Correlations between hepatitis B virus genotype and cirrhotic or non-cirrhotic hepatoma.
OBJECTIVE
Hepatoma arising in cirrhotic and non-cirrhotic livers might have different virological and clinical factors in hepatitis B virus carriers. This study was performed to elucidate the correlation between hepatitis B virus genotypes and clinical characteristics of patients with cirrhotic and non-cirrhotic hepatoma.


METHODS
One hundred and fifty-five hepatitis B virus carriers who received hepatic resection for hepatoma were investigated to determine hepatitis B virus genotypes and clinical features.


RESULTS
Of 155 patients, 84 were genotype B infection, and 67 genotype C. Compared to genotype C carriers, genotype B analogs had a significantly lower rate of liver cirrhosis (p=0.005), lower hepatitis B e antigen positive rates (p=0.0008), and lower fibrosis scores (p=0.003). In comparison to cirrhotic hepatoma patients, non-cirrhotic counterparts were younger (p=0.041), had a higher platelet count (p<0.001), lower hepatitis B e antigen positive rates (p=0.023), predominantly genotype B (p=0.005), lower inflammation scores (p<0.001). Using multivariate analysis, non-cirrhotic hepatoma was associated with genotype B infection (OR=2.85, 95% CI=1.44-5.64) and younger age (OR=0.967, 95% CI=0.94-0.99) in hepatitis B virus carriers.


CONCLUSIONS
Our study suggested that hepatitis B virus genotype B infection might be an important factor for non-cirrhotic hepatoma.
Chen
Chien-Hung
CH
Division of Hepatogastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Eng
Hock-Liew
HL
Lee
Chuan-Mo
CM
Kuo
Fang-Ying
FY
Lu
Sheng-Nan
SN
Huang
Chao-Min
CM
Tung
Hung-Da
HD
Chen
Chao-Long
CL
Changchien
Chi-Sin
CS
D000328:Adult; D006528:Carcinoma, Hepatocellular / Q000821:virology*; D002353:Carrier State / Q000821:virology; D005260:Female; D005838:Genotype; D006509:Hepatitis B / Q000150:complications*; D006515:Hepatitis B virus / Q000235:genetics*; D006801:Humans; D008103:Liver Cirrhosis / Q000235:genetics / Q000821:virology*; D008113:Liver Neoplasms / Q000821:virology*; D008297:Male; D008875:Middle Aged