Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Prognosis of Aggressive Treatment of Primary Hepatic Angiosarcoma: A Single-Center Experience

Version 1 : Received: 28 November 2021 / Approved: 1 December 2021 / Online: 1 December 2021 (10:57:24 CET)

How to cite: Chen, Y.; Chen, Y.; Chen, C.; Yang, H.R. Prognosis of Aggressive Treatment of Primary Hepatic Angiosarcoma: A Single-Center Experience. Preprints 2021, 2021120008. https://doi.org/10.20944/preprints202112.0008.v1 Chen, Y.; Chen, Y.; Chen, C.; Yang, H.R. Prognosis of Aggressive Treatment of Primary Hepatic Angiosarcoma: A Single-Center Experience. Preprints 2021, 2021120008. https://doi.org/10.20944/preprints202112.0008.v1

Abstract

Background and Aims: Of all primary liver tumors, primary hepatic angiosarcoma (PHA) is a rare and aggressive malignant vascular tumor. The standard therapeutic care for hepatic angiosarcoma remains unclear. This study compared the survival outcomes of aggressive treatment (resection and liver transplant) and nonaggressive treatment (chemotherapy, transarterial chemoembolization [TACE], and conservative treatments) for patients with PHA and analyzed the prognostic factors influencing survival. Materials and Methods: Data of patients diagnosed as having PHA at our facility were retrospectively reviewed. The primary outcome was survival time. The secondary outcome was calculated baseline characteristics. Results: We included a total of 19 patients, who were divided into 2 treatment groups: aggressive (8 patients had undergone resection or transplants) and nonaggressive (11 patients had undergone TACE, chemotherapy, or conservative treatment). The mean survival time was 233.1 ± 189.7 days in the aggressive treatment group and 146.5 ± 115.8 days in the nonaggressive treatment group. A Kaplan-Meier plot revealed no significant difference in survival time between the 2 treatment groups (P = .3256). Conclusions: The survival time of patients receiving aggressive treatment was longer than that of those receiving nonaggressive treatment. The long term survival time in some selective cases of aggressive treatment will be achieved. Thought a difference was not significant between the groups. Because the number of patients was limited, more cases are required to confirm these findings.

Keywords

aggressive treatment; Liver transplant; nonaggressive treatment; Primary Hepatic Angiosarcoma; tumor resection

Subject

Medicine and Pharmacology, Gastroenterology and Hepatology

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