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Relationship between serum MMP-9 level and prognosis after radical resection for Hilar cholangiocarcinoma patients
Li, Ou; Yi, Weimin; Yang, Pingzhou; Guo, Chao; Peng, Chuang.
Afiliação
  • Li, Ou; Hunan Provincial People's Hospital. Department of Hepatobiliary Surgery. CN
  • Yi, Weimin; Hunan Provincial People's Hospital. Department of Hepatobiliary Surgery. CN
  • Yang, Pingzhou; Hunan Provincial People's Hospital. Department of Hepatobiliary Surgery. CN
  • Guo, Chao; Hunan Provincial People's Hospital. Department of Hepatobiliary Surgery. CN
  • Peng, Chuang; Hunan Provincial People's Hospital. Department of Hepatobiliary Surgery. CN
Acta cir. bras ; Acta cir. bras;34(4): e201900409, 2019. tab, graf
Article em En | LILACS | ID: biblio-1001084
Biblioteca responsável: BR1.1
ABSTRACT
Abstract

Purpose:

To analyze the preoperative serum matrix metalloproteinase-9 (MMP-9) levels and prognosis of patients with hilar cholangiocarcinoma (HC) undergoing radical resection.

Methods:

Preoperative serum MMP-9 levels in patients with HC undergoing radical resection were detected by enzyme-linked immunosorbent assay (ELISA). The ROC curve assay was used to analyze the preoperative serum MMP-9 level to determine the most valuable cut-off point. The relationship between MMP-9 and clinicopathological features of HC patients was analyzed. Kaplan-Meier method was used to analyze the prognostic factors, and COX regression model was used to analyze the independent risk factors affecting prognosis.

Results:

Preoperative serum MMP-9 levels were significantly elevated in the death patients compared with the survival patients. The most valuable cut-off point for preoperative serum MMP-9 for prognosis was 201.93 ng/mL. Preoperative serum MMP-9 was associated with Bismuth-Corlette classification) and lymph node metastasis. Kaplan-Meier analysis showed that MMP-9, Bismuth-Corlette classification, Lymph node metastasis, Portal vein invasion, Hepatic artery invasion, Liver invasion, Incised margin, and Preoperative biliary drainage were related to prognosis. Cox regression model confirmed that hepatic artery invasion, liver invasion, incised margin, and MMP-9 have the potential to independence predicate prognosis in HC patients.

Conclusion:

Preoperative serum MMP-9 has high predictive value for prognosis and is an independent influencing factor for the prognosis of patients with hilar cholangiocarcinoma.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Neoplasias dos Ductos Biliares / Tumor de Klatskin / Metaloproteinase 9 da Matriz Tipo de estudo: Etiology_studies / Prognostic_studies Limite: Adult / Aged / Female / Humans / Male Idioma: En Revista: Acta cir. bras Assunto da revista: Cirurgia Geral / Procedimentos Cir£rgicos Operat¢rios Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Neoplasias dos Ductos Biliares / Tumor de Klatskin / Metaloproteinase 9 da Matriz Tipo de estudo: Etiology_studies / Prognostic_studies Limite: Adult / Aged / Female / Humans / Male Idioma: En Revista: Acta cir. bras Assunto da revista: Cirurgia Geral / Procedimentos Cir£rgicos Operat¢rios Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China País de publicação: Brasil