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400A AASLD ABSTRACTS HEPATOLOGY, October, 2015<br />

ing program were achieved as all of the patients completed<br />

the follow-up till dead. Forty patients were identified as HCC<br />

during the 10 years follow-up. The totally 1-, 3-, 5-, and 10-year<br />

cumulative HCC incidence rate were 1.6% (n=6), 4.6%(n=18),<br />

7.1%(n=27) and 10.5% (n=40) respectively. Among 40 HCC<br />

patients, thirty-eight (95%) were identified as asymptomatic<br />

subclinical early HCC with tumor size less than 3.0cm, and<br />

without portal vein infiltration or metastasis. Thirteen patients<br />

had the chance of surgical operation, and 12 (92.3%) patients<br />

survived with no recurrence. Twenty-five patients received<br />

radiofrequency ablation or other palliative therapy because of<br />

liver function reserve limitation. Though totally sixteen patients<br />

died, only 3 (18.8%) patients died of HCC(two were late stage<br />

HCC with metastasis, one was liver failure after operation),<br />

other 13(81.2%) patients died of concomitant liver decompensation<br />

complications. The median survival time is 3 years after<br />

identification of HCC. The totally 1-, 3-, and 5-year survival<br />

rate of HCC patients were 97.5%, 91.2%, 67.7% respectively.<br />

Conclusion: This 10 years regular integrated follow-up experience<br />

indicates that HCC surveillance using ultrasonography<br />

at six month intervals really performs good with early HCC<br />

detection rate of 95%.<br />

Disclosures:<br />

Jidong Jia - Consulting: BMS, MSD, Roche<br />

The following authors have nothing to disclose: Xiaoning Wu, Xiaoming Wang,<br />

yameng sun, Yuanyuan Kong, Yu Wang, Xinyan Zhao, Qianyi Wang, Weijia<br />

Duan, Hong You, Xiaojuan Ou<br />

375<br />

Integrator complex subunit 6 (INTS6) is a prognostic<br />

marker for hepatocellular carcinoma<br />

Minqiang Lu 1 , Ka Yin LUI 1 , Rongdang Fu 1 , Haoran Peng 1,2 , Huan<br />

Chen 1 ; 1 Hepatic Surgery, The Third Affiliated Hospital of Sun Yatsen<br />

University, Guangzhou, China; 2 Division of Gastroenterology<br />

and Hepatology, The Johns Hopkins Hospital, Baltimore, MD<br />

Purpose: Integrator complex subunit 6 (INTS6), previously<br />

known as the gene encoding deleted in cancer cells 1 (DICE1)<br />

was found to play a tumor suppressive role in certain types of<br />

solid tumors just like prostate cancer and cervical cancer. However,<br />

the clinical characteristic of INTS6 hasn’t been reported<br />

by far. In this study, we wanted to investigate the expression of<br />

INTS6 in hepatocellular carcinoma (HCC) and evaluated the<br />

clinical characteristic and prognosis in HCC patients. Material<br />

and methods: (1) Firstly, the expression level of INTS6 mRNA<br />

were measured in a cohort of 50 HCC tissues and adjacent<br />

normal liver tissues by using the qRT-PCR; (2) Secondly, the<br />

expression level of INTS6 protein were detected in 20 paired<br />

HCC and corresponding adjacent normal tissue by using western<br />

blot; (3) At last, Immunohistochemistry was performed on<br />

70 archived paraffin-embedded HCC samples. Results: qRT-<br />

PCR and western blot analyses showed the INTS6 mRNA and<br />

protein expression was significantly down-regulated in tumor<br />

tissues compared to adjacent normal liver tissues (p

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