CHANGES IN SOME TYPES OF LEUKOCYTE IN PERIPHERAL BLOOD IN PATIENTS WITH HEPATOCELLULAR CARCINOMA INFECTED WITH HEPATITIS B VIRUS
Main Article Content
Abstract
Objective: To assess the changes in peripheral blood leukocyte subtypes and their correlation with tumor burden and disease stage in patients with hepatitis B virus (HBV)-infected hepatocellular carcinoma (HCC). Subjects and methods: A cross-sectional descriptive study was conducted on 178 newly diagnosed patients with HBV-infected HCC at Military Hospital 103 and Central Military Hospital 108. Peripheral blood cell analysis was performed using a laser-based cell counting method to separate different leukocyte subtypes. Results: 3,9% of patients showed a high concentration of white blood cell count, with the most common being a high concentration of Monocyte count (40,4%). Conversely, a low level of white blood cell count was observed in 7,9% of patients, with a low concentration of Neutrophil count (N) at 3,4% and a low level of Lymphocyte count at 5,1%. There was a significant positive correlation between Neutrophil and Monocyte counts with venous thromboembolism and disease stage (p < 0,05). Conclusion: Neutrophil and Monocyte counts are indicative markers of the body's anti-tumor immune response and may help prognosticate the disease.
Article Details
Keywords
Hepatocellular carcinoma, leukocytes, HBV infection
References
2. Jia L., Gao Y., He Y. et al., HBV induced hepatocellular carcinoma and related potential immunotherapy. Pharmacol Res, 2020. 159: 104992.
3. Jiang Y., Han Q., Zhao H. et al., The Mechanisms of HBV-Induced Hepatocellular Carcinoma. J Hepatocell Carcinoma, 2021. 8: 435-450.
4. Pan G.Q., Yang C.C., Shang X.L. et al., The causal relationship between white blood cell counts and hepatocellular carcinoma: a Mendelian randomization study. Eur J Med Res, 2022. 27(1): 278.
5. Marrero J.A., Kulik L.M., Sirlin C.B. et al., Diagnosis, Staging, and Management of Hepatocellular Carcinoma: 2018 Practice Guidance by the American Association for the Study of Liver Diseases. Hepatology, 2018. 68(2): 723-750.
6. Reig M., Forner A., Rimola J. et al., BCLC strategy for prognosis prediction and treatment recommendation: The 2022 update. J Hepatol, 2022. 76(3): 681-693.
7. Đỗ Trung Phấn, Một số chỉ số huyết học người Việt Nam bình thường giai đoạn 1995-2000. Bài giảng Huyết học -Truyền máu sau đại học, Nhà Xuất bản Y học, Hà Nội. 2014.
8. Fang Y., Sun X., Zhang L. et al., Hemoglobin/Red Blood Cell Distribution Width Ratio in Peripheral Blood Is Positively Associated with Prognosis of Patients with Primary Hepatocellular Carcinoma. Med Sci Monit, 2022. 28: e937146.
9. Margetts J., Ogle L.F., Chan S.L. et al., Neutrophils: driving progression and poor prognosis in hepatocellular carcinoma? Br J Cancer, 2018. 118(2): 248-257.
10. Geh D., Leslie J., Rumney R. et al., Neutrophils as potential therapeutic targets in hepatocellular carcinoma. Nat Rev Gastroenterol Hepatol, 2022. 19(4): 257-273.