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[The relationship between the index of lymph node metastasis and the prognosis of pancreatic cancer patients after R0 resection].

作者信息

Ren H, Wang C F

机构信息

State Key Laboratory of Molecular Oncology and Department of Pancreatic and Gastric Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

出版信息

Zhonghua Zhong Liu Za Zhi. 2020 Jun 23;42(6):474-479. doi: 10.3760/cma.j.cn112152-20191125-00760.


DOI:10.3760/cma.j.cn112152-20191125-00760
PMID:32575943
Abstract

To investigate the prognostic values of three different staging schemes including the number of lymph node metastasis (N stage), lymph node ratio (LNR) and log odd of positive lymph nodes (LODDS) in pancreatic cancer patients after R0 resection. The clinical and pathological data of 307 pancreatic cancer patients who underwent R0 resection at Cancer Hospital of Chinese Academy of Medical Sciences from January 2010 to December 2018 were retrospectively analyzed. Kaplan-Meier and Cox proportional hazard regression models were used to analyze the independent prognostic factors. The area under the receiver operator characteristic curve (AUC) was used to compare the prognostic efficacy of different lymph node staging systems. The median survival was 24.0 months, 1-year, 3-year, and 5-year survival rates were 72.0%, 35.5% and 24.0%, respectively. Multivariate analysis showed that CA199, differentiation, T stage, adjuvant therapy, N stage, LNR stage, and LODDS stage were independent prognostic factors for pancreatic cancer patients after R0 resection (<0.05). The AUC values of the 1-year survival rate for N stage, LNR stage, and LODDS stage were 0.591, 0.592 and 0.609, respectively. The AUC values of the 3-year survival rate for N stage, LNR stage, and LODDS stage were 0.585, 0.588 and 0.593, respectively. The AUC values of the 5-year survival rate for N stage, LNR stage, and LODDS stage were 0.554, 0.557 and 0.589, respectively. The AUC values of the LODDS stage were the highest while the N stage were the lowest, but there was no significant difference among these three systems (>0.05). For all patients, the LODDS staging system was slightly better than the N and LNR staging systems, but the difference was not statistically significant (>0.05). For patients with N0 stage, the LODDS staging system showed better prediction performance than the N stage and LNR staging systems (<0.05). The N stage, LNR stage, and LODDS stage are independent prognostic factors for pancreatic cancer patients after R0 resection. For patients without lymph node metastasis, LODDS staging system is superior to N and LNR staging systems in predicting prognosis.

摘要

相似文献

[1]
[The relationship between the index of lymph node metastasis and the prognosis of pancreatic cancer patients after R0 resection].

Zhonghua Zhong Liu Za Zhi. 2020-6-23

[2]
Prognostic assessment of different lymph node staging methods for pancreatic cancer with R0 resection: pN staging, lymph node ratio, log odds of positive lymph nodes.

Pancreatology. 2014

[3]
Number of Positive Lymph Nodes Is Superior to LNR and LODDS for Predicting the Prognosis of Pancreatic Neuroendocrine Neoplasms.

Front Endocrinol (Lausanne). 2021

[4]
[The association of metastasis-related indexes of lymph nodes and the prognosis of stage N2b colorectal cancer patients].

Zhonghua Zhong Liu Za Zhi. 2018-9-23

[5]
Prognostic value of three different lymph node staging systems in the survival of patients with gastric cancer following D2 lymphadenectomy.

Tumour Biol. 2016-8

[6]
Evaluation on prognostic efficacy of lymph nodes ratio (LNR) and log odds of positive lymph nodes (LODDS) in complicated colon cancer: the first study in emergency surgery.

World J Surg Oncol. 2018-9-13

[7]
[Application value of different lymph node staging system in predicting prognosis of patients with intrahepatic cholangiocarcinoma].

Zhonghua Wai Ke Za Zhi. 2020-4-1

[8]
The assessment of the optimal number of examined lymph nodes and prognostic models based on lymph nodes for predicting survival outcome in patients with stage N3b gastric cancer.

Asia Pac J Clin Oncol. 2021-4

[9]
Comparison of different lymph node staging schemes in prostate cancer patients with lymph node metastasis.

Int Urol Nephrol. 2020-1

[10]
Superiority of log odds of positive lymph nodes (LODDS) for prognostic prediction after gastric cancer surgery: a multi-institutional analysis of 7620 patients in China.

Surg Today. 2021-1

引用本文的文献

[1]
Effects of the Largest Metastatic Lymph Node Size on the Outcomes of Patients who Underwent Pancreaticoduodenectomy for Pancreatic Ductal Adenocarcinoma.

Sisli Etfal Hastan Tip Bul. 2022-12-19

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