Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/55134
Tipo: Artigo de Periódico
Título: Immunohistochemical coexpression of epithelial cell adhesion molecule and alpha-fetoprotein in hepatocellular carcinoma
Autor(es): Leonardo do Pradolima
Carla Jorge Machado
João Bernardo Sancio Rocha Rodrigues
Leonardo de Souza Vasconcellos
Eduardo Paulino Junior
Paula Vieira Teixeira Vidigal
Vivian Resende
Resumen: Background and Aim. The epithelial cell adhesion molecule (EpCAM) has been proposed as a marker for cancer stem cells in human hepatocellular carcinoma (HCC) as well as in the development of novel target therapies. This study aimed to investigate the immunohistochemical expression of EpCAM and alpha-fetoprotein (AFP) in HCC patients and their association with clinicopathological characteristics. Methods. This study included Child-Pugh A HCC patients undergoing curative surgical resection. Results. A significant difference was observed in the ratio between the different phenotypes (p = 0.002), identifying 12 (29.3%) EPCAM positive tumors and 29 (70.7%) negative tumors. EpCAM+ expression was associated with AFP + (OR = 12.5, 95% CI, 1.9-84.1, p<0.001). In univariate analysis, a significant association was observed between AFP+ and EPCAM+ and the serum AFP level. A diameter of ≤ 5 cm was associated with EPCAM+, while angiolymphatic invasion was associated with APF+. In a multivariate analysis, only tumors of ≤ 5 cm were significantly associated with EpCAM+ (OR = 8.7; 95%CI, 1.27-100.0; p = 0.022). The overall survival rate was 74.9%, 69.4%, 69.4%, and 53.5% at 12, 24, 36, and 48 months, respectively. Conclusion. A considerable number of patients with EpCAM+ HCC would benefit from a specific target therapy
Asunto: Carderinas
alfa-Fetoproteínas
Carcinoma Hepatocelular
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Institución: UFMG
Departamento: ICB - DEPARTAMENTO DE MORFOLOGIA
MED - DEPARTAMENTO DE ANATOMIA PATOLÓGICA E MEDICINA LEGAL
MED - DEPARTAMENTO DE CIRURGIA
MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
MED - DEPARTAMENTO DE PROPEDÊUTICA COMPLEMENTAR
Tipo de acceso: Acesso Aberto
Identificador DOI: 10.1155/2018/5970852
URI: http://hdl.handle.net/1843/55134
Fecha del documento: 19-jul-2018
metadata.dc.url.externa: https://www.hindawi.com/journals/cjgh/2018/5970852/
metadata.dc.relation.ispartof: Canadian Journal of Gastroenterology and Hepatology
Aparece en las colecciones:Artigo de Periódico



Los elementos en el repositorio están protegidos por copyright, con todos los derechos reservados, salvo cuando es indicado lo contrario.