Serum YKL-40 Independently Predicts Outcome after Transcatheter Arterial Chemoembolization of Hepatocellular Carcinoma 英文参考文献.docVIP
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Serum YKL-40 Independently Predicts Outcome after Transcatheter Arterial Chemoembolization of Hepatocellular Carcinoma 英文参考文献
SerumYKL-40IndependentlyPredictsOutcomeafter
TranscatheterArterialChemoembolizationof
HepatocellularCarcinoma
Cheng-BaoZhu1.,CanWang2.,Li-LiChen3.,Guo-LiangMa4,Shi-CaiZhang5,LiangSu2,Jian-JunTian1*,
Zhong-TaoGai2*
1DepartmentofClinicalLaboratory,JinanInfectiousDiseaseHospital,ShandongUniversity,Jinan,Shandong,People’sRepublicofChina,2DepartmentofHepatology,
JinanInfectiousDiseaseHospital,ShandongUniversity,Jinan,Shandong,People’sRepublicofChina,3DepartmentofTraditonalChineseMedicineOphthalmology,The
SecondPeople’sHospitalofJinan,Jinan,Shandong,People’sRepublicofChina,4DepartmentofClinicalLaboratory,thePeople’sHospitalofLaiwu,Laiwu,Shandong,
People’sRepublicofChina,5DepartmentofClinicalLaboratory,TumourHospitalofTaian,Taian,Shandong,People’sRepublicofChina
Abstract
Background:Transcatheterarterialchemoembolization(TACE)isthemostwidelyusedtreatmentoptionforunresectable
hepatocellularcarcinoma(HCC).ElevatedserumYKL-40levelhasbeenshowntopredictpoorprognosisinHCCpatients
undergoingresection.ThisstudywasdesignedtovalidatetheprognosticsignificanceofserumYKL-40inpatientswithHCC
undergoingTACEtreatment.
Methods:SerumYKL-40levelwasdeterminedbyenzyme-linkedimmunosorbentassay.Overallsurvival(OS)wasevaluated
withtheKaplan-Meiermethodandcomparedbythelog-ranktest.MultivariatestudywithCoxproportionalhazardmodel
wasusedtoevaluateindependentprognosticvariablesofOS.
Results:ThemedianpretreatmentserumYKL-40inHCCpatientswithwassignificantlyhigherthanthatinhealthycontrols
(P,0.001). The YKL-40 could predict survival precisely either in a dichotomized or continuous fashion (P,0.001 and
P=0.001, respectively). MultivariateCoxregression analysisindicated that serum YKL-40was anindependentprognostic
factorforOSinHCCpatients(P=0.001).Infurtherstratifiedanalyses,YKL-40coulddiscriminatetheoutcomesofpatients
withlowandhighalpha-fetoprotein(AFP)level(P=0.006and0.016,respectively).Furthermore,thecombinationofserum
YKL-40andAFPhadmorecapacitytopredictpatients’outcomes.
Conclusions:SerumYKL-40was
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