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HCC Staging Modified by Tumor Micronecrosis

Optimizing Hepatocellular Carcinoma Disease Staging Systems by Incorporating Tumor Micronecrosis: A Multi-institutional Retrospective Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05739110
Enrollment
1100
Registered
2023-02-22
Start date
2022-07-15
Completion date
2023-01-15
Last updated
2023-02-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Hepatocellular Carcinoma

Keywords

Hepatocellular carcinoma, Tumor micronecrosis, BCLC, TNM, Disease staging

Brief summary

Tumor micronecrosis is a pathological feature that reflects malignant biological behavior in hepatocellular carcinoma (HCC). This study aimed to evaluate the prognostic significance of tumor micronecrosis based on the current BCLC and TNM staging systems, and futher improve the performance of the staging models by establishing modified new staging models including tumor micronecrosis.

Interventions

BEHAVIORALtumor micronecrosis

whether HCC patients have tumor micronecrosis or not

Sponsors

Huizhou Municipal Central Hospital
CollaboratorOTHER
Second Affiliated Hospital of Nanchang University
CollaboratorOTHER
Meng Chao Hepatobiliary Hospital of Fujian Medical University
CollaboratorOTHER
Zhejiang University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* primary and histologically confirmed HCCs * patients who underwent curative liver resection

Exclusion criteria

* simultaneous presence of other tumors * patients who had received preoperative antitumor therapies * no available surgical specimens for evaluating micronecrosis status * gross tumor necrosis and Nscore = 3

Design outcomes

Primary

MeasureTime frameDescription
Overall survivalfrom date after liver resection until death or last follow-up, whichever came first, assessed up to 72 monthsthe number of months from the date of surgery to the date of the last follow-up visit or time of death.

Secondary

MeasureTime frameDescription
Disease-free survivalfrom date after liver resection until recurrence or last follow-up, whichever came first, assessed up to 72 monthsthe number of months from the date of surgery to the date of first confirmable recurrence or death

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026