Resected biliary tract cancers: A novel clinical-pathological score correlates with global outcome
Abstract
BACKGROUND: Biliary tract cancer presents a poor prognosis. AIMS: The objective of this study is to find clinical-laboratory parameters like prognostic factors to select patients who can benefit from surgery and post-operative treatments. METHODS: Between 2005 and 2010, 41 patients underwent radical surgery at our Institution. A novel score was retrospectively calculated assigning a grade to the clinical-laboratory findings at diagnosis. 0 and 1 point were respectively assigned to the normal or abnormal parameter. Two groups were identified: SCORE 0 and SCORE 1. RESULTS: Patients with cholangiocarcinoma or Klatskin tumours or asymptomatic at diagnosis presented a significantly better overall survival (OS) than patients with different primary sites or who presented pain, jaundice or cholangitis. At univariate analysis, high levels of aspartate aminotransferase, alanine aminotransferase and CA19-9 before surgery, hyperbilirubinemia before and after surgery had a negative correlation with OS. A worse OS was observed in patients with a higher score (median OS in the "score 0" group=30.79 months vs. median OS in the "score 1"=17.98 months). CONCLUSION: Our results suggest that pre and post-surgery clinical-laboratory parameters and the novel score, could be useful, especially for intrahepatic tumours, in predicting the outcome in patients undergoing surgery and in selecting patients to receive adjuvant therapy- info:eu-repo/semantics/article
- Biliary tract cancer
- Clinical-pathological score
- Prognostic factor
- Radical surgery
- Aged
- Aged, 80 and over
- Alanine Transaminase
- Antigens, Tumor-Associated, Carbohydrate
- Aspartate Aminotransferase
- Biliary Tract Neoplasm
- Cholangiocarcinoma
- Female
- Gallbladder Neoplasm
- Human
- Hyperbilirubinemia
- Klatskin Tumor
- Male
- Middle Aged
- Preoperative Period
- Prognosi
- Retrospective Studie
- Treatment Outcome
- Severity of Illness Index
- Gastroenterology
- Hepatology