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Simsek et al. Hepatoma Res 2020;6:11  I  http://dx.doi.org/10.20517/2394-5079.2019.51                                             Page 7 of 10


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                                                                                      5
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                                                                        8
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                                                            11
                                                15
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                                           17
                                       19
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                                  21
                                                  14
                                                          12
                                                      13
                          23
                                                                10
                        24
                  26
                             22
                    25
                                     20
                                                                                                    Patient
                                                                                  1
                                                          1
                                     1
                  1
                                                                                             1
                                                                                      1
                                             1
                                       1
                                                1
                                           5
                                                                    8
                             2
                                                                2
                                                                                           5
                                                      5
                                                                                                 5
                                                                        3
                                         3
                                                            2
                          5
                        3
                                                                                                   lesions
                                  Infiltrative
                                                                                         Infiltrative
                    Infiltrative
                                                  Infiltrative
                                                                                Infiltrative
                                                                                                     Number of
                                                                        1
                                                                                      1
                                                                                2
                                                                                                 4
                          2
                                                                                             8
                    4
                                                      6
                                                          5
                                  19
                                                                                         1.1
                                                                                  7.5
                        7.5
                                                            1.6
                                                                1.5
                                           3.5
                                     2.8
                                             7.2
                                       2.9
                                                                                           8.5
                                         3.5
                             2.6
                                                2.3
                  2.2
                                                  2.8
                                                                    4.3
                                                                                                     Largest
                                                                                                   lesion (cm)
                                                  No
                                         No
                                                                    No
                                                      No
                                             No
                                                                                           No
                                                                                         No
                    No
                                           No
                                                                                             No
                                  No
                                                                                No
                          No
                                                                                  No
                        No
                                                                                                 No
                                                                        Yes
                  Yes
                                                            Yes
                                                                                      Yes
                             Yes
                                     Yes
                                                Yes
                                                                Yes
                                                          Yes
                                       Yes
                                                                                                   criteria
                                                                                                     Within Milan
                                                                                         No
                                                                                                 No
                                                                    No
                          No
                    No
                                  No
                                                No
                                             No
                                                                No
                                                          No
                                                      No
                                                                                  No
                                       No
                             No
                                                                        No
                                                                                No
                                     No
                                           No
                                                  No
                  No
                                                            No
                                                                                      No
                                                                                           Yes
                                                                                             Yes
                                         Yes
                        Yes
                                                                                                    Downstaged
                  No
                          No
                                                                No
                                                                        No
                                                                                      No
                                                No
                        Yes
                                                      Yes
                                                                    Yes
                                                                                         Yes
                                                            Yes
                                                                                                 Yes
                                             Yes
                                         Yes
                    Yes
                                                                                  Yes
                                                  Yes
                                  Yes
                                           Yes
                                                                                             Yes
                             Yes
                                                                                           Yes
                                       Yes
                                     Yes
                                                                                Yes
                                                        duct)
                                                                                                    MVI
                                                                                                         Table 3.  Specific characteristics of the tumors, treatment, and outcomes
                                                          Yes (bile
                                           Poor
                                       Poor
                                                                    Poor
                                  Poor
                                                                                             Poor
                                                                                  Poor
                                                          Poor
                             Poor
                                             Poor
                                                            Poor
                                                                                Poor
                                     Moderate
                                                                                      Moderate
                                                                        Moderate
                                                                                                 Moderate
                    Moderate
                        Moderate
                          Moderate
                                         Moderate
                                                      Moderate
                                                  Moderate
                                                                                           Moderate
                                                                Moderate
                                                Moderate
                                                                                         Moderate
                  No viable tissue
            microvascular invasion; RFA: radiofrequency ablation; TACE: transarterial chemoembolization
                                                                                                    Differentiation
                                                                94
                                  78
                                                      111
                    34
                                             93
                                                                                      80
                                         713
                                                                    291
                                           261
                        147
                             199
                                                                                             314
                                                                                  102
                  917
                                                795
                          594
                                       346
                                                                                         536
                                                                                224
                                                                                           950
                                                          482
                                                                        490
                                                                                                 984
                                                            464
                                                  544
                                     1502
                                                                                                   following LT (in days)
                                                                                                     Diagnosis of recurrence
                                       Liver
                                                                                             Liver
                                     Liver
                             Liver
                                           Liver
                                                Spine
                                                                                         Liver
                          Brain
                                                                                           Brain
                                                          Bile ducts
                                         Lung, liver
                                                            Bone, lung
                                                                    Ribs, spine
                                                  Pelvic bone
                                                                Portal nodes,
                      nodes, pleura
                                                                                  Perihilar, lung
                                                                                      Porta-hepatis
                                                    carcinomatosis
                                                                                                 Gastro-hepatic
                                                                        Humerus, brain
                                                      Lung, peritoneal
                                  Lung, bone, liver
                                                              mediastinal, lung
                                             Pelvic bone, lung
                  Lung, mediastinal
                    Spine, mediastinal
                        Mediastinal lymph
                                                                                Brain, liver, adrenal
                                                                                                    Site of recurrence
                                                                                               ligament, mediastinal
                                                                                  Died
                                       Died
                                                                    Died
                                             Died
                                                                                Died
                                                                                                 Died
                                                            Died
                                           Alive
                                     Alive
                                                                                         Died
                                                                                           Died
                                                                                      Died
                                                                                             Died
                                                  Died
                    Died
                                                      Died
                                                Died
                                                                        Died
                          Died
                                         Died
                                  Died
                                                          Died
                                                                Died
                  Died
                        Died
                             Died
                                                                                                    Survival
                                     -
                                           -
                                  178
                                         861
                                                          1131
                        697
                                                                                             369
                                             493
                                                      332
                                                            547
                                                                253
                                                                                  222
                                                                        663
                                                                                      366
                                                1319
                                                                    602
                                       407
                             260
                                                                                         780
                          1156
                    1065
                  1359
                                                                                1459
                                                  1079
                                                                                           1062
                                                                                                 1466
                                                                                                     Time of death
                                                                                                   following LT (days)
                                                                                         Y90
                                           TACE
                                         TACE
                                                                           in liver
                        Sorafenib
                                                                                                 Sorafenib
                                                                    Sorafenib
                                                                                     capecitabine
                    Spine radiation
                             Supportive care
                                                      Supportive care
                                       Supportive care
                                                                                             Supportive care
                                                                                  Supportive care
                                                            Supportive care
                                             External radiation
                  External radiation
                               external radiation
                                                                      brain met resection
                                  Chemotherapy with
                                                                                      Chemotherapy with
                                     RFA, TACE, Sorafenib
                                 Gemcitabine/Cisplatin,
                                                                                Brain metastasis resection
                                                                                           Brain metastasis resection
                          Brain metastasis resection
                                                                             of adrenal metastasis, Y90
                                                                              and radiation, cryoablation
                                                          Whipple surgery, Sorafenib
                                                                  Spine surgery and radiation
                                                Spine surgery and radiation
                                                                                                    Treatment of recurrence
                                                  External radiation, Sorafenib
                                                                Sorafenib, external radiation
                                                                        Bone resection and radiation,
              Specific characteristics of the tumors, treatment, and outcomes in 26 liver transplant recipients with a recurrence of hepatocellular carcinoma following liver transplant. LT: liver transplant; MVI:
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