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Different Characteristics of Serum Alfa Fetoprotein and Serum Des-gamma-carboxy Prothrombin in Resected Hepatocellular Carcinoma
Masamichi Hayashi 1 , Suguru Yamada 2 , Nao Takano 1 , Yukiyasu Okamura 3 , Hideki Takami 1 , Yoshikuni Inokawa 1 , Fuminori Sonohara 1 , Nobutake Tanaka 1 , Dai Shimizu 1 , Norifumi Hattori 1 , Mitsuro Kanda 1 , Chie Tanaka 1 , Goro Nakayama 1 , Masahiko Koike 1 , Yasuhiro Kodera 1
Affiliations
Affiliations
1
Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
2
Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan; [email protected].
3
Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.
PMID: 33910859 DOI: 10.21873/invivo.12434
Abstract
Background/aim: Hepatocellular carcinoma (HCC) mainly develops in the damaged liver from hepatitis C virus (HCV) or hepatitis B virus (HBV) infection in Japan. On the other hand, the occurrence of HCCs derived from the liver without viral infection has recently been increasing. Our aim was to identify characteristics specific to HCCs with virus-infected liver (HCC-BC) or those with non-B- and non-C-infected liver (HCC-NBNC), Patients and Methods: We collected preoperative serum α-fetoprotein (AFP) and Des-Gamma-Carboxy Prothrombin (DCP), also known as PIVKA-II values from surgically resected HCC cases during 1994-2017 in our department.
Results: Preoperative serum AFP values of HCC-BC cases (n=284) were higher compared to HCC-NBNC cases (n=88) (p=0.016), whereas serum DCP values of HCC-NBNC cases were higher compared to HCC-BC cases (p<0.001). Multivariable analyses indicated that abnormal serum AFP [hazard ratio (HR)=1.46, 95% conficdence interval (CI)=1.03-2.07, p=0.035) was one of the significant recurrence-free survival predictors of HCC-BC cases, while abnormal serum DCP (HR=4.99, 95%CI=1.91-13.01, p=0.001) was one of the significant recurrence-free survival predictors of HCC-NBNC cases.
Conclusion: HCC-NBNC cases have a different tumor marker profile from HCC-BC cases. Elevated DCP could be both a diagnostic and prognostic marker of HCC-NBNC patients.
Keywords: AFP; DCP; hepatocellular carcinoma; survival predictor.
Copyright© 2021, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved. |
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