Table 3 Summary of results obtained in some of the larger series of fibrolamellar carcinoma (FLM)
Study (reference number) | FLM—case number | Survival | Comments |
---|---|---|---|
Wood et al12 | 15 | 5-year survival 45% in resected cases; overall survival 25 vs 0% in HCC | HCC in noncirrhotic liver not separately analyzed |
Starzl et al10 | 14 | 12/14 alive (variable follow-up) | 5-year follow-up in only 2/12 surviving patients |
Craig et al1 | 23 | Overall survival 30%, considered better than HCC | HCC in noncirrhotic liver not separately analyzed; four FLM cases in cirrhotic/fibrotic liver |
Berman et al5 | 12 | 5-year survival 68%, considered better than HCC | HCC in noncirrhotic liver not separately analyzed; three cases had admixed areas of typical HCC |
Soreide et al11 | 9 | All six resected cases alive | None of the cases had 5-year follow-up |
Farhi et al9 | 10 | 50% overall survival; none in HCC | HCC in noncirrhotic liver not separately analyzed |
Lack et al8 | 5 | Two of three resected cases died; overall 80% patients died within 3 years; mean survival better than HCC | HCC in noncirrhotic liver not separately analyzed |
Pinna et al14 | 28 | 5-year survival 75% | Comparison with same stage HCC not shown; FLM cases not reviewed and diagnostic criteria not specified |
El Serag and Davila3 | 68 | 5-year survival 32% compared to 7% in HCC | HCC in noncirrhotic liver not separately analyzed |
Nagorney et al19 | 16 | Overall survival 31%, better than HCC in noncirrhotic liver | No difference in survival between FLM and HCC in noncirrhotic liver among resected cases |
Ringe et al6 | 20 | 5-year survival 43% in resected cases; 37% in all cases | Outcome in FLM similar to HCC |
Haas et al20 | 14 | 5-year survival <25% in both FLM and HCC | Outcome in FLM similar to HCC |
Katzenstein et al21 | 10 | 5-year survival 30%; overall mortality 60% | Outcome in FLM similar to HCC |
Present | 20 | 5-year survival 45%; overall 62% in stage I disease | Outcome in FLM similar to same-stage HCC in noncirrhotic liver; better than HCC in cirrhotic liver |