Agüero, FernandoForner, AlejandroValdivieso, AndresBlanes, MarinoBarcena, RafaelManzardo, ChristianRafecas, AntoniCastells, LluisAbradelo, ManuelBarrera-Baena, PilarGonzalez-Dieguez, LuisaSalcedo, MagdalenaSerrano, TrinidadJimenez-Perez, MiguelHerrero, Jose IgnacioGastaca, MikelAguilera, VictoriaFabregat, JuanDel Campo, SantosBilbao, ItxaroneRomero, Carlos JimenezMoreno, AsuncionRimola, AntoniMiro, Jose M2023-01-252023-01-252016-12-22Agüero F, Forner A, Valdivieso A, Blanes M, Barcena R, Manzardo C, et al. Human immunodeficiency virus-infected liver transplant recipients with incidental hepatocellular carcinoma: A prospective multicenter nationwide cohort study. Liver Transpl. 2017 May;23(5):645-651http://hdl.handle.net/10668/10859There is a lack of data on incidental hepatocellular carcinoma (iHCC) in the setting of liver transplantation (LT) in human immunodeficiency virus (HIV)-infected patients. This study aims to describe the frequency, histopathological characteristics, and outcomes of HIV+ LT recipients with iHCC from a Spanish multicenter cohort in comparison with a matched cohort of LT patients without HIV infection. A total of 15 (6%) out of 271 patients with HIV infection who received LT in Spain from 2002 to 2012 and 38 (5%) out of the 811 HIV- counterparts presented iHCC in liver explants (P = 0.58). Patients with iHCC constitute the present study population. All patients also had hepatitis C virus (HCV)-related cirrhosis. There were no significant differences in histopathological features of iHCC between the 2 groups. Most patients showed a small number and size of tumoral nodules, and few patients had satellite nodules, microvascular invasion, or poorly differentiated tumors. After a median follow-up of 49 months, no patient developed hepatocellular carcinoma (HCC) recurrence after LT. HIV+ LT recipients tended to have lower survival than their HIV- counterparts at 1 (73% versus 92%), 3 (67% versus 84%), and 5 years (50% versus 80%; P = 0.06). There was also a trend to a higher frequency of HCV recurrence as a cause of death in the former (33% versus 10%; P = 0.097). In conclusion, among LT recipients for HCV-related cirrhosis, the incidence and histopathological features of iHCC in HIV+ and HIV- patients were similar. However, post-LT survival was lower in HIV+ patients probably because of a more aggressive HCV recurrence. Liver Transplantation 23 645-651 2017 AASLD.enAdultCarcinoma, HepatocellularFemaleHIV InfectionsHumansLiver FailureLiver NeoplasmsLiver TransplantationMaleMiddle AgedProspective StudiesSpainresearch article28188668open accessEspañaFallo hepáticoMasculinoNeoplasias HepáticasPersona de mediana edadTrasplante de hígado10.1002/lt.247411527-6473https://aasldpubs.onlinelibrary.wiley.com/doi/pdfdirect/10.1002/lt.24741