Wang RT, Xu XS, Liu J, Liu C. Gallbladder carcinoma: analysis of prognostic factors in 132 cases.
Asian Pac J Cancer Prev 2013;
13:2511-4. [PMID:
22938413 DOI:
10.7314/apjcp.2012.13.6.2511]
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Abstract
OBJECTIVE
To evaluate the prognostic factors of gallbladder carcinoma.
METHODS
Presentation, operative data, complications, and survival outcome were examined for 132 gallbladder carcinoma patients who underwent gallbladder surgery in our unit during 2002-2007, and follow-up results were obtained from every patient for univariate and multivariate survival analysis.
RESULTS
The univariate analysis showed that gallbladder lesion history, tumor cell differentiation, Nevin staging, preoperative lymph node metastasis and the surgical approach significantly correlated with the prognosis of the patients (p <0.05). The results of the multivariate analysis (Cox regression) showed that gallbladder lesion history, Nevin staging and the surgical approach were independent predicators with relative risks of 6.9, 4.4, 2.8, respectively (p=0.002, 0.003, 0.008).
CONCLUSION
Gallbladder lesion history, Nevin staging and the surgical approach are independent prognostic factors for gallbladder carcinoma, a rapidly fatal disease. Therefore, early diagnosis, anti-infective therapy and radical surgery are greatly needed to improve the prognosis of gallbladder carcinoma.
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