Preoperative Serum IL6, IL8, and TNF-α May Predict the Recurrence of Hepatocellular Cancer
Joint Authors
Cai, Huayong
Zhang, Yu
Meng, Fanyu
Cui, Chao
Li, Hao
Sui, Minghao
Zhang, Haoyun
Lu, Shichun
Source
Gastroenterology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Purpose.
As we all know, curative resection remains the only effective treatment for hepatocellular cancer (HCC).
However, systemic inflammatory response syndrome always correlates with surgery, which may impose an impact on the clinical outcome of HCC patients who had undergone curative treatment.
The present study is aimed at exploring the correlation between perioperative inflammatory mediators and recurrence risk of HCC.
Methods.
This study retrospectively included 157 histologically confirmed single HCC patients (88 patients developed HCC again) who had received radical hepatectomy between January 2016 and May 2018 at the Department of Hepatobiliary Surgery, the People’s Liberation Army General Hospital (PLAGH), China.
The cut-off values for predicting recurrence were determined by receiver operating characteristic (ROC) curve analysis with estimation of the Youden index.
Recurrence-free survival (RFS) was assessed using the Kaplan-Meier method, and the difference was compared between groups by the log-rank test.
Univariate/multivariate analysis was performed to identify independent risk factors of postoperative tumor recurrence.
Results.
The perioperative serum IL1, IL2, and IL10 levels showed no difference between groups, whereas the serum IL6, IL8, and TNF-α levels showed significant differences between groups.
High preoperative serum IL6, IL8, and TNF-α levels were significantly associated with shorter RFS.
Multivariate analysis revealed that preoperative serum IL6>8.45 pg/ml, preoperative serum IL8>68 pg/ml, preoperative serum TNF−α>14.9 pg/ml, microvascular invasion (MVI), and maximum tumor size>6 cm were independent predictors of RFS.
Conclusions.
The present study confirmed that high preoperative serum IL6, IL8, and TNF-α levels were distinctly correlated with the postoperative tumor recurrence risk of HCC patients.
American Psychological Association (APA)
Cai, Huayong& Zhang, Yu& Meng, Fanyu& Cui, Chao& Li, Hao& Sui, Minghao…[et al.]. 2019. Preoperative Serum IL6, IL8, and TNF-α May Predict the Recurrence of Hepatocellular Cancer. Gastroenterology Research and Practice،Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1155320
Modern Language Association (MLA)
Cai, Huayong…[et al.]. Preoperative Serum IL6, IL8, and TNF-α May Predict the Recurrence of Hepatocellular Cancer. Gastroenterology Research and Practice No. 2019 (2019), pp.1-10.
https://search.emarefa.net/detail/BIM-1155320
American Medical Association (AMA)
Cai, Huayong& Zhang, Yu& Meng, Fanyu& Cui, Chao& Li, Hao& Sui, Minghao…[et al.]. Preoperative Serum IL6, IL8, and TNF-α May Predict the Recurrence of Hepatocellular Cancer. Gastroenterology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-10.
https://search.emarefa.net/detail/BIM-1155320
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155320