Evaluation of Two Inflammation-Based Prognostic Scores in Patients with Resectable Gallbladder Carcinoma

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• 作者：Xiang-Song Wu MD (1)
  Liu-Bin Shi MD ; PhD (2)
  Mao-Lan Li MD (1)
  Qian Ding MD (1)
  Hao Weng MD (1)
  Wen-Guang Wu MD (1)
  Yang Cao MD (1)
  Run-Fa Bao MD (1)
  Yi-Jun Shu MD (1)
  Qi-Chen Ding MD (1)
  Jia-Sheng Mu MD (1)
  Jun Gu MD (1)
  Ping Dong MD (1)
  Ying-Bin Liu MD ; PhD (1)
  
• 刊名：Annals of Surgical Oncology
• 出版年：2014
• 出版时间：February 2014
• 年：2014
• 卷：21
• 期：2
• 页码：449-457
• 全文大小：279 KB
• 作者单位：Xiang-Song Wu MD (1)
  Liu-Bin Shi MD, PhD (2)
  Mao-Lan Li MD (1)
  Qian Ding MD (1)
  Hao Weng MD (1)
  Wen-Guang Wu MD (1)
  Yang Cao MD (1)
  Run-Fa Bao MD (1)
  Yi-Jun Shu MD (1)
  Qi-Chen Ding MD (1)
  Jia-Sheng Mu MD (1)
  Jun Gu MD (1)
  Ping Dong MD (1)
  Ying-Bin Liu MD, PhD (1)
  
  1. Department of General Surgery and Laboratory of General Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Institute of Biliary Tract Disease, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China
  2. Department of General Surgery, Affiliated Huashan Hospital, College of Medicine, Fudan University, Shanghai, China
  
• ISSN：1534-4681

文摘

Background Survival after surgery for gallbladder cancer is generally poor. A number of inflammation-based prognostic scores have been established to help predict survival after surgery for several types of cancer. The objective of this study was to analyze and compare the utility of two inflammation-based prognostic scores, the Glasgow prognostic score (GPS) and the neutrophil-to-lymphocyte ratio (NLR), for predicting survival in patients with gallbladder cancer after surgery with curative intent. Methods We retrospectively reviewed the medical records of 85 patients with histologically confirmed, resectable gallbladder carcinoma (GBC), who were to receive curative surgery in our department. Univariate and multivariate analyses were performed to evaluate the relationship between the variables to overall survival (OS). Results A significant difference was detected in OS in patients with low and high GPS and NLR scores. Univariate analyses using clinicopathological characteristics revealed that tumor differentiation; tumor invasion; lymph node metastasis; tumor, node, metastasis classification system stage; positive margin status; combined common bile duct resection; serum levels of C-reactive protein, albumin, carbohydrate antigen 19-9 (CA19-9), carcinoembryonic antigen, and CA125; white blood cell count; and GPS and NLR were all associated with OS. Among these characteristics, multivariate analysis demonstrated that a high GPS was independently associated with poorer OS, together with tumor invasion, lymph node metastasis, and positive margin status. Conclusions GPS is superior to NLR with respect to its prognostic value for patients with GBC after surgery with curative intent. GPS is not only associated with tumor progression but is also an independent marker of poor prognosis.