Loading…

The predictive value of vessels encapsulating tumor clusters in treatment optimization for recurrent early‐stage hepatocellular carcinoma

Background The predictive value of vessels encapsulating tumor clusters (VETC) in recurrent early‐stage hepatocellular carcinoma (HCC) remains unclear. Therefore, the aim of the present study was to investigate the prognostic significance of VETC in patients with recurrent early‐stage HCC after repe...

Full description

Saved in:
Bibliographic Details
Published in:Cancer medicine (Malden, MA) MA), 2021-08, Vol.10 (16), p.5466-5474
Main Authors: Chen, Zhi‐Yuan, Guo, Zhi‐Xing, Lu, Liang‐He, Mei, Jie, Lin, Wen‐Ping, Li, Shao‐Hua, Wei, Wei, Guo, Rong‐Ping
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c6422-a44f219ecb365a184d85648bfc49eaacca67893db170db72682671802b2f43d73
cites cdi_FETCH-LOGICAL-c6422-a44f219ecb365a184d85648bfc49eaacca67893db170db72682671802b2f43d73
container_end_page 5474
container_issue 16
container_start_page 5466
container_title Cancer medicine (Malden, MA)
container_volume 10
creator Chen, Zhi‐Yuan
Guo, Zhi‐Xing
Lu, Liang‐He
Mei, Jie
Lin, Wen‐Ping
Li, Shao‐Hua
Wei, Wei
Guo, Rong‐Ping
description Background The predictive value of vessels encapsulating tumor clusters (VETC) in recurrent early‐stage hepatocellular carcinoma (HCC) remains unclear. Therefore, the aim of the present study was to investigate the prognostic significance of VETC in patients with recurrent early‐stage HCC after repeat hepatic resection (RHR) or radiofrequency ablation (RFA). Methods From December 2005 to December 2016, 138 patients receiving RHR and 188 patients receiving RFA were recruited. VETC was evaluated by immunohistochemical staining for CD34. The survival outcomes of patients with VETC pattern or not were investigated. Results There was no significant difference between the RHR and RFA groups in disease‐free survival (DFS) or overall survival (OS) as determined by the univariate analysis of the whole cohort. In the subgroup analysis of the VETC‐positive cohort, the patients in the RHR group showed a longer median DFS time in contrast to those in the RFA group (15.0 vs. 5.0 months, p = 0.001). Similarly, the patients in the RHR group showed a longer median OS time in contrast to those in the RFA group (39.5 vs. 19 months, p = 0.001). In the VETC‐negative cohort, no significant differences in DFS and OS rates between the RHR and RFA groups were observed (p > 0.05). Conclusions The results of our study suggested that RHR was relatively safe and superior to RFA in improving survival outcomes for recurrent early‐stage HCC after initial hepatectomy. Furthermore, the VETC pattern may represent a reliable marker for selecting HCC patients who may benefit from RHR. Our study suggested that RHR was relatively safe and superior to RFA in improving survival outcomes for recurrent early‐stage HCC after initial hepatectomy. Furthermore, the VETC pattern may represent a reliable marker for selecting
doi_str_mv 10.1002/cam4.4102
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_d3350087e794466caccb10dfa34cb910</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_d3350087e794466caccb10dfa34cb910</doaj_id><sourcerecordid>2561422383</sourcerecordid><originalsourceid>FETCH-LOGICAL-c6422-a44f219ecb365a184d85648bfc49eaacca67893db170db72682671802b2f43d73</originalsourceid><addsrcrecordid>eNp1kk1v1DAQhiMEotXSA38AWeICh239FSd7QapWfFQq4lLO1sSZ7Lpy4mA7Wy0n7lz4jfwSnG6pWiR8seV59Ghm9BbFS0ZPGaX8zEAvTyWj_ElxzKksl5US8umD91FxEuM1zaeiXFXseXEkJGe85NVx8fNqi2QM2FqT7A7JDtyExHdkhzGiiwQHA2OcHCQ7bEiaeh-IcVNMGCKxA0kBIfU4JOLHZHv7PYN-IF3GApophLmEENz-949fMcEGyRZHSN6gc1mbbRCMHXwPL4pnHbiIJ3f3ovj64f3V-tPy8svHi_X55dIoyfkSpOw4W6FphCqB1bKtSyXrpjNyhQDGgKrqlWgbVtG2qbiq56lryhveSdFWYlFcHLyth2s9BttD2GsPVt9--LDREJI1DnUrRElpXWG1klIpk-0No20HQppmxWh2vTu4xqnpsTV52gDukfRxZbBbvfE7XQulaG5zUby5EwT_bcKYdG_jvBsY0E9R81LWkpVCyIy-_ge99lMY8qoypVjejahFpt4eKBN8jAG7-2YY1XNi9JwYPScms68edn9P_s1HBs4OwI11uP-_Sa_PP8tb5R-Q686r</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2561422383</pqid></control><display><type>article</type><title>The predictive value of vessels encapsulating tumor clusters in treatment optimization for recurrent early‐stage hepatocellular carcinoma</title><source>Open Access: PubMed Central</source><source>Open Access: Wiley-Blackwell Open Access Journals</source><source>Publicly Available Content (ProQuest)</source><creator>Chen, Zhi‐Yuan ; Guo, Zhi‐Xing ; Lu, Liang‐He ; Mei, Jie ; Lin, Wen‐Ping ; Li, Shao‐Hua ; Wei, Wei ; Guo, Rong‐Ping</creator><creatorcontrib>Chen, Zhi‐Yuan ; Guo, Zhi‐Xing ; Lu, Liang‐He ; Mei, Jie ; Lin, Wen‐Ping ; Li, Shao‐Hua ; Wei, Wei ; Guo, Rong‐Ping</creatorcontrib><description>Background The predictive value of vessels encapsulating tumor clusters (VETC) in recurrent early‐stage hepatocellular carcinoma (HCC) remains unclear. Therefore, the aim of the present study was to investigate the prognostic significance of VETC in patients with recurrent early‐stage HCC after repeat hepatic resection (RHR) or radiofrequency ablation (RFA). Methods From December 2005 to December 2016, 138 patients receiving RHR and 188 patients receiving RFA were recruited. VETC was evaluated by immunohistochemical staining for CD34. The survival outcomes of patients with VETC pattern or not were investigated. Results There was no significant difference between the RHR and RFA groups in disease‐free survival (DFS) or overall survival (OS) as determined by the univariate analysis of the whole cohort. In the subgroup analysis of the VETC‐positive cohort, the patients in the RHR group showed a longer median DFS time in contrast to those in the RFA group (15.0 vs. 5.0 months, p = 0.001). Similarly, the patients in the RHR group showed a longer median OS time in contrast to those in the RFA group (39.5 vs. 19 months, p = 0.001). In the VETC‐negative cohort, no significant differences in DFS and OS rates between the RHR and RFA groups were observed (p &gt; 0.05). Conclusions The results of our study suggested that RHR was relatively safe and superior to RFA in improving survival outcomes for recurrent early‐stage HCC after initial hepatectomy. Furthermore, the VETC pattern may represent a reliable marker for selecting HCC patients who may benefit from RHR. Our study suggested that RHR was relatively safe and superior to RFA in improving survival outcomes for recurrent early‐stage HCC after initial hepatectomy. Furthermore, the VETC pattern may represent a reliable marker for selecting</description><identifier>ISSN: 2045-7634</identifier><identifier>EISSN: 2045-7634</identifier><identifier>DOI: 10.1002/cam4.4102</identifier><identifier>PMID: 34212527</identifier><language>eng</language><publisher>United States: John Wiley &amp; Sons, Inc</publisher><subject>Adult ; Carcinoma, Hepatocellular - blood supply ; Carcinoma, Hepatocellular - mortality ; Carcinoma, Hepatocellular - pathology ; Carcinoma, Hepatocellular - surgery ; CD34 antigen ; Clinical Cancer Research ; Disease-Free Survival ; Female ; Follow-Up Studies ; Hepatectomy ; Hepatectomy - statistics &amp; numerical data ; Hepatocellular carcinoma ; Humans ; Liver - blood supply ; Liver - pathology ; Liver - surgery ; Liver cancer ; Liver Neoplasms - blood supply ; Liver Neoplasms - mortality ; Liver Neoplasms - pathology ; Liver Neoplasms - surgery ; Male ; Medical prognosis ; Metastasis ; Middle Aged ; Neoplasm Recurrence, Local - blood supply ; Neoplasm Recurrence, Local - mortality ; Neoplasm Recurrence, Local - pathology ; Neoplasm Recurrence, Local - surgery ; Neoplasm Staging ; Patients ; Prognosis ; radiofrequency ablation ; Radiofrequency Ablation - statistics &amp; numerical data ; repeat hepatic resection ; Retrospective Studies ; Survival ; Survival Rate ; Tumors ; vessels encapsulating tumor cluster</subject><ispartof>Cancer medicine (Malden, MA), 2021-08, Vol.10 (16), p.5466-5474</ispartof><rights>2021 The Authors. published by John Wiley &amp; Sons Ltd.</rights><rights>2021 The Authors. Cancer Medicine published by John Wiley &amp; Sons Ltd.</rights><rights>2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6422-a44f219ecb365a184d85648bfc49eaacca67893db170db72682671802b2f43d73</citedby><cites>FETCH-LOGICAL-c6422-a44f219ecb365a184d85648bfc49eaacca67893db170db72682671802b2f43d73</cites><orcidid>0000-0003-2799-3463</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2561422383/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2561422383?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,44590,46052,46476,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34212527$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Zhi‐Yuan</creatorcontrib><creatorcontrib>Guo, Zhi‐Xing</creatorcontrib><creatorcontrib>Lu, Liang‐He</creatorcontrib><creatorcontrib>Mei, Jie</creatorcontrib><creatorcontrib>Lin, Wen‐Ping</creatorcontrib><creatorcontrib>Li, Shao‐Hua</creatorcontrib><creatorcontrib>Wei, Wei</creatorcontrib><creatorcontrib>Guo, Rong‐Ping</creatorcontrib><title>The predictive value of vessels encapsulating tumor clusters in treatment optimization for recurrent early‐stage hepatocellular carcinoma</title><title>Cancer medicine (Malden, MA)</title><addtitle>Cancer Med</addtitle><description>Background The predictive value of vessels encapsulating tumor clusters (VETC) in recurrent early‐stage hepatocellular carcinoma (HCC) remains unclear. Therefore, the aim of the present study was to investigate the prognostic significance of VETC in patients with recurrent early‐stage HCC after repeat hepatic resection (RHR) or radiofrequency ablation (RFA). Methods From December 2005 to December 2016, 138 patients receiving RHR and 188 patients receiving RFA were recruited. VETC was evaluated by immunohistochemical staining for CD34. The survival outcomes of patients with VETC pattern or not were investigated. Results There was no significant difference between the RHR and RFA groups in disease‐free survival (DFS) or overall survival (OS) as determined by the univariate analysis of the whole cohort. In the subgroup analysis of the VETC‐positive cohort, the patients in the RHR group showed a longer median DFS time in contrast to those in the RFA group (15.0 vs. 5.0 months, p = 0.001). Similarly, the patients in the RHR group showed a longer median OS time in contrast to those in the RFA group (39.5 vs. 19 months, p = 0.001). In the VETC‐negative cohort, no significant differences in DFS and OS rates between the RHR and RFA groups were observed (p &gt; 0.05). Conclusions The results of our study suggested that RHR was relatively safe and superior to RFA in improving survival outcomes for recurrent early‐stage HCC after initial hepatectomy. Furthermore, the VETC pattern may represent a reliable marker for selecting HCC patients who may benefit from RHR. Our study suggested that RHR was relatively safe and superior to RFA in improving survival outcomes for recurrent early‐stage HCC after initial hepatectomy. Furthermore, the VETC pattern may represent a reliable marker for selecting</description><subject>Adult</subject><subject>Carcinoma, Hepatocellular - blood supply</subject><subject>Carcinoma, Hepatocellular - mortality</subject><subject>Carcinoma, Hepatocellular - pathology</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>CD34 antigen</subject><subject>Clinical Cancer Research</subject><subject>Disease-Free Survival</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hepatectomy</subject><subject>Hepatectomy - statistics &amp; numerical data</subject><subject>Hepatocellular carcinoma</subject><subject>Humans</subject><subject>Liver - blood supply</subject><subject>Liver - pathology</subject><subject>Liver - surgery</subject><subject>Liver cancer</subject><subject>Liver Neoplasms - blood supply</subject><subject>Liver Neoplasms - mortality</subject><subject>Liver Neoplasms - pathology</subject><subject>Liver Neoplasms - surgery</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - blood supply</subject><subject>Neoplasm Recurrence, Local - mortality</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Neoplasm Staging</subject><subject>Patients</subject><subject>Prognosis</subject><subject>radiofrequency ablation</subject><subject>Radiofrequency Ablation - statistics &amp; numerical data</subject><subject>repeat hepatic resection</subject><subject>Retrospective Studies</subject><subject>Survival</subject><subject>Survival Rate</subject><subject>Tumors</subject><subject>vessels encapsulating tumor cluster</subject><issn>2045-7634</issn><issn>2045-7634</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp1kk1v1DAQhiMEotXSA38AWeICh239FSd7QapWfFQq4lLO1sSZ7Lpy4mA7Wy0n7lz4jfwSnG6pWiR8seV59Ghm9BbFS0ZPGaX8zEAvTyWj_ElxzKksl5US8umD91FxEuM1zaeiXFXseXEkJGe85NVx8fNqi2QM2FqT7A7JDtyExHdkhzGiiwQHA2OcHCQ7bEiaeh-IcVNMGCKxA0kBIfU4JOLHZHv7PYN-IF3GApophLmEENz-949fMcEGyRZHSN6gc1mbbRCMHXwPL4pnHbiIJ3f3ovj64f3V-tPy8svHi_X55dIoyfkSpOw4W6FphCqB1bKtSyXrpjNyhQDGgKrqlWgbVtG2qbiq56lryhveSdFWYlFcHLyth2s9BttD2GsPVt9--LDREJI1DnUrRElpXWG1klIpk-0No20HQppmxWh2vTu4xqnpsTV52gDukfRxZbBbvfE7XQulaG5zUby5EwT_bcKYdG_jvBsY0E9R81LWkpVCyIy-_ge99lMY8qoypVjejahFpt4eKBN8jAG7-2YY1XNi9JwYPScms68edn9P_s1HBs4OwI11uP-_Sa_PP8tb5R-Q686r</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Chen, Zhi‐Yuan</creator><creator>Guo, Zhi‐Xing</creator><creator>Lu, Liang‐He</creator><creator>Mei, Jie</creator><creator>Lin, Wen‐Ping</creator><creator>Li, Shao‐Hua</creator><creator>Wei, Wei</creator><creator>Guo, Rong‐Ping</creator><general>John Wiley &amp; Sons, Inc</general><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-2799-3463</orcidid></search><sort><creationdate>202108</creationdate><title>The predictive value of vessels encapsulating tumor clusters in treatment optimization for recurrent early‐stage hepatocellular carcinoma</title><author>Chen, Zhi‐Yuan ; Guo, Zhi‐Xing ; Lu, Liang‐He ; Mei, Jie ; Lin, Wen‐Ping ; Li, Shao‐Hua ; Wei, Wei ; Guo, Rong‐Ping</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6422-a44f219ecb365a184d85648bfc49eaacca67893db170db72682671802b2f43d73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Carcinoma, Hepatocellular - blood supply</topic><topic>Carcinoma, Hepatocellular - mortality</topic><topic>Carcinoma, Hepatocellular - pathology</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>CD34 antigen</topic><topic>Clinical Cancer Research</topic><topic>Disease-Free Survival</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hepatectomy</topic><topic>Hepatectomy - statistics &amp; numerical data</topic><topic>Hepatocellular carcinoma</topic><topic>Humans</topic><topic>Liver - blood supply</topic><topic>Liver - pathology</topic><topic>Liver - surgery</topic><topic>Liver cancer</topic><topic>Liver Neoplasms - blood supply</topic><topic>Liver Neoplasms - mortality</topic><topic>Liver Neoplasms - pathology</topic><topic>Liver Neoplasms - surgery</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - blood supply</topic><topic>Neoplasm Recurrence, Local - mortality</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Neoplasm Staging</topic><topic>Patients</topic><topic>Prognosis</topic><topic>radiofrequency ablation</topic><topic>Radiofrequency Ablation - statistics &amp; numerical data</topic><topic>repeat hepatic resection</topic><topic>Retrospective Studies</topic><topic>Survival</topic><topic>Survival Rate</topic><topic>Tumors</topic><topic>vessels encapsulating tumor cluster</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Zhi‐Yuan</creatorcontrib><creatorcontrib>Guo, Zhi‐Xing</creatorcontrib><creatorcontrib>Lu, Liang‐He</creatorcontrib><creatorcontrib>Mei, Jie</creatorcontrib><creatorcontrib>Lin, Wen‐Ping</creatorcontrib><creatorcontrib>Li, Shao‐Hua</creatorcontrib><creatorcontrib>Wei, Wei</creatorcontrib><creatorcontrib>Guo, Rong‐Ping</creatorcontrib><collection>Open Access: Wiley-Blackwell Open Access Journals</collection><collection>Wiley Online Library</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>ProQuest Biological Science Journals</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Cancer medicine (Malden, MA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Zhi‐Yuan</au><au>Guo, Zhi‐Xing</au><au>Lu, Liang‐He</au><au>Mei, Jie</au><au>Lin, Wen‐Ping</au><au>Li, Shao‐Hua</au><au>Wei, Wei</au><au>Guo, Rong‐Ping</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The predictive value of vessels encapsulating tumor clusters in treatment optimization for recurrent early‐stage hepatocellular carcinoma</atitle><jtitle>Cancer medicine (Malden, MA)</jtitle><addtitle>Cancer Med</addtitle><date>2021-08</date><risdate>2021</risdate><volume>10</volume><issue>16</issue><spage>5466</spage><epage>5474</epage><pages>5466-5474</pages><issn>2045-7634</issn><eissn>2045-7634</eissn><abstract>Background The predictive value of vessels encapsulating tumor clusters (VETC) in recurrent early‐stage hepatocellular carcinoma (HCC) remains unclear. Therefore, the aim of the present study was to investigate the prognostic significance of VETC in patients with recurrent early‐stage HCC after repeat hepatic resection (RHR) or radiofrequency ablation (RFA). Methods From December 2005 to December 2016, 138 patients receiving RHR and 188 patients receiving RFA were recruited. VETC was evaluated by immunohistochemical staining for CD34. The survival outcomes of patients with VETC pattern or not were investigated. Results There was no significant difference between the RHR and RFA groups in disease‐free survival (DFS) or overall survival (OS) as determined by the univariate analysis of the whole cohort. In the subgroup analysis of the VETC‐positive cohort, the patients in the RHR group showed a longer median DFS time in contrast to those in the RFA group (15.0 vs. 5.0 months, p = 0.001). Similarly, the patients in the RHR group showed a longer median OS time in contrast to those in the RFA group (39.5 vs. 19 months, p = 0.001). In the VETC‐negative cohort, no significant differences in DFS and OS rates between the RHR and RFA groups were observed (p &gt; 0.05). Conclusions The results of our study suggested that RHR was relatively safe and superior to RFA in improving survival outcomes for recurrent early‐stage HCC after initial hepatectomy. Furthermore, the VETC pattern may represent a reliable marker for selecting HCC patients who may benefit from RHR. Our study suggested that RHR was relatively safe and superior to RFA in improving survival outcomes for recurrent early‐stage HCC after initial hepatectomy. Furthermore, the VETC pattern may represent a reliable marker for selecting</abstract><cop>United States</cop><pub>John Wiley &amp; Sons, Inc</pub><pmid>34212527</pmid><doi>10.1002/cam4.4102</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-2799-3463</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2045-7634
ispartof Cancer medicine (Malden, MA), 2021-08, Vol.10 (16), p.5466-5474
issn 2045-7634
2045-7634
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_d3350087e794466caccb10dfa34cb910
source Open Access: PubMed Central; Open Access: Wiley-Blackwell Open Access Journals; Publicly Available Content (ProQuest)
subjects Adult
Carcinoma, Hepatocellular - blood supply
Carcinoma, Hepatocellular - mortality
Carcinoma, Hepatocellular - pathology
Carcinoma, Hepatocellular - surgery
CD34 antigen
Clinical Cancer Research
Disease-Free Survival
Female
Follow-Up Studies
Hepatectomy
Hepatectomy - statistics & numerical data
Hepatocellular carcinoma
Humans
Liver - blood supply
Liver - pathology
Liver - surgery
Liver cancer
Liver Neoplasms - blood supply
Liver Neoplasms - mortality
Liver Neoplasms - pathology
Liver Neoplasms - surgery
Male
Medical prognosis
Metastasis
Middle Aged
Neoplasm Recurrence, Local - blood supply
Neoplasm Recurrence, Local - mortality
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - surgery
Neoplasm Staging
Patients
Prognosis
radiofrequency ablation
Radiofrequency Ablation - statistics & numerical data
repeat hepatic resection
Retrospective Studies
Survival
Survival Rate
Tumors
vessels encapsulating tumor cluster
title The predictive value of vessels encapsulating tumor clusters in treatment optimization for recurrent early‐stage hepatocellular carcinoma
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T06%3A57%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20predictive%20value%20of%20vessels%20encapsulating%20tumor%20clusters%20in%20treatment%20optimization%20for%20recurrent%20early%E2%80%90stage%20hepatocellular%20carcinoma&rft.jtitle=Cancer%20medicine%20(Malden,%20MA)&rft.au=Chen,%20Zhi%E2%80%90Yuan&rft.date=2021-08&rft.volume=10&rft.issue=16&rft.spage=5466&rft.epage=5474&rft.pages=5466-5474&rft.issn=2045-7634&rft.eissn=2045-7634&rft_id=info:doi/10.1002/cam4.4102&rft_dat=%3Cproquest_doaj_%3E2561422383%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c6422-a44f219ecb365a184d85648bfc49eaacca67893db170db72682671802b2f43d73%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2561422383&rft_id=info:pmid/34212527&rfr_iscdi=true