“…For example, Wu et al proposed that HCC could be classified by the presence or absence of CK19 expression, based on the evidence that HCC could originate from hepatic progenitor cells, 3,4,6 which could retain its biliary marker (cytokeratin 19 [CK19]) and progenitor cell marker (OV-6) during its differentiation into HCC. 6 CK19 was an important structural component of the epithelial cytoskeleton, generally expressed on cholangiocytes and intrahepatic cholangiocarcinoma (ICC) cells, 7,8 and HCCs positive for CK19 were found to have ICC-like differentiation associated with poorer differentiation, higher level of cellular proliferation, and poorer survival. 3,4,6,9 Although the incidence of lymph node metastasis (LNM) in operable HCC is as low as 1.7% to 7.5%, 10,11 lymph node (LN) status is a definite prognostic factor in HCC and leads to generally dismal survival rates.…”