• Etiologic factors associated with hepatocellular carcinoma
  
• Serum repository for registry patients
  

OBJECTIVES:

• Evaluate etiologic factors associated with hepatocellular carcinoma (HCC) in different ethnic groups and in different parts of the United States by developing a national registry of HCC patients.
• Survey stage and potential treatability of HCC patients referred to Vanderbilt University Hospital.
• Establish a serum repository for registry patients with samples to be used for future studies of the pathogenesis of chronic liver disease and HCC and for developing better diagnostic tests.

OUTLINE: This is a multicenter, cross-sectional database study.

Data is collected on patients diagnosed with hepatocellular carcinoma at Vanderbilt University Medical Center and at other participating hospitals or liver transplantation centers around the country for inclusion in a national registry of liver cancer patients. Registry data is collected at baseline and then every 6 months for up to 5 years. The data is derived from investigator interviews with patients and from medical chart review of routine medical care provided during the course of the study. Data is collected from all study sites and entered into a master database that includes information on patient demographics; diagnoses and staging details; treatment history; results of laboratory studies; and patient outcomes. Information derived from the registry is available to investigators at all study sites.

Patients in the registry also undergo blood collection at baseline. Blood samples are stored in a serum repository for evaluation in future studies related to liver disease, viral hepatitis, and liver cancer. A biological marker that may be analyzed is squamous cell carcinoma antigen immune complex (SCCA-IC).

PROJECTED ACCRUAL: A total of 1,500 patients will be accrued for the Vanderbilt University Medical Center study and up to 2,000 patients for the national study.