Objective: To explore the expression of recombinant human sequence similarity family 189 member B (FAM189B, alias COTE1) in hepatocellular carcinoma tissues and its correlation with the prognosis of hepatocellular carcinoma patients. Methods: Collect 59 patients undergoing radical resection of hepatocellular carcinoma, take their hepatocellular carcinoma tissues and adjacent tissues, use immunohistochemistry to detect COTE1 expression, analyze the relationship between COTE1 expression and clinicopathological parameters, and use Kaplan-Meier survival curve The relationship between COTE1 expression and patient prognosis was analyzed, and the COX proportional hazard regression model was used to analyze the prognostic factors. Results: The results of immunohistochemistry showed that 37 cases of COTE1 were highly expressed in hepatocellular carcinoma tissues, and COTE1 was highly expressed in 24 cases of adjacent tissues. The expression rate of COTE1 in hepatocellular carcinoma tissues was significantly higher than that in adjacent tissues (P< 0.05); COTE1 expression is correlated with alpha-fetoprotein (AFP) value and tumor recurrence (P<0.05), but has nothing to do with age, gender, and tumor size (P>0.05). Kaplan-Meier curve analysis found that patients with hepatocellular carcinoma with high COTE1 expression had a shorter postoperative survival period (P<0.05). COX proportional hazard regression analysis found that COTE1 expression can be an independent risk factor affecting the prognosis of patients with hepatocellular carcinoma (P<0.05). Conclusion: The expression of COTE1 in hepatocellular carcinoma tissues is higher than that in adjacent tissues. COTE1 expression can be used as an independent factor to predict the prognosis of patients with hepatocellular carcinoma. [ABSTRACT FROM AUTHOR]