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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 14, 2015; 21(18): 5607-5621
Published online May 14, 2015. doi: 10.3748/wjg.v21.i18.5607
Published online May 14, 2015. doi: 10.3748/wjg.v21.i18.5607
Significance of platelet count and platelet-based models for hepatocellular carcinoma recurrence
Qing Pang, Jing-Yao Zhang, Xin-Sen Xu, Si-Dong Song, Kai Qu, Wei Chen, Yan-Yan Zhou, Run-Chen Miao, Su-Shun Liu, Chang Liu, Department of Hepatobiliary Surgery, the First Affiliated Hospital of Medical College, Xi'an Jiaotong University, Xi’an 710061, Shaanxi Province, China
Ya-Feng Dong, Department of Obstetrics and Gynecology, University of Kansas School of Medicine, Lawrence, KS 66045, United States
Author contributions: Pang Q, Zhang JY and Xu XS contributed equally to this work; Pang Q, Dong YF and Liu C designed the research; Xu XS, Chen W, Zhou YY and Miao RC collected the data; Xu XS, Song SD and Qu K sorted the data; Chen W, Zhou YY and Miao RC performed the follow-ups; Zhang JY and Xu XS analyzed the data; Pang Q and Zhang JY wrote the paper; Xu XS, Song SD, Qu K and Liu SS revised the paper.
Supported by National Natural Science Foundation of China, No. 30872482 and No. 81072051.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Chang Liu, MD, PhD, Professor, Department of Hepatobiliary Surgery, the First Affiliated Hospital of Medical College, Xi'an Jiaotong University, No. 277 West Yan-ta Road, Xi’an 710061, Shaanxi Province, China. liuchangdoctor@163.com
Telephone: +86-29-82653900 Fax: +86-29-82653905
Received: July 30, 2014
Peer-review started: July 30, 2014
First decision: August 15, 2014
Revised: September 2, 2014
Accepted: October 15, 2014
Article in press: October 15, 2014
Published online: May 14, 2015
Peer-review started: July 30, 2014
First decision: August 15, 2014
Revised: September 2, 2014
Accepted: October 15, 2014
Article in press: October 15, 2014
Published online: May 14, 2015
Core Tip
Core tip: The high risk of postoperative recurrence is one of the greatest problems plaguing potential curative treatment for hepatocellular carcinoma (HCC). Although several prognostic models have been proposed for HCC, these indices mainly focus on non-modifiable tumor characteristics. In contrast, platelet count is an improvable variable, and there are numerous platelet-based models associated with cirrhosis and HCC formation. We found that platelet count and nearly half of the established platelet-related models were independently associated with postoperative recurrence. We also demonstrated different risk factors between early and late recurrences, with platelets more likely to influence late recurrence.