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23 December 2025 : Original article  

Long-Term Prognostic Significance of TACE-Induced Complete Pathological Response in Patients with Hepatocellular Carcinoma Who Have Undergone Liver Transplantation

I-Ji Jeong ORCID logo BCE 1, Shin Hwang ORCID logo ABCDEF 1*, Chul-Soo Ahn ORCID logo BCF 1, Deok-Bog Moon ORCID logo BCD 1, Tae-Yong Ha ORCID logo BCD 1, Gi-Won Song ORCID logo BCD 1, Dong-Hwan Jung ORCID logo BCD 1, Gil-Chun Park ORCID logo BCD 1, Woo-Hyoung Kang ORCID logo BCD 1, Young-In Yoon ORCID logo BCD 1, Sung-Gyu Lee ORCID logo ABD 1

DOI: 10.12659/AOT.950787

Ann Transplant 2025; 30:e950787

Table 2 Univariate and multivariate analyses of risk factors associated with tumor recurrence and patient survival.

ParameterCase No.Tumor recurrence
Univariate analysisMultivariate analysis
5-Year recurrence rateP-valueHazard ratio95% CIP-value
Background liver diseaseND
 Hepatitis B virus2014.2%0.095
 Others520%
Preoperative AFPND
 ≤7.5 ng/mL1483.6%0.872
 >7.5 ng/mL1052.9%
Serum PIVKA-II0.539ND
 ≤40 mAU/mL1734.2%
 >40 mAU/mL591.9%
Maximum diameter of non-viable tumor0.012
 ≤2.0 cm1811.1%0.0021
 >2.0 cm728.7%5.221.48–18.8
Number of non-viable tumors0.026
 11992.1%0.0041
 ≥2547.5%3.911.17–12.9
Graft-to-recipient weight ratio0.068ND
 ≤0.8256.2%
 >0.82284.7%
Background liver disease0.186ND
 Hepatitis B virus20192.5%
 Others5292.0%
Preoperative AFPND
 ≤7.5 ng/mL14891.9%0.326
 >7.5 ng/mL10594.2%
Serum PIVKA-II0.535ND
 ≤40 mAU/mL17391.9%
 >40 mAU/mL5991.5%
Maximum diameter of non-viable tumor0.0160.036
 ≤2.0 cm18194.5%1
 >2.0 cm7287.2%2.421.06–5.53
Number of non-viable tumors0.0360.077
 119993.4%1
 ≥25488.7%2.020.98–4.41
Graft-to-recipient weight ratio0.087ND
 ≤0.82594.1%
 >0.822889.3%
95% CI – 95% confidence interval; AFP – α-fetoprotein; PIVKA-II – protein induced by vitamin K absence or antagonist-II; ND – not done.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358