Tumor Biology

, Volume 36, Issue 8, pp 6277–6284 | Cite as

Comparative efficacy of postoperative transarterial chemoembolization with or without antiviral therapy for hepatitis B virus-related hepatocellular carcinoma

  • Shao-Liang Zhu
  • Jian-Hong Zhong
  • Yang Ke
  • Hui-Min Xiao
  • Liang Ma
  • Jie Chen
  • Xue-Mei You
  • Le-Qun Li
Research Article

Abstract

This study aims to investigate the efficacy of adjuvant transarterial chemoembolization (TACE) with or without antiviral therapy for patients with hepatocellular carcinoma (HCC) after radical hepatectomy. This retrospective study examined 176 patients after radical hepatectomy, 118 of whom were treated using TACE alone and 58 using TACE combined with antiviral therapy. To reduce confounding bias due to baseline differences, propensity score matching was used to generate 51 pairs of patients from both treatment groups. Overall survival (OS) and disease-free survival (DFS) were analyzed for both groups before and after propensity score matching. Analysis of all patients showed that OS was better in the combination therapy group than in the TACE-only group (P = 0.048), while DFS was similar between the two groups (P = 0.322). Analysis of only propensity score-matched pairs confirmed the significantly better 5-year OS in the combination therapy group (64.6 vs. 37.5 %, P = 0.033) and also suggested better 5-year DFS (37.9 vs. 14.6 %, P = 0.048). Among patients experiencing HCC recurrence, radical surgery was the treatment choice for a significantly larger proportion of patients from the combination therapy group than from the TACE-only group (P = 0.018). Our results suggest that combining antiviral therapy with TACE significantly improves OS and potentially DFS relative to TACE alone in patients with HCC. Combination therapy also appears to leave patients with greater remnant liver function, increasing the possibility of curative resection in the event of recurrence. Combination therapy may be useful for preventing HCC recurrence after radical hepatectomy.

Keywords

Radical hepatectomy Antiviral therapy Transarterial chemoembolization Combination therapy Hepatitis B virus Hepatocellular carcinoma Overall survival Disease-free survival Recurrence 

Abbreviations

HCC

Hepatocellular carcinoma

TACE

Transarterial chemoembolization

HBV

Hepatitis B virus

OS

Overall survival

DFS

Disease-free survival

Hepatitis B

Surface antigen

HBeAg

Hepatitis B e antigen

Notes

Acknowledgments

This study was supported by grants from the National Natural Science Foundation of China (no. 81160262) and the National Science and Technology Major Special Project (2012ZX10002010001009) to L.Q.L. and from the Self-raised Scientific Research Fund of the Ministry of Health of Guangxi Province (nos. Z2012345 and Z2014241) and the Youth Science Foundation of Guangxi Medical University (no. GXMUYSF201302) to J.H.Z.

Conflicts of interest

None

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Copyright information

© International Society of Oncology and BioMarkers (ISOBM) 2015

Authors and Affiliations

  • Shao-Liang Zhu
    • 1
  • Jian-Hong Zhong
    • 1
  • Yang Ke
    • 1
    • 2
  • Hui-Min Xiao
    • 3
  • Liang Ma
    • 1
  • Jie Chen
    • 1
  • Xue-Mei You
    • 1
  • Le-Qun Li
    • 1
  1. 1.Department of Hepatobiliary SurgeryAffiliated Tumor Hospital of Guangxi Medical UniversityNanningChina
  2. 2.Department of Hepatobiliary SurgerySecond Affiliated Hospital of Kunming Medical UniversityKunmingChina
  3. 3.Department of OncologyRuikang Hospital affiliated to Guangxi University of Chinese MedicineNanningChina

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