Han S, Meng F, Zhang H K, Li H L, Qu J R
Department of Radiology, Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zheng zhou 450008, China.
Zhonghua Yi Xue Za Zhi. 2021 Mar 23;101(11):798-802. doi: 10.3760/cma.j.cn112137-20210108-00058.
To investigate the expression of cell proliferating nuclear antigen (Ki67) and cytokeratin 19 (Ck19) in hepatocellular carcinoma (HCC), and correlation with the clinicopathological features and apparent diffusion coefficient (ADC) value of hepatocellular carcinoma. The data of 203 newly diagnosed HCC patients in the Affiliated Cancer Hospital of Zhengzhou University from January 2014 to October 2019 were retrospectively collected, and the expression of Ki67 and Ck19 and ADC values in all patients were analyzed. The relationship between Ki67 and Ck19 and the clinical pathological characteristics of the patient, and calculate the difference and correlation with the ADC value was analyzed. There were statistically significant differences in tumor vascular tumor thrombus, alpha-fetoprotein (AFP), postoperative tumor recurrence, lymph node metastasis, and HCC differentiation between Ki67 positive and negative groups (χ²=5.156, 12.741, 29.925, 3.963, 77.408, all <0.05),and negatively correlated with ADC value (=-0.214, =0.002). The average ADC value of HCC in the low Ki67 group was significantly higher than that of the high Ki67 group (1 089±280 vs 1 009±212, <0.05). There were statistically significant differences in tumor vascular tumor thrombus, AFP, postoperative tumor recurrence, and lymph node metastasis between Ck19 positive and negative groups (χ²=9.058, 27.034, 4.053, 14.187, all <0.05), but not correlated with ADC value (=0.062, =0.380). The expression differences of Ki67 and Ck19 in different HCC recurrence time groups were statistically significant (<0.05). The positive expression of Ki67 and Ck19 in HCC was associated with the prognosis and recurrence of HCC. CK19 was not correlated with the ADC value, while Ki67 was negatively correlated with the ADC value, indicating that ADC value could provide certain imaging information for the biological characteristics of preoperative HCC.
探讨细胞增殖核抗原(Ki67)和细胞角蛋白19(Ck19)在肝细胞癌(HCC)中的表达及其与肝细胞癌临床病理特征和表观扩散系数(ADC)值的相关性。回顾性收集2014年1月至2019年10月郑州大学附属肿瘤医院203例新诊断HCC患者的数据,分析所有患者的Ki67和Ck19表达及ADC值。分析Ki67和Ck19与患者临床病理特征的关系,并计算其与ADC值的差异及相关性。Ki67阳性组与阴性组在肿瘤血管、肿瘤血栓、甲胎蛋白(AFP)、术后肿瘤复发、淋巴结转移及HCC分化方面差异有统计学意义(χ²=5.156、12.741、29.925、3.963、77.408,均<0.05),且与ADC值呈负相关(r=-0.214,P=0.002)。低Ki67组HCC的平均ADC值显著高于高Ki67组(1089±280 vs 1009±212,P<0.05)。Ck19阳性组与阴性组在肿瘤血管、肿瘤血栓、AFP、术后肿瘤复发及淋巴结转移方面差异有统计学意义(χ²=9.058、27.034、4.053、14.187,均<0.05),但与ADC值无相关性(r=0.062,P=0.380)。不同HCC复发时间组的Ki67和Ck19表达差异有统计学意义(P<0.05)。HCC中Ki67和Ck19的阳性表达与HCC的预后及复发相关。CK19与ADC值无相关性,而Ki67与ADC值呈负相关,表明ADC值可为术前HCC的生物学特征提供一定的影像学信息。