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Open Access Highly Accessed Research

Family history of hepatocellulcar carcinoma is not associated with its patients’ prognosis after hepatectomy

Jia Huang1, Yaojun Zhang23, Meixian Chen23, Junting Huang23, Li Xu23 and Minshan Chen23*

Author Affiliations

1 Department of Obstetrics and Gynaecology, First Affiliated Hospital of Sun Yat-sen University, 58 Zhongshan Road Second, Guangzhou 510089, China

2 Department of Hepatobiliary Surgery, Sun Yat-sen University Cancer Center, 651 Dongfeng Road East, Guangzhou 510060, China

3 State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou 510060, China

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World Journal of Surgical Oncology 2013, 11:280  doi:10.1186/1477-7819-11-280

Published: 18 October 2013

Abstract

Background

Family history of liver cancer is a major risk factor for hepatocellular carcinoma (HCC). In this study, we investigated the prognosis of patients with HCC with or without family history.

Methods

Data for 1,313 patients who underwent hepatectomy as initial treatment for HCC between 2000 and 2008 at a tertiary cancer center hospital were retrieved from a prospective database. A positive family history was defined as a self-reported history of HCC in first-degree relatives. Clinicopathologic characteristics were compared by family history. Kaplan-Meier method and Cox proportional hazards regressions were applied for overall survival (OS) and disease-free survival (DFS).

Results

Of 1,313 patients, 169 patients (12.9%) had first-degree relatives with a history of HCC. There were no significant differences between patients with or without family history in basic clinicopathologic characteristics. In either whole group or each stage according to the TNM staging system, first-degree family history was not associated with survival in all patients, hepatitis B virus-positive patients, as well as male patients. Multivariate analysis revealed that first-degree family history was not a prognostic factor, either for OS or DFS.

Conclusion

A first-degree family history of HCC is not associated with its patients’ prognosis after hepatectomy.

Keywords:
Hepatocellular carcinoma; Hepatectomy; TNM staging system; Family history; Prognosis