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Predictive factors of early recurrence after R0 resection of hilar cholangiocarcinoma: A single institution experience in China
- Source :
- Cancer Medicine, Vol 8, Iss 4, Pp 1567-1575 (2019), Cancer Medicine
- Publication Year :
- 2019
- Publisher :
- Wiley, 2019.
-
Abstract
- Prediction of early postoperative recurrence is of great significance for follow‐up treatment. However, there are few studies available that focus on high‐risk factors of early postoperative recurrence or even the definition the exact time of early recurrence for hilar cholangiocarcinoma. Thus, we aimed to examine the optimal cut‐off value for defining the early in patients with R0 resection of hilar cholangiocarcinoma and to investigate prognostic factors associated with early recurrence. Two hundred and fifty‐eight patients with R0 resection of hilar cholangiocarcinoma between 2000 and 2015 were included. The minimum P value approach was used to define the optimal cut‐off of early recurrence. The prognostic factors associated with early recurrence were investigated. The optimal cut‐off value for dividing patients into early and non‐early recurrence groups after R0 resection of hilar cholangiocarcinoma was 12 months. Sixty‐two patients were recorded as early recurrence, and the remaining 196 patients were labeled as non‐early recurrence. Multivariate logistic regression analysis indicated lymph node metastasis (OR = 2.756, 95% CI 1.409‐5.393; P = 0.003), poor differentiation (OR = 1.653; 95% CI 1.040‐2.632; P = 0.034), increased postoperative CA 19‐9 levels (OR = 1.965, 95% CI 1.282‐3.013; P = 0.002), neutrophil‐to‐lymphocyte ratio > 3.41 (OR = 5.125, 95% CI 2.419‐10.857; P 60 years (OR = 2.018, 95% CI 1.032‐3.947; P = 0.040) were independent determinants of early and non‐early recurrence. Poor differentiation (HR = 2.609, 95% CI 1.600‐4.252; P
- Subjects :
- 0301 basic medicine
Adult
Male
Cancer Research
medicine.medical_specialty
Early Recurrence
Perineural invasion
early recurrence
Lymph node metastasis
Kaplan-Meier Estimate
hilar cholangiocrcinoma
Logistic regression
Gastroenterology
survival
lcsh:RC254-282
03 medical and health sciences
0302 clinical medicine
Internal medicine
Preoperative Care
Odds Ratio
Medicine
Humans
Radiology, Nuclear Medicine and imaging
In patient
Single institution
R0 resection
Aged
Neoplasm Staging
Original Research
Aged, 80 and over
business.industry
Margins of Excision
Clinical Cancer Research
Middle Aged
lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
030104 developmental biology
Treatment Outcome
Oncology
Bile Duct Neoplasms
030220 oncology & carcinogenesis
Curative surgery
Female
prognosis
Neoplasm Recurrence, Local
business
Follow-Up Studies
Klatskin Tumor
Subjects
Details
- Language :
- English
- ISSN :
- 20457634
- Volume :
- 8
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Cancer Medicine
- Accession number :
- edsair.doi.dedup.....80e0fc889cb5d47ef9ab35ff2b130633