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Farid K, Elalfy H, Abo El-Khair SM, Elgamal H, Besheer T, Elmokadem A, Shabana W, Abed S, Elegezy M, El-Khalek AA, El-Morsy A, Negm A, Elsamanoudy AZ, El Deek B, Amer T, El-Bendary M. Prognostic value of vascular endothelial growth factor in both conventional and drug eluting beads transarterial chemoembolization for treatment of unresectable hepatocellular carcinoma in HCV patients. Expert Rev Gastroenterol Hepatol 2020; 14:1203-1214. [PMID: 32933325 DOI: 10.1080/17474124.2020.1823215] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] [Imported: 08/29/2023]
Abstract
OBJECTIVES This work aimed to measure serum vascular endothelial growth factor (VEGF) levels before and after Conventional transarterial chemoembolization (cTACE) versus drug-eluting beads (DEB)-TACE and evaluate its efficacy in predicting response to therapy and tumor recurrence. METHODS 114 patients with unresectable hepatocellular carcinoma complicating hepatitis C virus-related cirrhosis were included. They underwent cTACE (58) or DEB-TACE (56). VEGF serum levels were measured before and on days 1 and 30 after TACE. Patients with complete response (CR) after TACE were followed-up for one year. Statistical analysis was done. RESULTS VEGF level was higher than baseline after cTACE (P < 0.001), and DEB-TACE (P = 0.004). It was also significantly higher in patients with progressive disease (P < 0.001). VEGF level at cut off values of 97.3, 149.8, and 104.1 pg/ml could discriminate disease progression from treatment success with area under ROC curves of 0.806, 0.775, and 0.771, respectively. The sensitivity was 88.9%, 88.9%, and 77.8% and specificity was 62.5%, 64.6 and 66.7%, respectively. However, no relation to tumor recurrence in CR group could be detected after one year. CONCLUSION VEGF serum levels may predict response to therapy in patients treated by DEB-TACE or cTACE but it has no relation to tumor recurrence.
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Affiliation(s)
- Khaled Farid
- Tropical Medicine Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Hatem Elalfy
- Tropical Medicine Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Salwa M Abo El-Khair
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Hoda Elgamal
- Tropical Medicine Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Tarek Besheer
- Tropical Medicine Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Ali Elmokadem
- Diagnostic and Interventional Radiology Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Walaa Shabana
- Tropical Medicine Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Sally Abed
- Tropical Medicine Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Mohamed Elegezy
- Tropical Medicine Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Ahmed Abd El-Khalek
- Diagnostic and Interventional Radiology Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Ahmed El-Morsy
- Diagnostic and Interventional Radiology Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Amr Negm
- Chemistry Department, Faculty of Science, Mansoura University , Mansoura, Egypt
| | - Ayman Z Elsamanoudy
- Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Mansoura University , Mansoura, Egypt.,Department of Clinical Biochemistry, Faculty of Medicine, King Abdulaziz University , Jeddah, Saudi Arabia
| | - Basem El Deek
- Community Medicine, Delta University of Science and Technology , Mansoura, Egypt
| | - Talal Amer
- Diagnostic and Interventional Radiology Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
| | - Mahmoud El-Bendary
- Tropical Medicine Department, Faculty of Medicine, Mansoura University , Mansoura, Egypt
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