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Preoperative criterion identifying a low‐risk group for lymph node metastasis in intrahepatic cholangiocarcinoma
Author(s) -
Yoh Tomoaki,
Hatano Etsuro,
Seo Satoru,
Terajima Hiroaki,
Uchida Yoichiro,
Taura Kojiro,
Yasuchika Kentaro,
Uemoto Shinji
Publication year - 2018
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1002/jhbp.552
Subject(s) - intrahepatic cholangiocarcinoma , lymph node metastasis , medicine , oncology , general surgery , lymph node , metastasis , radiology , gastroenterology , cancer
Abstract Background Imaging study cannot identify patients with potential low‐risk for lymph node ( LN ) metastasis in intrahepatic cholangiocarcinoma ( ICC ). The purpose of this study was to identify a low‐risk group for LN metastasis in ICC using preoperatively available factors. Methods Data from 127 consecutive patients, who underwent curative intent surgery for ICC at Kyoto University Hospital and Kitano Hospital between 2002 and 2016, were retrospectively analyzed. By using only preoperative data, multiple linear regression model for predicting LN metastasis was developed. Results Forty‐three patients exhibited LN metastasis (33.9%). Serum CA 19‐9 levels ≥37 IU/ml, ICC with hilar invasion, and LN swelling were identified as independent preoperative predictors of LN metastasis. The prediction model for LN metastasis using these three factors revealed good discrimination (area under the receiver operating characteristics curve 0.874, P < 0.001). Negative for all three factors (i.e. CA 19‐9 levels <37 IU/ml, peripheral ICC and no LN swelling) identified 35 patients (27.6%) as a low‐risk group, with the false negative rate of 2.3%. Conclusions We proposed a preoperative criterion for predicting LN metastasis, giving rise to the identification of ICC patients who showed a low‐risk of LN metastasis.