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. 2015 Sep 18;7(20):2245–2263. doi: 10.4254/wjh.v7.i20.2245

Table 1.

Association between baseline circulating markers and outcome in patients treated with various treatments for hepatocellular carcinoma

Ref. Markers Patients (n) Study design Treatment Level values Clinical impact Conclusion/comments
Schoenleber et al[85] VEGF-A 1018 Systemic review and meta-analysis including only serum-based studies Various (surgery, LRT and systemic therapies) High serum VEGF level Poorer OS Serum VEGF method detection varied among studies
Poorer DFS Serum VEGF levels seem more reliable than tissue VEGF for HCC prognosis
Poon et al[115] bFGF 88 Prospective Surgery High serum level > 10.8 pg/mL Larger tumor > 5 cm High bFGF serum level before surgery was shown to be an independent factor of early recurrence. No further studies confirmed these findings
Venous invasion
Vejchapipat et al[105] HGF 55 Retrospective BSC High level (≥ 1.0 ng/mL Advanced pTNM stage Poorer prognosis Poorer OS Although a control group was included, results of this small cohort study need confirmation in larger prospective analysis
Chau et al[104] 40 Retrospective Resection High portal and serum HGF level (> 699 pg/mL) Multiple tumor One limit of this study were the feasibility in routine of intraoperative puncture of the portal vein was difficult
Poorer prognosis
Mizuguchi et al[106] 100 Retrospective Resection High serum level (≥ 0.35 ng/mL) Postoperative complications No correlation was observed between HGF level and RFS
Poorer OS
Kaseb et al[87] IGF-1 288 Prospective Various Low plasma level (26 ng/mL) High Child-Pugh score The authors proposed that IGF-1 plasma level to be integrated into the BCLC staging system to predict OS for personal management in patients with HCC. This proposal was not yet adopted in clinical practice
High AST level
High tumor size
Multiple tumor
Vascular invasion
Poorer OS

BCLC: Barcelona clinic liver cancer; bFGF: Basic fibroblast growth factor; BSC: Best supportive care; DFS: Disease-free survival; HGF: Hepatocyte growth factor; IGF-1: Insulin growth factors 1; LRT: Loco-regional treatment; OS: Overall survival; RFS: Recurrence-free survival; VEGF: Vascular endothelial growth factors.