Biomarkers for predicting the prognosis of intrahepatic cholangiocarcinoma: A retrospective single-center study

The aim of this retrospective study was to investigate the association between preoperative serological and clinical indicators and postoperative recovery in patients who had undergone resection of intrahepatic cholangiocarcinoma (ICC). We collected data form the medical records of patients who unde...

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Veröffentlicht in:Medicine (Baltimore) 2023-03, Vol.102 (13), p.e33314-e33314
Hauptverfasser: Li, Xueliang, Sun, Zhaowei, Li, Xiaoxiao, Wang, Qinlei, Chen, Menshou, Zhang, Bingyuan, Feng, Yujie, Han, Bing, Hu, Xiao, Guo, Jingyun, Wang, Maobing, Ma, Kai
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container_title Medicine (Baltimore)
container_volume 102
creator Li, Xueliang
Sun, Zhaowei
Li, Xiaoxiao
Wang, Qinlei
Chen, Menshou
Zhang, Bingyuan
Feng, Yujie
Han, Bing
Hu, Xiao
Guo, Jingyun
Wang, Maobing
Ma, Kai
description The aim of this retrospective study was to investigate the association between preoperative serological and clinical indicators and postoperative recovery in patients who had undergone resection of intrahepatic cholangiocarcinoma (ICC). We collected data form the medical records of patients who underwent operations for the treatment of ICC at Qingdao University Affiliated Hospital from 2015 to 2021. We analyzed the data to explore the independent predictors of disease prognosis after surgery for ICC. By univariate analysis, we found that the following factors were significantly associated with overall survival and tumor-free survival in patients with ICCTNM stage; degree of vascular invasion; levels of hemoglobin, carcinoembryonic antigen, carbohydrate antigen 125, direct bilirubin, alkaline phosphatase, and albumin; prothrombin time; neutrophil to lymphocyte ratio; prothrombin time to albumin ratio; albumin to alkaline phosphatase ratio; albumin to gamma-glutamyl transferase ratio; prognostic nutrition Index, and incisional margin. However, only carbohydrate antigen 24-2 and glutamyl transpeptidase were correlated with overall survival in patients with ICC. However, only a positive history of biliary surgery was significantly associated with tumor-free survival in patients with ICC. Preoperative prothrombin time, vascular invasion, N-stage, incisal edge, and carcinoembryonic antigen levels may be simple predictors of disease progression in ICC after hepatectomy.
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We collected data form the medical records of patients who underwent operations for the treatment of ICC at Qingdao University Affiliated Hospital from 2015 to 2021. We analyzed the data to explore the independent predictors of disease prognosis after surgery for ICC. By univariate analysis, we found that the following factors were significantly associated with overall survival and tumor-free survival in patients with ICCTNM stage; degree of vascular invasion; levels of hemoglobin, carcinoembryonic antigen, carbohydrate antigen 125, direct bilirubin, alkaline phosphatase, and albumin; prothrombin time; neutrophil to lymphocyte ratio; prothrombin time to albumin ratio; albumin to alkaline phosphatase ratio; albumin to gamma-glutamyl transferase ratio; prognostic nutrition Index, and incisional margin. However, only carbohydrate antigen 24-2 and glutamyl transpeptidase were correlated with overall survival in patients with ICC. However, only a positive history of biliary surgery was significantly associated with tumor-free survival in patients with ICC. Preoperative prothrombin time, vascular invasion, N-stage, incisal edge, and carcinoembryonic antigen levels may be simple predictors of disease progression in ICC after hepatectomy.</description><identifier>ISSN: 0025-7974</identifier><identifier>EISSN: 1536-5964</identifier><identifier>DOI: 10.1097/MD.0000000000033314</identifier><identifier>PMID: 37000091</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins</publisher><subject>Albumins ; Alkaline Phosphatase ; Bile Duct Neoplasms - pathology ; Bile Ducts, Intrahepatic - pathology ; Carbohydrates ; Carcinoembryonic Antigen ; Cholangiocarcinoma - pathology ; gamma-Glutamyltransferase ; Hepatectomy ; Humans ; Observational Study ; Prognosis ; Retrospective Studies</subject><ispartof>Medicine (Baltimore), 2023-03, Vol.102 (13), p.e33314-e33314</ispartof><rights>Lippincott Williams &amp; Wilkins</rights><rights>Copyright © 2023 the Author(s). 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However, only a positive history of biliary surgery was significantly associated with tumor-free survival in patients with ICC. Preoperative prothrombin time, vascular invasion, N-stage, incisal edge, and carcinoembryonic antigen levels may be simple predictors of disease progression in ICC after hepatectomy.</description><subject>Albumins</subject><subject>Alkaline Phosphatase</subject><subject>Bile Duct Neoplasms - pathology</subject><subject>Bile Ducts, Intrahepatic - pathology</subject><subject>Carbohydrates</subject><subject>Carcinoembryonic Antigen</subject><subject>Cholangiocarcinoma - pathology</subject><subject>gamma-Glutamyltransferase</subject><subject>Hepatectomy</subject><subject>Humans</subject><subject>Observational Study</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><issn>0025-7974</issn><issn>1536-5964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUtv1DAUhS1ERYfCL0BCXrJJ8TMes0F98JJasYG15dg3E9NMHGynVf89nk4ptN5Yts_97jm-CL2h5JgSrd5fnh-Tf4tzTsUztKKSt43UrXiOVoQw2SitxCF6mfMvQihXTLxAh1ztSjRdoXga4tamK0gZ9zHhOYEProRpg8sA9Rg3U8wh49jjMJVkB5htCQ67IY522oTobHJhqpAP-AQnKCnmGSrhGnCumBEaB1OBhHNZ_O0rdNDbMcPr-_0I_fz86cfZ1-bi-5dvZycXjROSykZ33lWzrRWt0x3pvfRrx2pC2VGvwK5t34LyvYPWOSa0k9a2XHaEKNJp7_kR-rjnzku3Bb-zkOxo5hRq2lsTbTCPX6YwmE28NpSQlrOWV8K7e0KKvxfIxWxDdjDW1BCXbJjSXK8VkaxK-V7qavicoH_oQ4nZzcpcnpuns6pVb_-3-FDzdzhVIPaCmzjWD8xX43IDyQxgxzLc8aTSrGGE8YqkpKk3QvI_YWWi9A</recordid><startdate>20230331</startdate><enddate>20230331</enddate><creator>Li, Xueliang</creator><creator>Sun, Zhaowei</creator><creator>Li, Xiaoxiao</creator><creator>Wang, Qinlei</creator><creator>Chen, Menshou</creator><creator>Zhang, Bingyuan</creator><creator>Feng, Yujie</creator><creator>Han, Bing</creator><creator>Hu, Xiao</creator><creator>Guo, Jingyun</creator><creator>Wang, Maobing</creator><creator>Ma, Kai</creator><general>Lippincott Williams &amp; 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We collected data form the medical records of patients who underwent operations for the treatment of ICC at Qingdao University Affiliated Hospital from 2015 to 2021. We analyzed the data to explore the independent predictors of disease prognosis after surgery for ICC. By univariate analysis, we found that the following factors were significantly associated with overall survival and tumor-free survival in patients with ICCTNM stage; degree of vascular invasion; levels of hemoglobin, carcinoembryonic antigen, carbohydrate antigen 125, direct bilirubin, alkaline phosphatase, and albumin; prothrombin time; neutrophil to lymphocyte ratio; prothrombin time to albumin ratio; albumin to alkaline phosphatase ratio; albumin to gamma-glutamyl transferase ratio; prognostic nutrition Index, and incisional margin. However, only carbohydrate antigen 24-2 and glutamyl transpeptidase were correlated with overall survival in patients with ICC. However, only a positive history of biliary surgery was significantly associated with tumor-free survival in patients with ICC. Preoperative prothrombin time, vascular invasion, N-stage, incisal edge, and carcinoembryonic antigen levels may be simple predictors of disease progression in ICC after hepatectomy.</abstract><cop>United States</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>37000091</pmid><doi>10.1097/MD.0000000000033314</doi><orcidid>https://orcid.org/0000-0002-9546-550</orcidid><orcidid>https://orcid.org/0000-0002-9546-550X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Albumins
Alkaline Phosphatase
Bile Duct Neoplasms - pathology
Bile Ducts, Intrahepatic - pathology
Carbohydrates
Carcinoembryonic Antigen
Cholangiocarcinoma - pathology
gamma-Glutamyltransferase
Hepatectomy
Humans
Observational Study
Prognosis
Retrospective Studies
title Biomarkers for predicting the prognosis of intrahepatic cholangiocarcinoma: A retrospective single-center study
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