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Title: Human immunodeficiency virus-infected liver transplant recipients with incidental hepatocellular carcinoma: A prospective multicenter nationwide cohort study.
Authors: Agüero, Fernando
Forner, Alejandro
Valdivieso, Andrés
Blanes, Marino
Barcena, Rafael
Manzardo, Christian
Rafecas, Antoni
Castells, Lluis
Abradelo, Manuel
Barrera-Baena, Pilar
González-Diéguez, Luisa
Salcedo, Magdalena
Serrano, Trinidad
Jiménez-Pérez, Miguel
Herrero, José Ignacio
Gastaca, Mikel
Aguilera, Victoria
Fabregat, Juan
Del Campo, Santos
Bilbao, Itxarone
Romero, Carlos Jiménez
Moreno, Asunción
Rimola, Antoni
Miro, José M
FIPSE Investigators
metadata.dc.subject.mesh: Adult
Carcinoma, Hepatocellular
HIV Infections
Liver Failure
Liver Neoplasms
Liver Transplantation
Middle Aged
Prospective Studies
Issue Date: 2017
Abstract: There is a lack of data on incidental hepatocellular carcinoma (iHCC) in the setting of liver transplantation (LT) in human immunodeficiency virus (HIV)-infected patients. This study aims to describe the frequency, histopathological characteristics, and outcomes of HIV+ LT recipients with iHCC from a Spanish multicenter cohort in comparison with a matched cohort of LT patients without HIV infection. A total of 15 (6%) out of 271 patients with HIV infection who received LT in Spain from 2002 to 2012 and 38 (5%) out of the 811 HIV- counterparts presented iHCC in liver explants (P = 0.58). Patients with iHCC constitute the present study population. All patients also had hepatitis C virus (HCV)-related cirrhosis. There were no significant differences in histopathological features of iHCC between the 2 groups. Most patients showed a small number and size of tumoral nodules, and few patients had satellite nodules, microvascular invasion, or poorly differentiated tumors. After a median follow-up of 49 months, no patient developed hepatocellular carcinoma (HCC) recurrence after LT. HIV+ LT recipients tended to have lower survival than their HIV- counterparts at 1 (73% versus 92%), 3 (67% versus 84%), and 5 years (50% versus 80%; P = 0.06). There was also a trend to a higher frequency of HCV recurrence as a cause of death in the former (33% versus 10%; P = 0.097). In conclusion, among LT recipients for HCV-related cirrhosis, the incidence and histopathological features of iHCC in HIV+ and HIV- patients were similar. However, post-LT survival was lower in HIV+ patients probably because of a more aggressive HCV recurrence. Liver Transplantation 23 645-651 2017 AASLD.
metadata.dc.identifier.doi: 10.1002/lt.24741
Appears in Collections:Producción 2020

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