Positive circulating tumor cells in the peripheral blood may indicate a poor prognosis in patients with hepatocellular carcinoma.
- Author:
Bo-Tang GUO
1
;
Xin-Cheng LIU
;
Yu HUANG
;
Huo-Hui OU
;
Xiang-Hong LI
;
Ding-Hua YANG
Author Information
- Publication Type:Journal Article
- MeSH: Carcinoma, Hepatocellular; blood; diagnosis; Case-Control Studies; Humans; Liver Neoplasms; blood; diagnosis; Neoplasm Recurrence, Local; Neoplasm Staging; Neoplastic Cells, Circulating; Portal Vein; pathology; Prognosis
- From: Journal of Southern Medical University 2016;36(8):1134-1139
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo assess the value of detecting peripheral blood circulating tumor cells (CTCs) in the diagnosis and treatment of hepatocellular carcinoma (HCC).
METHODSA total of 296 patients diagnosed with HCC admitted in our department from July 2013 to January 2015 were analyzed, with 39 patients with benign liver disease serving as the control group. The distribution of CTCs in the peripheral blood of HCC patients were detected by CanPatrol(TM) CTCs, and its relationship with the clinical features and prognosis of the patients were analyzed.
RESULTSs CTCs were detected in 64.5% (191/296) of the HCC patients but in none of the control group (P<0.05). Positive CTCs in peripheral blood of HCC patients were significantly correlated with serum AFP level, tumor number, TNM stage, BCLC stage, portal vein tumor thrombus and metastasis (P<0.05). In 127 HCC patients receiving radical surgery, the patients positive for CTCs showed significantly shorter relapse-free survival time (P<0.05).
CONCLUSIONPositive CTCs in the peripheral blood may indicate a poor prognosis in HCC patients. CTCs may serve as a indicator for monitoring the prognosis of HCC.
