Zhang ZQ, Li DL, Chen SH, Jiang Y, Cheng BQ, Fan JJ, Ma M. Correlation between β-catenin expression and recurrence and metastasis of primary hepatocellular carcinoma in patients after surgery.
Shijie Huaren Xiaohua Zazhi 2012;
20:1662-1666. [DOI:
10.11569/wcjd.v20.i18.1662]
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Abstract
AIM: To examine the expression of β-catenin in hepatocellular carcinoma and to analyze its correlation with recurrence and metastasis of primary hepatocellular carcinoma in patients after surgery.
METHODS: Immunohistochemistry was used to detect the expression of β-catenin in tumor samples and matched tumor-adjacent tissue samples taken form patients who had recurrence and/or metastasis within one year after surgery for primary hepatocellular carcinoma and those had no recurrence or metastasis. The correlation between β-catenin expression and the clinicopathological characteristics of primary hepatocellular carcinoma was analyzed.
RESULTS: β-catenin was mainly distributed on the membrane of cells in tumor-adjacent tissue. The rate of aberrant expression of β-catenin was significantly higher in tumor tissue than in tumor-adjacent tissue (60% vs 15%, χ2 = 17.28, P < 0.001). There was no significant difference in the expression of β-catenin in tumor-adjacent normal tissue between patients with and without cirrhosis (χ2 = 0.388, P = 0.533). The rate of aberrant expression of β-catenin was significantly higher in primary hepatocellular carcinoma with recurrence and/or metastasis than in that without recurrence or metastasis (80.0% vs 40%, χ2 = 6.667, P = 0.010). Aberrant expression of β-catenin was not correlated with age, liver cirrhosis, tumor size or differentiation, but was associated with the recurrence and metastasis of primary hepatocellular carcinoma.
CONCLUSION: Aberrant expression of β-catenin is associated with the development, recurrence metastasis of primary hepatocellular carcinoma and may be used as a useful prognostic parameter to predict overall survival.
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