Combined hepatocellular-cholangiocarcinoma compared to hepatocellular carcinoma and intrahepatic cholangiocarcinoma: Different survival, similar recurrence
- Type de publi. : Article dans une revue
- Date de publi. : 01/02/2024
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Auteurs :
Boris AmoryClaire GoumardAlexis LaurentSerena LangellaDaniel CherquiEphrem SalaméLouise BarbierOlivier SoubraneOlivier FargesChristian HobeikaTakayuki KawaiJean-Marc RégimbeauFrançois FaitotPatrick PessauxStéphanie TruantEmmanuel BoleslawskiAstrid HerreroJean-Yves MabrutLaurence ChicheMarcello Di MartinoRami RhaiemLilian SchwarzVivian ResendeJulien CalderaroJérémy AugustinStefano CarusoDaniele SommacaleStefan HofmeyrAlessandro FerreroDavid FuksEric VibertGuido TorzilliOlivier ScattonRaffaele BrustiaJulio AbbaRené AdamMustapha AdhamPietro AddeoMarc-Antoine AllardGiuliana AmaddeoAhmet AyavDaniel AzoulayPhilippe BachellierPierre BalladurJulien BarbieuxEmmanuel BoleslawskiKarim BoudjemaM. BougardEmmanuel BucPetru O. BucurAntoine CarmeloFrançois CauchyDenis ChatelainJean ChauvatZineb CherkaouiMircea ChiricaOriana CiacioTatiana CodjiaFabio ColliLuciano de CarlisJean-Robert DelperoNicolas DemartinesOlivier DetryMarcelo Dias SanchesMomar DioufAlexandre DoussotChristian DucerfMehdi El AmraniJacques EwaldJean-Marc FabreHervé FagotSimone FamularoLéo FerreFrancesco FleresGilton Marques FonsecaÁlvaro Gancedo QuintanaBrice GayetAlessandro GiacomoniJean-Francois GigotNicolas GolseEmilie GregoireJean HardwigsenPaulo HermanThevi HorFrançois JehaesAli-Reza KianmaneshShohei KomatsuSophie LarocheChristophe LaurentYves-Patrice Le TreutPhilippe LeourierEmilie LermiteMikael LesurtelChristian LetoublonPaul LeymanMickael LesurtelJean LubranoJean-Yves MabrutGeorges MantionUgo MarcheseElena Martín-PérezBenjamin MenahemMaxime MeunierGuillaume Y. MilletKayvan MohkamAndré MulliriFabrice MuscariFrancis NavarroFrancisco NolascoTakeo NomiJean NunozGennaro NuzzoShinya OkumuraNassima OudafalGerard PascalGuillaume PassotDamiano PatronoFrançois PayeFabiano PerdigaoNiccolo PetruccianiGabriella PittauFrançois-René PruvotArtigas RaventosHélène RegnaultMichel RivoireRenato RomagnoliDidier RoulinAntonio Sa-CunhaMichel ScotteFrançois-Regis SoucheBertrand SucAlexandre ThobieBoris TrechotStéphanie TruantOlivier TuriniShinji UemotoXavier UnterteinerCharles VanbruggheJean Zemour
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Organismes :
Centre de Recherche Saint-Antoine
Service de chirurgie digestive
Centre Hépato-Biliaire [Hôpital Paul Brousse]
CHU Trousseau [Tours]
Hôpital Haut-Lévêque - CHU de Bordeaux
CHU Pitié-Salpêtrière [AP-HP]
Institut Mutualiste de Montsouris
Hôpital Beaujon [AP-HP]
Service de chirurgie hepato-pancreato-biliaire
Simplification des soins chez les patients complexes - UR UPJV 7518
Chirurgie digestive [CHU Amiens]
Hôpital de Hautepierre [Strasbourg]
Institute for Translational Medicine and Liver Disease
Institut de Recherche sur les Maladies Virales et Hépatiques
Service de chirurgie hepato-pancreato-biliaire
Hôpital Claude Huriez [Lille]
Hôpital Gui de Chauliac [CHU Montpellier]
Hôpital de la Croix-Rousse [CHU - HCL]
Hôpital Haut-Lévêque - CHU de Bordeaux
Université Paris-Est Créteil Val-de-Marne - Faculté de médecine
IMRB - VHC/"Viruses-Hepatology-Cancers" [Créteil]
Simplification des soins chez les patients complexes - UR UPJV 7518
Direction de la recherche clinique et de l'innovation [CHU Amiens]
- Publié dans Surgery le 31/10/2020
Résumé : Background Combined hepatocholangiocarcinoma is a rare cancer with a grim prognosis composed of both hepatocellular carcinoma and intrahepatic cholangiocarcinoma morphologic patterns in the same tumor. The aim of this multicenter, international cohort study was to compare the oncologic outcomes after surgery of combined hepatocholangiocarcinoma to hepatocellular carcinoma and intrahepatic cholangiocarcinoma. Methods Patients treated by surgery for combined hepatocholangiocarcinoma, hepatocellular carcinoma, and intrahepatic cholangiocarcinoma from 2000 to 2021 from multicenter international databases were analyzed retrospectively. Patients with combined hepatocholangiocarcinoma (cases) were compared with 2 control groups of hepatocellular carcinoma or intrahepatic cholangiocarcinoma, sequentially matched using a propensity score based on 8 preoperative characteristics. Overall and disease-free survival were compared, and predictors of mortality and recurrence were analyzed with Cox regression after propensity score matching. Results During the study period, 3,196 patients were included. Propensity score adjustment and 2 sequential matching processes produced a new cohort (n = 244) comprising 3 balanced groups was obtained (combined hepatocholangiocarcinoma = 56, intrahepatic cholangiocarcinoma = 66, and hepatocellular carcinoma = 122). Kaplan–Meier overall survival estimations at 1, 3, and 5 years were 67%, 45%, and 28% for combined hepatocholangiocarcinoma, 92%, 75%, and 55% for hepatocellular carcinoma, and 86%, 53%, and 42% for the intrahepatic cholangiocarcinoma group, respectively (P = .0014). Estimations of disease-free survival at 1, 3, and 5 years were 51%, 25%, and 17% for combined hepatocholangiocarcinoma, 63%, 35%, and 26% for the hepatocellular carcinoma group, and 51%, 31%, and 28% for the intrahepatic cholangiocarcinoma group, respectively (P = .19). Predictors of mortality were combined hepatocholangiocarcinoma subtype, metabolic syndrome, preoperative tumor markers alpha-fetoprotein and carbohydrate antigen 19-9, and satellite nodules, and recurrence was associated with satellite nodules rather than cancer subtype. Conclusion Despite data limitations, overall survival among patients with combined hepatocholangiocarcinoma was worse than both groups and closer intrahepatic cholangiocarcinoma, whereas disease-free survival was similar among the 3 groups. Future research on immunophenotypic profiling may hold more promise than traditional nonmodifiable clinical characteristics (as found in this study) in predicting recurrence or response to salvage treatments.
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