Clinicopathologic characteristics of patients with non-B non-C hepatitis virus hepatocellular carcinoma after hepatectomy
Abstract Background A substantial population of hepatocellular carcinoma (HCC) patients is negative for markers of hepatitis B virus and hepatitis C virus (HCV) infection (non-B non-C hepatitis virus [NBC]). Methods Clinicopathologic data and outcomes were compared retrospectively for HCC patients w...
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| Veröffentlicht in: | The American journal of surgery 2012-09, Vol.204 (3), p.300-307 |
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| creator | Kaibori, Masaki, M.D Ishizaki, Morihiko, M.D Matsui, Kosuke, M.D Kwon, A-Hon, M.D |
| description | Abstract Background A substantial population of hepatocellular carcinoma (HCC) patients is negative for markers of hepatitis B virus and hepatitis C virus (HCV) infection (non-B non-C hepatitis virus [NBC]). Methods Clinicopathologic data and outcomes were compared retrospectively for HCC patients with hepatitis B virus, HCV, and NBC who had undergone hepatectomy. Results The TNM stage was significantly higher, and the prevalence of cirrhosis was significantly lower, in the NBC group compared with the HCV group. Among patients with a maximum tumor diameter of 5 cm or less, the survival rates were significantly higher in the NBC group than in the HCV group. Multivariate analysis revealed that preoperative serum des-gamma-carboxy prothrombin (DCP) level was a prognostic factor for survival in NBC–HCC patients. The DCP/tumor size ratio was significantly higher in NBC–HCC patients with normal liver histology than in patients with hepatitis or cirrhosis. Conclusions NBC–HCC patients had more advanced tumors compared with HCV–HCC patients, but significantly higher survival rates. Measurement of DCP potentially is significant for early diagnosis of NBC HCC, which may increase the chance of curative therapy without recurrence. |
| doi_str_mv | 10.1016/j.amjsurg.2011.11.014 |
| format | Article |
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Methods Clinicopathologic data and outcomes were compared retrospectively for HCC patients with hepatitis B virus, HCV, and NBC who had undergone hepatectomy. Results The TNM stage was significantly higher, and the prevalence of cirrhosis was significantly lower, in the NBC group compared with the HCV group. Among patients with a maximum tumor diameter of 5 cm or less, the survival rates were significantly higher in the NBC group than in the HCV group. Multivariate analysis revealed that preoperative serum des-gamma-carboxy prothrombin (DCP) level was a prognostic factor for survival in NBC–HCC patients. The DCP/tumor size ratio was significantly higher in NBC–HCC patients with normal liver histology than in patients with hepatitis or cirrhosis. Conclusions NBC–HCC patients had more advanced tumors compared with HCV–HCC patients, but significantly higher survival rates. Measurement of DCP potentially is significant for early diagnosis of NBC HCC, which may increase the chance of curative therapy without recurrence.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2011.11.014</identifier><identifier>PMID: 22591698</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; Biomarkers - blood ; Biomarkers, Tumor - blood ; Carcinoma, Hepatocellular - blood ; Carcinoma, Hepatocellular - pathology ; Carcinoma, Hepatocellular - surgery ; Des-gamma-carboxy prothrombin ; Disease-Free Survival ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; General aspects ; Hepatectomy ; Hepatitis ; Histology ; Humans ; Infections ; Kaplan-Meier Estimate ; Liver cancer ; Liver cirrhosis ; Liver Neoplasms - blood ; Liver Neoplasms - pathology ; Liver Neoplasms - surgery ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Mortality ; Multivariate analysis ; Non-B non-C hepatocellular carcinoma ; Other diseases. Semiology ; Prognosis ; Protein Precursors - blood ; Prothrombin ; Retrospective Studies ; Risk Factors ; Standard deviation ; Studies ; Surgery ; Tomography ; Transplants & implants ; Treatment Outcome ; Tumors ; Viral infections</subject><ispartof>The American journal of surgery, 2012-09, Vol.204 (3), p.300-307</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-17a5f7f800d73fcd210faadad9a3fe2046876e36739dffbbb9ee2c1c6ddba31f3</citedby><cites>FETCH-LOGICAL-c478t-17a5f7f800d73fcd210faadad9a3fe2046876e36739dffbbb9ee2c1c6ddba31f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1035573349?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26351921$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22591698$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kaibori, Masaki, M.D</creatorcontrib><creatorcontrib>Ishizaki, Morihiko, M.D</creatorcontrib><creatorcontrib>Matsui, Kosuke, M.D</creatorcontrib><creatorcontrib>Kwon, A-Hon, M.D</creatorcontrib><title>Clinicopathologic characteristics of patients with non-B non-C hepatitis virus hepatocellular carcinoma after hepatectomy</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Abstract Background A substantial population of hepatocellular carcinoma (HCC) patients is negative for markers of hepatitis B virus and hepatitis C virus (HCV) infection (non-B non-C hepatitis virus [NBC]). Methods Clinicopathologic data and outcomes were compared retrospectively for HCC patients with hepatitis B virus, HCV, and NBC who had undergone hepatectomy. Results The TNM stage was significantly higher, and the prevalence of cirrhosis was significantly lower, in the NBC group compared with the HCV group. Among patients with a maximum tumor diameter of 5 cm or less, the survival rates were significantly higher in the NBC group than in the HCV group. Multivariate analysis revealed that preoperative serum des-gamma-carboxy prothrombin (DCP) level was a prognostic factor for survival in NBC–HCC patients. The DCP/tumor size ratio was significantly higher in NBC–HCC patients with normal liver histology than in patients with hepatitis or cirrhosis. Conclusions NBC–HCC patients had more advanced tumors compared with HCV–HCC patients, but significantly higher survival rates. Measurement of DCP potentially is significant for early diagnosis of NBC HCC, which may increase the chance of curative therapy without recurrence.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - blood</subject><subject>Biomarkers, Tumor - blood</subject><subject>Carcinoma, Hepatocellular - blood</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Des-gamma-carboxy prothrombin</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>General aspects</subject><subject>Hepatectomy</subject><subject>Hepatitis</subject><subject>Histology</subject><subject>Humans</subject><subject>Infections</subject><subject>Kaplan-Meier Estimate</subject><subject>Liver cancer</subject><subject>Liver cirrhosis</subject><subject>Liver Neoplasms - blood</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver Neoplasms - surgery</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Multivariate analysis</subject><subject>Non-B non-C hepatocellular carcinoma</subject><subject>Other diseases. Semiology</subject><subject>Prognosis</subject><subject>Protein Precursors - blood</subject><subject>Prothrombin</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Standard deviation</subject><subject>Studies</subject><subject>Surgery</subject><subject>Tomography</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><subject>Viral infections</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkkuLFDEQx4Mo7rj6EZQGEfbSYyrpVy4uOviCBQ_qOVTnsZO2uzMm3Svz7Te9PbqwF6FIUtSvikr9i5CXQLdAoXrbbXHo4hyut4wCbJNRKB6RDTS1yKFp-GOyoZSyXFRAz8izGLvkAhT8KTljrBRQiWZDjrvejU75A0573_trpzK1x4BqMsHFyamYeZulqDPjFLM_btpnox_zD3fnLtubJTa5mN24MMfV98r0_dxjyBQG5UY_YIY2VVzDRk1-OD4nTyz20bw43efk56ePP3Zf8qtvn7_u3l_lqqibKYcaS1vbhlJdc6s0A2oRNWqB3BpGi6qpK8Ormgttbdu2whimQFVat8jB8nNysdY9BP97NnGSg4tLgzgaP0cJlJclh0KUCX39AO38HMbU3UrVnBciUeVKqeBjDMbKQ3ADhmOC5KKN7ORJG7loI5MlbVLeq1P1uR2M_pf1V4wEvDkBGBX2NuCoXLznKl6CYJC4y5UzaWw3zgQZVZJHGe1Cmq3U3v23lXcPKqi7NcD-lzmaeP9rGZmk8vuySMseAUuP5PBbl_vHdw</recordid><startdate>20120901</startdate><enddate>20120901</enddate><creator>Kaibori, Masaki, M.D</creator><creator>Ishizaki, Morihiko, M.D</creator><creator>Matsui, Kosuke, M.D</creator><creator>Kwon, A-Hon, M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120901</creationdate><title>Clinicopathologic characteristics of patients with non-B non-C hepatitis virus hepatocellular carcinoma after hepatectomy</title><author>Kaibori, Masaki, M.D ; Ishizaki, Morihiko, M.D ; Matsui, Kosuke, M.D ; Kwon, A-Hon, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-17a5f7f800d73fcd210faadad9a3fe2046876e36739dffbbb9ee2c1c6ddba31f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - blood</topic><topic>Biomarkers, Tumor - blood</topic><topic>Carcinoma, Hepatocellular - blood</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Des-gamma-carboxy prothrombin</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>General aspects</topic><topic>Hepatectomy</topic><topic>Hepatitis</topic><topic>Histology</topic><topic>Humans</topic><topic>Infections</topic><topic>Kaplan-Meier Estimate</topic><topic>Liver cancer</topic><topic>Liver cirrhosis</topic><topic>Liver Neoplasms - blood</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - surgery</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Multivariate analysis</topic><topic>Non-B non-C hepatocellular carcinoma</topic><topic>Other diseases. Semiology</topic><topic>Prognosis</topic><topic>Protein Precursors - blood</topic><topic>Prothrombin</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Standard deviation</topic><topic>Studies</topic><topic>Surgery</topic><topic>Tomography</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><topic>Viral infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kaibori, Masaki, M.D</creatorcontrib><creatorcontrib>Ishizaki, Morihiko, M.D</creatorcontrib><creatorcontrib>Matsui, Kosuke, M.D</creatorcontrib><creatorcontrib>Kwon, A-Hon, M.D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kaibori, Masaki, M.D</au><au>Ishizaki, Morihiko, M.D</au><au>Matsui, Kosuke, M.D</au><au>Kwon, A-Hon, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinicopathologic characteristics of patients with non-B non-C hepatitis virus hepatocellular carcinoma after hepatectomy</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2012-09-01</date><risdate>2012</risdate><volume>204</volume><issue>3</issue><spage>300</spage><epage>307</epage><pages>300-307</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>Abstract Background A substantial population of hepatocellular carcinoma (HCC) patients is negative for markers of hepatitis B virus and hepatitis C virus (HCV) infection (non-B non-C hepatitis virus [NBC]). Methods Clinicopathologic data and outcomes were compared retrospectively for HCC patients with hepatitis B virus, HCV, and NBC who had undergone hepatectomy. Results The TNM stage was significantly higher, and the prevalence of cirrhosis was significantly lower, in the NBC group compared with the HCV group. Among patients with a maximum tumor diameter of 5 cm or less, the survival rates were significantly higher in the NBC group than in the HCV group. Multivariate analysis revealed that preoperative serum des-gamma-carboxy prothrombin (DCP) level was a prognostic factor for survival in NBC–HCC patients. The DCP/tumor size ratio was significantly higher in NBC–HCC patients with normal liver histology than in patients with hepatitis or cirrhosis. Conclusions NBC–HCC patients had more advanced tumors compared with HCV–HCC patients, but significantly higher survival rates. Measurement of DCP potentially is significant for early diagnosis of NBC HCC, which may increase the chance of curative therapy without recurrence.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22591698</pmid><doi>10.1016/j.amjsurg.2011.11.014</doi><tpages>8</tpages></addata></record> |
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| subjects | Aged Aged, 80 and over Biological and medical sciences Biomarkers - blood Biomarkers, Tumor - blood Carcinoma, Hepatocellular - blood Carcinoma, Hepatocellular - pathology Carcinoma, Hepatocellular - surgery Des-gamma-carboxy prothrombin Disease-Free Survival Female Gastroenterology. Liver. Pancreas. Abdomen General aspects Hepatectomy Hepatitis Histology Humans Infections Kaplan-Meier Estimate Liver cancer Liver cirrhosis Liver Neoplasms - blood Liver Neoplasms - pathology Liver Neoplasms - surgery Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical imaging Medical sciences Middle Aged Mortality Multivariate analysis Non-B non-C hepatocellular carcinoma Other diseases. Semiology Prognosis Protein Precursors - blood Prothrombin Retrospective Studies Risk Factors Standard deviation Studies Surgery Tomography Transplants & implants Treatment Outcome Tumors Viral infections |
| title | Clinicopathologic characteristics of patients with non-B non-C hepatitis virus hepatocellular carcinoma after hepatectomy |
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