Baveno VII criteria identify varices needing treatment in patients with hepatocellular carcinoma of different Barcelona Clinic Liver Cancer stages

医学 肝细胞癌 肝癌 内科学 胃肠病学 静脉曲张 前瞻性队列研究 阶段(地层学) 人口 队列 癌症 外科 肝硬化 生物 环境卫生 古生物学
作者
Claudia Wing‐Kwan Wu,Grace Lai‐Hung Wong,Vincent Wai‐Sun Wong,Tsz‐Fai Yam,Terry Cheuk‐Fung Yip,Angus Chun‐Hei Wong,B. Chan,M. Fong,Jimmy Che‐To Lai,Yee‐Kit Tse,Kit‐Fai Lee,Tony Mok,Henry Lik‐Yuen Chan,Rashid N. Lui,Stephen L. Chan,Kelvin K. Ng
出处
期刊:Journal of Gastroenterology and Hepatology [Wiley]
卷期号:38 (8): 1381-1388 被引量:5
标识
DOI:10.1111/jgh.16218
摘要

Baveno VII criteria for predicting varices needing treatment (VNT) have not been tested in hepatocellular carcinoma (HCC) population. We evaluated Baveno VII consensus for VNT in HCC patients of different stages according to Barcelona Clinic Liver Cancer (BCLC) stages undergoing curative hepatectomy.This was a prospective cohort study of patients with HCC. Patients underwent transient elastography examination before HCC treatment and received at least one upper endoscopic examination afterwards. Patients were prospectively followed for clinical events including VNT.Six hundred and seventy-three patients (83.1% male, median age 62 years) with HCC of BCLC stage 0 (10%), A (57%), B (17%) and C (15%) were recruited and followed for 47 months. The median (range) LSM was 10.5 (6.9-20.4) kPa; 74% had LSM ≤ 20 kPa and 58% had platelet count ≥150 × 10/L, respectively. VNT occurred in 51 (7.6%) patients. In patients who fulfilled Baveno VII criteria, that is, LSM ≤ 20 kPa and platelet count above 150 × 10/L, only 11 (1.6%) patients had VNT. In all BCLC stages of HCC, the proportion of patients with VNT was below 5%, which support the validity and applicability of Baveno VII criteria in all BCLC stages of HCC.The Baveno VII criteria are valid and applicable in HCC patients undergoing curative hepatectomy for selecting patients to undergo screening endoscopy for VNT. The validity was consistent across different BCLC stages of HCC.
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