Table 1.
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.