc55452292aca674590217322023-10-27T02:09:15ZzhoEditorial Office of Journal of Surgery Concepts & PracticeWaike lilun yu shijian1007-96102020-01-012501404410.16139/j.1007-9610.2020.01.009Risk factor and prediction of spontaneous rupture of Barcelona Clinic Liver Cancer stage A primary hepatocellular carcinomaYE Feng, MA Di, GONG Xiaoyong, YANG Yuchen, CHEN Yongjun0Department of Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, ChinaObjective To explore the risk factor and prediction of rupture of Barcelona Clinic Liver Cancer (BCLC) stage A primary hepatocellular carcinoma (HCC). Methods We analyzed retrospectively the clinical data of 25 patients with spontaneous rupture of BCLC stage A HCC between March 2002 and November 2019 in our hospital with 25 patients of HCC without rupture of HCC (rHCC) by random as control. Independent risk factor of rHCC was studied by both univariate and multivariate Logistic regression. Logistic regression model to predict rHCC was studied. Results Multivariate regression analysis identified tumor protrusion from liver surface as independent risk factor associated with BCLC stage A rHCC (OR=38.333, P<0.01). Logistic regression model to predict rHCC was established successfully. Receiver operating characteristic (ROC) curves was set up. The area under the ROC curve was 0.820 with Youden index 0.640, sensitivity 0.720 and specificity 0.920. Conclusions It was shown tumor protrusion from liver surface as an independent risk factor of BCLC stage A rHCC. Logistic regression model could be used to predict effectively the risk of rupture in patients with BCLC stage A HCC.https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1595690286092-1943558213.pdf|primary hepatocellular carcinoma|rupture|risk factor|logistic model
spellingShingle YE Feng, MA Di, GONG Xiaoyong, YANG Yuchen, CHEN Yongjun
Risk factor and prediction of spontaneous rupture of Barcelona Clinic Liver Cancer stage A primary hepatocellular carcinoma
Waike lilun yu shijian
|primary hepatocellular carcinoma|rupture|risk factor|logistic model
title Risk factor and prediction of spontaneous rupture of Barcelona Clinic Liver Cancer stage A primary hepatocellular carcinoma
title_full Risk factor and prediction of spontaneous rupture of Barcelona Clinic Liver Cancer stage A primary hepatocellular carcinoma
title_fullStr Risk factor and prediction of spontaneous rupture of Barcelona Clinic Liver Cancer stage A primary hepatocellular carcinoma
title_full_unstemmed Risk factor and prediction of spontaneous rupture of Barcelona Clinic Liver Cancer stage A primary hepatocellular carcinoma
title_short Risk factor and prediction of spontaneous rupture of Barcelona Clinic Liver Cancer stage A primary hepatocellular carcinoma
title_sort risk factor and prediction of spontaneous rupture of barcelona clinic liver cancer stage a primary hepatocellular carcinoma
topic |primary hepatocellular carcinoma|rupture|risk factor|logistic model
url https://www.qk.sjtu.edu.cn/jscp/fileup/1007-9610/PDF/1595690286092-1943558213.pdf
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