Evidence map›Paper›PMID 29623600›Full record

ArticleJournal of gastrointestinal cancer2019

Significance of Glypican-3 in Early Detection of Hepatocellular Carcinoma in Cirrhotic Patients.

Ahmed M Tahon, Magdy Z El-Ghanam, Samy Zaky, Tarek Mostafa Emran, Ali M Bersy, Fathiya El-Raey, Elsayed A Z, Amr M El Kharsawy, Dina Johar

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Article in Journal of gastrointestinal cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Ahmed M TahonDepartment of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Nasr City, Cairo, Egypt.
Magdy Z El-GhanamDepartment of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Samy ZakyDepartment of Tropical Medicine, Faculty of Medicine, Al-Azhar University, Nasr City, Cairo, Egypt.
Tarek Mostafa EmranDepartment of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Ali M BersyDepartment of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Fathiya El-RaeyDepartment of Tropical Medicine, Faculty of Medicine, Al-Azhar University, Nasr City, Cairo, Egypt.
Elsayed A ZFaculty of Sciences, Jouf University, Jouf, Kingdom of Saudi Arabia.
Amr M El KharsawyDepartment of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Dina JoharDepartment of Biochemistry and Nutrition, Faculty of Women for Arts, Sciences and Education, Ain Shams University, Heliopolis, Cairo, Egypt. dinajohar@gmail.com.ORCID http://orcid.org/0000-0003-0866-9959

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEgypt has high incidence of hepatocellular carcinoma (HCC). This is due to wide spread of hepatitis C virus (HCV) infection which is responsible for most of the cases of liver cirrhosis. The major diagnostic techniques for HCC include serum markers and various imaging modalities. Glypican 3 (GPC3) protein is highly expressed in HCC, but not in normal liver tissue. The significance of GPC3 as a predictor or diagnostic tool for human tumors other than HCC is unclear.

aimTo quantitatively assess the role of GPC3 in diagnosis of HCC in comparison to α-fetoprotein (AFP), ultrasonography (US), and computerized tomography (CT). PATIENTS AND

methodsThis cross-sectional study enrolled 85 subjects: 40 cirrhotic patients with primary HCC, 30 cirrhotic patients without HCC, and 15 healthy individuals. All patients were recruited from the Gastroenterology and Tropical Departments and outpatient clinics of New Damietta Hospital during the period from November 2010 to August 2012.

resultsGPC3 is positive in some HCC patients with normal levels of AFP. AFP has lower sensitivity (67.5%) compared to higher sensitivity of GPC3 (82.5%), and near specificity (61.2%) to GPC3 (57.8%). CONCLUSION AND SIGNIFICANCE: The combined serum AFP and GPC3 significantly increased the sensitivity of HCC diagnosis. Although GPC3 is better than AFP in diagnosis of HCC, it still lacks the 100% sensitivity and specificity because some patients have negative or normal level of GPC3 (below the cutoff point 1.5 ng/ml) despite being diagnosed by triphasic CT.

Indexed as

alpha-FetoproteinsBiomarkers, TumorCarcinoma, HepatocellularCase-Control StudiesCross-Sectional StudiesEarly Detection of CancerEgyptFemaleFollow-Up StudiesGlypicansHumansLiver CirrhosisLiver NeoplasmsMaleMiddle AgedPrognosisAFP protein, humanalpha-FetoproteinsBiomarkers, TumorGlypicansGPC3 protein, humanCirrhosisGlypican-3Hepatocellular carcinomaTriphasic CTUltrasonographyViral hepatitisα-Fetoprotein

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.