Impact of MAFLD on HBV-Related Stage 0/A Hepatocellular Carcinoma after Curative Resection

doi:10.3390/jpm11080684

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23633

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/23633

Title:	Impact of MAFLD on HBV-Related Stage 0/A Hepatocellular Carcinoma after Curative Resection
Authors:	Lin, YP;Lin, SH;Wang, CC;Lin, CC;Chen, DW;Chuang, CH;Huang, PY;Hung, CH;Yang, SY;Cho, WR;Chen, YS;Tsai, MC
Keywords:	metabolic-associated fatty liver disease (MAFLD);non-alcoholic fatty liver disease (NAFLD);chronic hepatitis B;hepato-cellular carcinoma;lean MAFLD
Date:	2021
Issue Date:	2022-08-05T09:40:24Z (UTC)
Publisher:	MDPI
Abstract:	Backgrounds and Aim: Metabolic-associated fatty liver dis-ease (MAFLD) is a novel term proposed in 2020 to avoid the exclusion of certain subpopulations, though the application of this term in the real world is very limited. Here, we aimed to evaluate the impact of MAFLD on hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC) after curative resection. Methods: Patients with chronic hepatitis B (CHB)-related HCC who received hepatectomy between January 2010 and December 2019 were consecutively selected. The association between histologically proven concurrent MAFLD and clinical outcomes were retrospectively analyzed. Results: Among the 812 eligible patients with CHB-related HCC, 369 (45.4%) were diagnosed with concurrent MAFLD. After a mean follow-up of 65 months, 303 patients (37.3%) developed HCC recurrence, 111 (13.7%) died, and 12 (1.5%) received liver transplantation. Although no differences in the incidences of HCC recurrence (HR: 0.902, 95% CI: 0.719-1.131, p = 0.370) and death or liver transplantation (HR: 0.743, 95% CI: 0.518-1.006, p = 0.107) were observed between patients with and without MAFLD in multivariate analysis, the patients with MAFLD tended to achieve better recurrent-free survival compared to patients without MAFLD. Notably, lean MAFLD (BMI < 23 kg/m(2)) was a relative risk factor for tumor recurrence (HR: 2.030, 95% CI: 1.117-3.690, p = 0.020) among patients with MAFLD. Conclusions: The overall prognosis in HBV-related early-stage HCC, in terms of HCC recurrence and death or liver transplantation, was not significantly different between patients with and without MAFLD. Among patients with MALFD, lean-MAFLD was a risk factor for HCC recurrence. Further studies are warranted to validate these results.
URI:	http://dx.doi.org/10.3390/jpm11080684 https://www.webofscience.com/wos/woscc/full-record/WOS:000689353000001 https://ir.csmu.edu.tw:8080/handle/310902500/23633
Relation:	JOURNAL OF PERSONALIZED MEDICINE ,2021,v11,issue 8
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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