A combination of lymphocyte count and albumin concentration as a new prognostic index for Hepatocellular Carcinoma

Yıl 2024, Cilt: 8 Sayı: 1, 14 - 25, 30.04.2024

Ahmet Gökhan Sarıtaş , Uğur Topal , Burak Yavuz , Abdullah Ülkü , Kubilay Dalcı , Orçun Yalav , Cihan Atar , İsmail Cem Eray , Atılgan Tolga Akçam

https://doi.org/10.33716/bmedj.1399394

Öz

Aim
The present study explores the prognostic significance of the lymphocytes (/L) × albumin (g/L) (LA) score and its relationship with the hepatocellular carcinoma.
Material and Methods
The study included patients who underwent curative surgery for hepatocellular carcinoma between January 2004 and November 2020. The LA score was calculated using the formula lymphocytes (/L)×albumin (g/L). The patients were subsequently divided into two as Group 1 (Low LA) and Group 2 (High LA). The two groups were compared for clinical characteristics as well as oncological follow-up outcomes.
Results
The study included 55 patients, who, based on an LA cut-off point of 4620, were divided into Group 1 (n=28) and Group 2 (n=27). The MELD score was higher in Group 1 (12 vs.9, p=0.022). The number of tumors, maximum tumor size and total tumor size were similar in both groups. At the last clinical follow-up, the mortality rate was 42.9% in Group 1 and 22.2% in Group 2. Recurrence rates were similar in both groups (42.9%vs.33.3% p=0.467), and total survival (126vs.164 months p=0.1) and disease-free survival (26 vs. 29 months p=0.926) were also similar.
Conclusion
The use of the composite LA index – an indicator of immunonutritional status as a prognostic marker may not be significant in HCC patients undergoing curative resection.

Anahtar Kelimeler

Carcinoma, Hepatocellular, Immunity, Lymphocytes, Nutritional Status, Serum Albumin.

Etik Beyan

This study is authorized by the local ethics committee at Cukurova University (Approval Date: 03.12.2021, Registry No: 117/7)

Hepatosellüler Karsinom için Yeni Bir Prognostik İndeks Olarak Lenfosit Sayısı ve Albümin Konsantrasyonunun Kombinasyonu

Öz

Amaç
Bu çalışmanın amacı, lenfosit (/L) × albümin (g/L) (LA) skorunun prognostik önemini ve hepatosellüler karsinom ile olan ilişkisini araştırmaktır.
Gereç ve Yöntemler
Çalışma, Ocak 2004 ile Kasım 2020 arasında hepatosellüler karsinoma için küratif cerrahi yapılan hastaları kapsamaktadır. Lenfosit-Albumün(LA) skoru, lenfosit (/L)×albümin (g/L) formülü kullanılarak hesaplanmıştır. Hastalar daha sonra Düşük LA (Grup 1) ve Yüksek LA (Grup 2) olmak üzere iki gruba ayrılmıştır. İki grup, klinik özellikler ve onkolojik takip sonuçları açısından karşılaştırılmıştır.
Sonuçlar
Çalışma, 4620 LA kesim noktasına göre Grup 1 (n=28) ve Grup 2 (n=27) olarak ayrılan 55 hastayı içermektedir. MELD skoru Grup 1'de daha yüksekti (12'ye karşı 9, p=0.022). Tümör sayısı, maksimum tümör boyutu ve toplam tümör boyutu her iki grupta benzerdi. Klinik takipte takipte, Grup 1'deki mortalite oranı %42.9 iken, Grup 2'de %22.2 idi. Nüks oranları her iki grupta benzer bulunmuştur (%42.9'a karşı %33.3, p=0.467), toplam sağkalım (126'ya karşı 164 ay, p=0.1) ve hastalıksız sağkalım (26'ya karşı 29 ay, p=0.926) oranları da benzer bulunmuştur.
Sonuç
Küratif rezeksiyon geçiren HCC hastalarında, immünonütrisyonel durumun bir göstergesi olan bileşik LA indeksinin prognostik bir işaretçi olarak kullanımı anlamlı olmayabilir.

Anahtar Kelimeler

Hepatosellüler karsinom, İmmünite, Lenfosit, Nütrisyonel durum, Serum Albumini

Kaynakça

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