Review Article

Clinical Significance of AFP and PIVKA-II Responses for Monitoring Treatment Outcomes and Predicting Prognosis in Patients with Hepatocellular Carcinoma

Table 1

Studies regarding both AFP and PIVKA-II in the patients who underwent various treatment modalities for HCC.

AuthorYearNumber of patientsTreatment modalityTumor markerCutoff value of markersDefinition of tumor marker response (change from baseline)

Toyoda et al. [24]2012173Curative resectionAFP
AFP-L3
PIVKA-II
20 ng/dL
5%
40 mAU/mL

Chon et al. [20]2012267Curative resectionAFP
PIVKA-II
20 ng/dL
40 mAU/mL

Nanashima et al. [25]2011470Curative resectionAFP
PIVKA-II
20 ng/mL, 200 ng/mL
40 mAU/mL, 400 mAU/mL

Yamamoto et al. [26]2009714Curative resectionAFP
PIVKA-II
20 ng/mL
40 mAU/mL

Masuda et al. [27]2010210Curative resectionAFP
PIVKA-II
20 ng/mL
40 mAU/mL

Nanashima et al. [28]200663Curative resectionAFP
PIVKA-II
20 ng/mL
40 mAU/mL

Lee et al. [22]2013115TACEAFP
PIVKA-II
20 ng/mL
40 mAU/mL
≥50% reduction

Park et al. [29]2012327TACEAFP
PIVKA-II
10 ng/mL
40 mAU/mL
≥50% reduction

Lee et al. [23]201260
67
HAIC
CCRT
AFP
PIVKA-II
20 ng/mL
20 mAU/mL
≥20% reduction

Park et al. [14]2013111CCRTAFP
PIVKA-II
200 ng/mL
60 mAU/mL
≥50% reduction

Kuzuya et al. [30]201148SorafenibAFP
PIVKA-II

Nakazawa et al. [31]201359SorafenibAFP
PIVKA-II
10 ng/mL
40 mAU/mL
≥20% increase Twofold increase

Patients were divided into 3 groups with low and high cutoff values of tumor markers in this study.
Tumor marker ratio was evaluated in this study.