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- Title
Serum and tissue PIVKA-II expression reflect the biological malignant potential of small hepatocellular carcinoma
- Authors
Tamano, Masaya; Sugaya, Hitoshi; Oguma, Motoo; Iijima, Makoto; Yoneda, Masashi; Murohisa, Toshimitsu; Kojima, Kazuo; Kuniyoshi, Toru; Majima, Yuichi; Hashimoto, Takashi; Terano, Akira
- Abstract
A sensitive method for measuring the serum level of protein-induced by vitamin K absence or antagonist II (PIVKA-II) has become so widely available that it is now used for the clinical diagnosis of small hepatocellular carcinoma (HCC). It is known that serum PIVKA-II can be a prognostic indicator for HCC, but there have been no detailed investigations concerning the tissue expression of PIVKA-II. The present study assessed the relationship between serum or tissue PIVKA-II and the biological malignant potential of HCC. The subjects were 25 patients with histologically confirmed HCC, that were solitary and 3 cm or less in diameter. Tissue PIVKA-II was detected by immunostaining using MU-3 as the primary antibody. The biological malignant potential of the tumors was evaluated on the basis of the Ki-67 labeling index of HCC cells and the tumor arterial vascularity assesed by angiography and CO2 enhanced ultrasonography. The recurrence-free period after treatment was also evaluated. Among the 25 patients, eight were positive for tissue PIVKA-II. Serum PIVKA-II levels were significantly higher in the tissue PIVKA-II-positive patients compared with the negative patients, but serum and tissue PIVKA-II expressions were not consistently parallel. Tumor cell proliferation was closely correlated with the tissue PIVKA-II expression, while the recurrence-free period was correlated with the serum PIVKA-II level. Tumor arterial vascularity showed a strong correlation with the expression of both serum and tissue PIVKA-II. In conclusion, serum and tissue PIVKA-II expression reflect the biological malignant potential of HCC and thus may be useful indicators for the prognosis of small HCC.
- Subjects
PROTEINS; CLINICAL pathology; LIVER cancer
- Publication
Hepatology Research, 2002, Vol 22, Issue 4, p261
- ISSN
1386-6346
- Publication type
Article
- DOI
10.1016/S1386-6346(01)00150-4