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NIH Public AccessAuthor ManuscriptAnn Surg Oncol. Author manuscript; offered in PMC 2013 April 01.Published in final edited type as: Ann Surg Oncol. 2013 April ; 20(four): 1216?222. doi:ten.1245/s10434-012-2706-7.NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author ManuscriptEffects of Genomic Modifications in Hepatitis B Virus on Postoperative Recurrence and Survival in Individuals with Hepatocellular CarcinomaPriya Mathews1, Danbi Lee, MD, PhD2, Young-Hwa Chung, MD, PhD2, Jeong A.PMID:23671446 Kim, MS2, Ju-Ho Lee, MD, PhD2, Young-Joo Jin, MD2, Wonhyung Park, MD2, Heather Lyu1, Elizabeth Jaffee, MD1, Lei Zheng, MD1, Eunsil Yu, MD, PhD3, and Young Joo Lee, MD, PhD4 1Sidney Kimmel Complete Cancer Center, Johns Hopkins University College of Medicine, Baltimore, MD2Departmentof Internal Medicine, University of Ulsan College of Medicine, Asan Health-related Center, Seoul, South Korea3Departmentof Pathology, University of Ulsan College of Medicine, Asan Healthcare Center, Seoul,South Korea4Departmentof Hepatobiliary Surgery, University of Ulsan College of Medicine, Asan Health-related Center, Seoul, South KoreaAbstractPurpose–To identify whether the genomic adjustments in hepatitis B virus (HBV) affect the clinical outcomes of hepatocellular carcinoma (HCC) in patients with HBV-associated HCC treated with curative surgical resection. Methods–A total of 247 patients with HBV-associated HCC have been treated with curative surgical resection. They were followed on a regular basis for any median of 30 months. The whole X, S, basal core promoter (BCP), and precore regions of HBV were sequenced. Results–The genomic modifications like the G1896A at precore, the A1762T/G1764A at BCP, the C1653T along with the T1753V at X gene, and pre-S2 deletion weren’t drastically connected with postoperative recurrence of HCC or survival of individuals following curative resection. Nevertheless, in univariate analysis, younger age, elevated serum -fetoprotein level, elevated serum alanine aminotransferase level, larger tumor size, microvascular invasion, and sophisticated Cancer in the.