Effect of heavy alcohol intake on long-term results after curative resection of hepatitis C virus-related hepatocellular carcinoma

Shuichi Okada, Hiroshi Ishii, Haruhiko Nose, Takuji Okusaka, Akiko Kyogoku, Masayoshi Yoshimori, Kazuaki Shimada, Junji Yamamoto, Tomoo Kosuge, Susumu Yamasaki, Michiie Sakamoto, Setsuo Hirohashi

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Abstract

We studied the effect of heavy alcohol intake (ethanol intake ≤ 80 g/day for ≤ 5 yr) on long-term results in 53 patients with hepatitis C virus (HCV)-related hepatocellular carcinoma (HCC) who had undergone curative hepatic resection. Cell proliferative activity in the tumor and non-tumorous liver was also assessed by counting argyrophilic nucleolar organizer region-associated proteins (Ag-NOR) in the resected specimens. Twenty patients (20 males, 0 females) were positive for heavy alcohol intake [AI(+)] and 33 (28 males, 5 females) were not [AI(-)]. All patients were positive for HCV antibody and negative for hepatitis B surface antigen. Carcinoma recurred within 3 to 51 postoperative months in 42 (79.2%) of the 53 patients. The median disease-free survival time was 12.6 mo in the AI(+) group and 25.4 mo in the AI(-) group (P < 0.01). The AI(+) group also had significantly poorer survival than the AI(-) group (P < 0.05, 3-year survival rate: 66.7% vs. 93.5%). HCC tumor in the AI(+) group showed significantly increased proliferative activity compared with that in the AI( -) group (P < 0.05, Ag-NOR number: 2.3 ± 0.8 vs. 1.9 ± 0.4). However, there was no significant difference between the numbers of Ag-NORs in non-tumorous liver from these two groups (1.5 ± 0.2 vs. 1.5 ± 0.2). Patients with heavy alcohol intake should be followed particularly closely, even if they have received curative surgery, since heavy alcohol intake is closely related to a poor postoperative prognosis.

Original languageEnglish
Pages (from-to)867-873
Number of pages7
JournalJapanese Journal of Cancer Research
Volume87
Issue number8
DOIs
Publication statusPublished - 1996 Aug
Externally publishedYes

Keywords

  • Alcohol intake
  • Hepatitis C virus
  • Hepatocellular carcinoma
  • Nucleolar organizer region

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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  • Cite this

    Okada, S., Ishii, H., Nose, H., Okusaka, T., Kyogoku, A., Yoshimori, M., Shimada, K., Yamamoto, J., Kosuge, T., Yamasaki, S., Sakamoto, M., & Hirohashi, S. (1996). Effect of heavy alcohol intake on long-term results after curative resection of hepatitis C virus-related hepatocellular carcinoma. Japanese Journal of Cancer Research, 87(8), 867-873. https://doi.org/10.1111/j.1349-7006.1996.tb02113.x