Diagnostic utility of glypican-3 for hepatocellular carcinoma on liver needle biopsy.

Abstract:

AIMS:Glypican 3 (GPC3) is a heparan sulphate proteoglycan that shows elevated levels in the serum of patients with hepatocellular carcinoma (HCC), but not in healthy blood donors or patients with benign liver disease. This study explores the value of GPC3 expression for diagnosis of HCC by immunohistochemistry in liver needle biopsy specimens. METHODS:Archival material of liver needle biopsies from 54 patients with HCC, nine with focal nodular hyperplasia or focal liver cell dysplasia, five with cirrhosis, seven with hepatitis B or unremarkable liver tissue, seven with cholangiocarcinoma, and 30 with metastatic tumours, was retrieved for immunohistochemical staining with GPC3 antibody and appropriate positive and negative controls. RESULTS:Forty-five out of 54 cases of HCC showed positive GPC3 staining (83.4%). In contrast, all 58 non-HCC cases of liver biopsies, including focal nodular hyperplasia, focal liver cell dysplasia, cirrhosis, hepatitis B or unremarkable liver tissue, cholangiocarcinoma and metastatic tumours, were negative for GPC3. The sensitivity and specificity of GPC3 in HCCs were 83.4% and 100%, respectively. CONCLUSIONS:GPC3 is a valuable diagnostic marker for diagnosing HCC on liver needle biopsy. It can be used to distinguish HCC from other benign hepatic conditions and metastatic tumours in the liver.

journal_name

J Clin Pathol

authors

Wang FH,Yip YC,Zhang M,Vong HT,Chan KI,Wai KC,Wen JM

doi

10.1136/jcp.2010.075374

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

599-603

issue

7

eissn

0021-9746

issn

1472-4146

pii

jcp.2010.075374

journal_volume

63

pub_type

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