Analysis of Risk Factors for Lymph Node Metastasis of Gallbladder Cancer

Shifeng XIONG; Hao ZOU

doi:10.12259/j.issn.2095-610X.S20220318

Volume 43 Issue 3

Mar. 2022

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Shifeng XIONG, Hao ZOU. Analysis of Risk Factors for Lymph Node Metastasis of Gallbladder Cancer[J]. Journal of Kunming Medical University, 2022, 43(3): 55-59. doi: 10.12259/j.issn.2095-610X.S20220318

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Shifeng XIONG, Hao ZOU. Analysis of Risk Factors for Lymph Node Metastasis of Gallbladder Cancer[J]. Journal of Kunming Medical University, 2022, 43(3): 55-59. doi: 10.12259/j.issn.2095-610X.S20220318

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Analysis of Risk Factors for Lymph Node Metastasis of Gallbladder Cancer

doi: 10.12259/j.issn.2095-610X.S20220318

Shifeng XIONG,
Hao ZOU^,

The Second Division of the Department of Hepatopancreatobiliary Surgery，The 2nd Affiliated Hospital of Kunming Medical University，Kunming Yunnan 650101，China

Received Date: 2020-01-01
Available Online: 2022-02-18
Publish Date: 2022-03-22

Abstract

Abstract

Objective To explore the risk factors of lymph node metastasis in patients with gallbladder cancer, and to provide references for comprehensive treatment and prognosis evaluation of gallbladder cancer. Methods We retrospectively analyzed the clinical and pathological data of patients with gallbladder cancer confirmed by postoperative pathological examination who underwent radical resection of gallbladder cancer in the Second Affiliated Hospital of Kunming Medical University from January 1, 2013 to September 30, 2020. The patients were divided into Lymph node metastasis group and non-lymph node metastasis group, univariate and multivariate analysis was used to determine the relevant risk factors of gallbladder cancer lymph node metastasis. Results A total of 101 patients were finally included, of which 41 patients had lymph node metastasis and 60 patients had no lymph node metastasis. The univariate analysis showed that T stage, histological grade, liver invasion, preoperative CA19-9≥100 U/mL and preoperative CA19-9+CEA+CA125 combination were risk factors for lymph node metastasis of gallbladder adenocarcinoma（P < 0.05）. The results of multivariate analysis showed that T stage, histological grade, and preoperative CA19-9+CEA+CA125 combination were independent risk factors for lymph node metastasis of gallbladder adenocarcinoma（P < 0.05）. Conclusions Patients with gallbladder adenocarcinoma with CA19-9≥100 U/mL or CEA≥20 ng/mL or CA125≥50 U/mL should consider expanding the scope of lymph node dissection. For patients with gallbladder adenocarcinoma with T3-T4 staging, histological grade G3-G4 and preoperative CA19-9≥100 U/mL or CEA≥20 ng/mL or CA125≥50 U/mL, comprehensive postoperative treatment and close follow up should be considered.
- Gallbladder cancer,
- Lymphatic metastasis,
- Risk factors,
- T stage,
- Histological grade

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