Objective To analyze the correlation between liver tissue hypoxia inducible factor‐1α(HIF‐1α) protein expression and multidrug resistance protein (MRP) expression between .Methods Our hospital from March 2012 to March 2013 the Depart‐ment of Pathology of the liver paraffin‐embedded specimens of a total of 83 cases of specimen processing ,production of tissue sec‐tions ,HIF‐1αexpression was observed ,the positive expression of MRP .Results 83 cases of specimens in HIF‐1α 50 cases were positive ,the positive rate was 60 .2% ;of which the well‐differentiated tumor samples of HIF‐1α positive rate was 74 .1% ,signifi‐cantly higher than the 28 .0% poorly differentiated (P<0 .05);and the absence of lymph node metastasis positive rate of HIF‐1αwas no significant difference (P>0 .05) .In 83 cases of samples ,58 samples were MRP positive ,the positive rate was 70 .0% ;MRP positive rate among the high degree of 77 .6% ,significantly higher than the 52 .0% poorly differentiated (P<0 .05);and lymph node tumors MRP positive rate of metastasis were 76 .30 ,64 .4% respectively ,the difference was not statistically significant (P>0 .05) .MRP expression in the same samples were positive ,the HIF‐1α expression was also significantly increased .Conclusion HCC HIF‐1αprotein expression and MRP expression has some relevance .

Objective:To investigate the prognostic value of preoperative peripheral blood albumin-to-globulin ratio (AGR) for patients with non-metastatic clear cell renal cell carcinoma (NMCCRCC).Methods:The clinicopathological and postoperative follow-up data of 61 patients with NMCCRCC confirmed by postoperative pathology who were admitted to Zhongshan Hospital of Dalian University from January 2012 to December 2014 was retrospectively analyzed. According to the receiver operating characteristic curve (ROC), the optimal cut-off value of AGR was determined. According to the cut-off value, the patients were divided into high AGR group (AGR≥1.59) and low AGR group (AGR<1.59). The factors affecting the prognosis of NMCCRCC patients were analyzed by using univariate and multivariate analyses.Results:Among 61 patients with NMCCRCC, 38 cases (62.3%) were in high AGR group and 23 cases (37.7%) were in low AGR group. The differences in age, globulin level, clinical staging, and recurrence status between the two groups were statistically significant (all P < 0.05). The overall survival time and disease-free survival time in low AGR group were shorter than those in high AGR group, and the differences were statistically significant (both P < 0.05). Multivariate Cox regression analysis showed that AGR < 1.59 was the independent influencing factor for overall survival and recurrence ( HR = 0.233, 95% CI 0.073-0.742, P = 0.014; HR = 0.343, 95% CI 0.134-0.873, P = 0.025). Conclusion:Preoperative AGR is valuable in predicting the prognosis of NMCCRCC patients.

Objective To analyze the long-term curative effect of radical surgery for Budd-Chiari syndrome and the postoperative recurrence risk factors.Method Clinical data of 83 patients treated with radical surgery for Budd-Chiari syndrome through exposure of the entire inferior vena cava of the hepatic segment at Peking University People's Hospital between Jul 2001 and Dec 2010 was studied.Survival rate,patency rate of the inferior vena cava and hepatic vein,and risk factors were analyzed.Results There were 5 perioperative deaths with a mortality rate of 6％.Child-Pugh C liver function (P =0.001) was independently related to the perioperative death.The mean follow-up time was 84 ± 35 (60-173)months.There were 8 patients (10.3％) lost to follow-up.10 patients (12.8％) died during follow-up.Child-Pugh C liver function (P =0.003) was independently related to the follow-up death.24 cases (40％) suffered from recurrence with inferior vena cava restenosis in 12 cases (20％),that of hepatic vein in 2 cases (3.3％),and 10 cases (16.7％)with both inferior vena cava and hepatic vein restenosis.Membranous lesion of inferior vena cava (P =0.004) and inadequate anticoagulation time (P =0.004) were independently related to the recrudescence.Conclusions Long term recurrence of Budd-Chiari syndrome after radical surgery through exposure of the entire inferior vena cava of the hepatic segment is related to membranous lesion of inferior vena cava and inadequate anticoagulation time.