Expression of E-cadherin (E-cad) was investigated immunohistologically
in 91 cases of operated hepatocellular carcinomas. An alteration of E
-cad immunodectection was found in 56% of tumours. These alterations w
ere correlated with histopathologic features of prognostic value inclu
ding tumour size (>3 cm), high nuclear grade and mitotic index. Patien
ts with down-regulated E-cad expression had statistically significant
shorter survival than the others. Although E-cad immunodetection was a
n independent prognostic factor, the Cox multivariate analysis showed
that its prognostic value was low when compared to other prognostic fa
ctors.