Abstract

Children with fibrolamellar hepatocarcinoma (FHC) and conventional hepatocellular carcinoma (HCC) have similar long-term outcomes despite previous evidence suggesting otherwise, according to a multinational group of researchers. Daniel Aronson (Emma Childrens Hospital, Amsterdam, Netherlands) and colleagues centrally reviewed the records of 65 children previously enrolled in the SIOPEL2 and SIOPEL3 trials. 24 children had FHC compared with 41 with HCC. Although differences were noted in patient demographics, treatments used, and early response, overall survival plateaued at about 20–25% at 2·5 years for HCC and at 4 years for FHC.

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