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Published in: Annals of Surgical Oncology 2/2006

01-02-2006

Hepatoma-Derived Growth Factor Is a Novel Prognostic Factor for Hepatocellular Carcinoma

Authors: Kenya Yoshida, MD, Yasuhiko Tomita, MD, Yorihide Okuda, MD, Shinji Yamamoto, MD, Hirayuki Enomoto, MD, Hirokazu Uyama, MD, Hiroaki Ito, MD, Yoshihiko Hoshida, MD, Katsuyuki Aozasa, MD, Hiroaki Nagano, MD, Masato Sakon, MD, Ichiro Kawase, MD, Morito Monden, MD, Hideji Nakamura, MD

Published in: Annals of Surgical Oncology | Issue 2/2006

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Abstract

Background

Hepatoma-derived growth factor (HDGF) is involved in hepatocarcinogenesis, as well as in liver development and regeneration. This study investigated the correlation of HDGF expression with differentiation and prognosis of hepatocellular carcinoma (HCC).

Methods

HDGF expression in 100 patients with HCC (81 men and 19 women) with ages ranging from 34 to 81 years (median, 61 years) receiving surgical treatment was analyzed by immunohistochemistry. HDGF messenger RNA expression was evaluated in 10 cases by reverse transcription-polymerase chain reaction. The immunostaining pattern in HCCs was categorized as a positive HDGF index (showing positive staining in >90% of tumor cells in both nucleus and cytoplasm) or a negative HDGF index (all others).

Results

Twenty-seven cases (27%) showed a positive and 73 (73%) showed a negative HDGF index. HDGF messenger RNA expression was significantly higher in four cases with a positive HDGF index than in six with a negative index. Cases with well-differentiated histological characteristics showed a higher rate of positive HDGF index than those with a poorly differentiated subtype. Univariate and multivariate analysis revealed significantly poorer disease-free and overall survivals in patients with a positive HDGF index compared with patients with a negative index.

Conclusions

These findings suggest the potential utility of HDGF immunohistochemistry in determining the prognosis of HCC.
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Metadata
Title
Hepatoma-Derived Growth Factor Is a Novel Prognostic Factor for Hepatocellular Carcinoma
Authors
Kenya Yoshida, MD
Yasuhiko Tomita, MD
Yorihide Okuda, MD
Shinji Yamamoto, MD
Hirayuki Enomoto, MD
Hirokazu Uyama, MD
Hiroaki Ito, MD
Yoshihiko Hoshida, MD
Katsuyuki Aozasa, MD
Hiroaki Nagano, MD
Masato Sakon, MD
Ichiro Kawase, MD
Morito Monden, MD
Hideji Nakamura, MD
Publication date
01-02-2006
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 2/2006
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/ASO.2006.11.035

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