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Platelet-to-lymphocyte ratio and CA19-9 are simple and informative prognostic factors in patients with resected pancreatic cancer |
Ionut Negoi a , b , ∗, Mircea Beuran a , b , Sorin Hostiuc a , c , Alaa El-Hussuna d , Enrique de-Madaria e |
a Carol Davila University of Medicine and Pharmacy Bucharest, Romania
b Department of General Surgery, Emergency Hospital of Bucharest, Romania
c Department of Legal Medicine and Bioethics, National Institute of Legal Medicine Mina Minovici, Romania
d Department of Surgery, Aalborg University Hospital, Hobrovej 18-22, 9000 Aalborg, Denmark
e Servicio de Aparato Digestivo, Unidad de Patología Pancreática, Gastroenterology Department, Pancreatic Unit, Hospital General Universitario de Alicante,
Alicante, Spain
∗ Corresponding author at: Carol Davila University of Medicine and Pharmacy Bucharest, Romania.
E-mail address: ionut.negoi@umfcd.ro (I. Negoi). |
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Abstract We read with great interest the paper “Combined preoperative platelet-to-lymphocyte ratio and serum carbohydrate antigen 19-9 level as a prognostic factor in patients with resected pancreatic cancer” published in Hepatobiliary & Pancreatic Diseases International [1] . The authors reviewed the oncological outcomes of 103 patients with pancreaticoduodenectomy, distal pancreatectomy or total pancreatectomy for pancreatic ductal adenocarcinoma (PDAC). They correlated the overall (OS) and disease specific survival (DSS) of these patients with platelet-to-lymphocyte ratio (PLR) and carbohydrate antigen 19-9 (CA19-9) level which were measured within one month prior to surgery. The authors used cutoff values of 129.1 for PLR and 74.0 U/mL for CA19-9. The worst prognosis was found for patients with high PLR and high CA19- 9 (five-year OS = 11.9%, DSS = 16.8%). An intermediate survival for patients with either one of the two factors was decreased (fiveyear OS = 31.9% and DSS = 36.4%), and the best prognosis for patients with low PLR and low CA19-9 (five-year OS = 44.0% and DSS = 47.7%).
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