Both cell proliferation and apoptosis significantly predict shortened disease-free survival in hepatocellular carcinoma
1999

Cell Growth and Death Predict Survival in Liver Cancer

Sample size: 76 publication Evidence: high

Author Information

Author(s): Ito Y, Matsuura N, Sakon M, Takeda T, Umeshita K, Nagano H, Nakamori S, Dono K, Tsujimoto M, Nakahara M, Nakao K, Monden M

Primary Institution: Department of Surgery II, Osaka University Medical School, Osaka, Japan

Hypothesis

Both cell proliferation and apoptosis significantly predict shortened disease-free survival in hepatocellular carcinoma.

Conclusion

Higher levels of cell proliferation and apoptosis are associated with poorer disease-free survival in liver cancer patients.

Supporting Evidence

  • The study found a strong correlation between the proliferating cell index and the apoptotic index.
  • Both indices were significantly higher in poorly differentiated cases and advanced stages of liver cancer.
  • Higher Ki-67 LI and AI were linked to poor disease-free survival outcomes.

Takeaway

This study found that how fast liver cancer cells grow and die can help predict how long patients will stay healthy after treatment.

Methodology

The study measured the proliferating cell index and apoptotic index in liver cancer samples using Ki-67 and morphological analysis.

Statistical Information

P-Value

p = 0.0001 and p = 0.0005

Statistical Significance

p<0.0001

Digital Object Identifier (DOI)

10.1038/sj.bjc.6690758

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