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Global cancer statistics, 2012.全球癌症统计数据,2012 年。
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2
The prognostic values of 12 cirrhosis-relative noninvasive models in patients with hepatocellular carcinoma.12种肝硬化相关非侵入性模型对肝细胞癌患者的预后价值。
Scand J Clin Lab Invest. 2015 Jan;75(1):73-84. doi: 10.3109/00365513.2014.981759. Epub 2014 Dec 3.
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CUFA algorithm: assessment of liver fibrosis using routine laboratory data.CUFA算法:利用常规实验室数据评估肝纤维化
J Viral Hepat. 2014 Dec;21(12):956-64. doi: 10.1111/jvh.12270. Epub 2014 Jul 2.
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Preoperative aspartate aminotransferase to platelet ratio is an independent prognostic factor for hepatitis B-induced hepatocellular carcinoma after hepatic resection.术前天冬氨酸转氨酶与血小板比值是肝切除术后乙型肝炎所致肝细胞癌的独立预后因素。
Ann Surg Oncol. 2014 Nov;21(12):3802-9. doi: 10.1245/s10434-014-3771-x. Epub 2014 May 22.
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Impact of liver fibrosis on prognosis following liver resection for hepatitis B-associated hepatocellular carcinoma.肝纤维化对乙型肝炎相关肝细胞癌肝切除术后预后的影响。
Br J Cancer. 2013 Aug 6;109(3):573-81. doi: 10.1038/bjc.2013.352. Epub 2013 Jul 11.
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Comparisons of noninvasive indices based on daily practice parameters for predicting liver cirrhosis in chronic hepatitis B and hepatitis C patients in hospital and community populations.基于日常实践参数的无创指标在预测医院和社区人群中慢性乙型肝炎和丙型肝炎患者肝硬化中的比较。
Kaohsiung J Med Sci. 2013 Jul;29(7):385-95. doi: 10.1016/j.kjms.2012.11.007. Epub 2013 Jan 12.
7
Comparison of FIB-4 and APRI in Chinese HBV-infected patients with persistently normal ALT and mildly elevated ALT.比较 FIB-4 和 APRI 在持续正常 ALT 和轻度升高 ALT 的中国 HBV 感染患者中的应用。
J Viral Hepat. 2013 Apr;20(4):e3-10. doi: 10.1111/jvh.12010. Epub 2012 Nov 19.
8
Risk factors of poor prognosis and portal vein tumor thrombosis after curative resection of solitary hepatocellular carcinoma.根治性切除术后单发肝细胞癌预后不良和门静脉癌栓的危险因素。
Hepatobiliary Pancreat Dis Int. 2013 Feb;12(1):68-73. doi: 10.1016/s1499-3872(13)60008-9.
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The Histologic Cut-off Point for Adjacent and Remote Non-neoplastic Liver Parenchyma of Hepatocellular Carcinoma in Chronic Hepatitis B Patients.慢性乙型肝炎患者肝细胞癌邻近和远处非肿瘤性肝实质的组织学分界点
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根治性切除术后非侵入性纤维化指数对乙型肝炎相关肝细胞癌患者的预后价值。

Prognostic value of non-invasive fibrosis indices post-curative resection in hepatitis-B-associated hepatocellular carcinoma patients.

机构信息

Department of Oncology, Peking University International Hospital, Beijing 102206, China.

Department of Oncology, Chinese PLA General Hospital, Beijing 100853, China.

出版信息

Exp Biol Med (Maywood). 2020 Apr;245(8):703-710. doi: 10.1177/1535370220914252. Epub 2020 Mar 29.

DOI:10.1177/1535370220914252
PMID:32223331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7221490/
Abstract

Non-invasive fibrosis indices, according to regular laboratory and clinical data, could be useful in assessing liver fibrosis in chronic hepatitis patients. However, the role of these biomarkers remains unclear in predicting the outcome of HBV-associated HCC in patients. This study was carried out retrospectively and included a relatively large sample size (n = 405) with a heterogeneous population of HBV infected patients and longer duration of prospective follow-up. Our study suggested that APRI and Fibro-α Scores are inversely correlated with overall survival in HBV-associated HCC patients. Meanwhile, GUCI, King Score, and APRI were highly correlated with cirrhosis status. Also, in subgroups of cirrhosis or non-cirrhosis, Fibro-α Scores could differentiate patients with good prognosis from those with poor outcome. This result would aid clinicians in acquiring preventive and therapeutic methods in patients with high risk.

摘要

根据常规实验室和临床数据,非侵入性纤维化指数可用于评估慢性乙型肝炎患者的肝纤维化程度。然而,这些生物标志物在预测乙型肝炎病毒相关 HCC 患者的预后中的作用仍不清楚。本研究为回顾性研究,纳入了相对较大的样本量(n=405),包括异质性的乙型肝炎病毒感染患者和更长时间的前瞻性随访。我们的研究表明,APRI 和 Fibro-α 评分与乙型肝炎病毒相关 HCC 患者的总生存率呈负相关。同时,GUCI、King 评分和 APRI 与肝硬化状态高度相关。此外,在肝硬化或非肝硬化亚组中,Fibro-α 评分可区分预后良好和预后不良的患者。这一结果将有助于临床医生在高危患者中获得预防和治疗方法。