Clinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study
Abstract We aimed to explore the clinicopathological features and survival-related factors for intrahepatic cholangiocarcinoma (ICC). Eligible data were extracted from the Surveillance, Epidemiology and End Results (SEER) database from 2004 to 2015. Totally, 4595 ICC patients were collected with a m...
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2021
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oai:doaj.org-article:57a9bf9bab13432e8137b13e13b4103a2021-12-02T14:03:58ZClinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study10.1038/s41598-021-83149-52045-2322https://doaj.org/article/57a9bf9bab13432e8137b13e13b4103a2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-83149-5https://doaj.org/toc/2045-2322Abstract We aimed to explore the clinicopathological features and survival-related factors for intrahepatic cholangiocarcinoma (ICC). Eligible data were extracted from the Surveillance, Epidemiology and End Results (SEER) database from 2004 to 2015. Totally, 4595 ICC patients were collected with a male to female ratio of nearly 1:1. The higher proportion of ICC patients was elderly, tumor size ≥ 5 cm and advanced AJCC stage. Most patients (79.2%) have no surgery, while low proportion of patients receiving radiotherapy (15.1%). The median survival was 7.0 months (range 0–153 months). The 5-year CSS and OS rates were 8.96% and 7.90%. Multivariate analysis found that elderly age (aged ≥ 65 years old), male, diagnosis at 2008–2011, higher grade, tumor size ≥ 5 cm, and advanced AJCC stage were independent factors for poorer prognosis; while API/AI (American Indian/AK Native, Asian/Pacific Islander) race, married, chemotherapy, surgery and radiotherapy were independent favorable factors in both CSS and OS. Furthermore, stratified analysis found that chemotherapy and radiotherapy improved CSS and OS in patients without surgery. Age, sex, race, years of diagnosis, married status, grade, tumor size, AJCC stage, surgery, chemotherapy and radiotherapy were significantly related to prognosis of ICC. Chemotherapy and radiotherapy could significantly improve survival in patients without surgery.Tian-hua YuXin ChenXuan-he ZhangEr-chi ZhangCai-xia SunNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) |
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Medicine R Science Q Tian-hua Yu Xin Chen Xuan-he Zhang Er-chi Zhang Cai-xia Sun Clinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study |
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Abstract We aimed to explore the clinicopathological features and survival-related factors for intrahepatic cholangiocarcinoma (ICC). Eligible data were extracted from the Surveillance, Epidemiology and End Results (SEER) database from 2004 to 2015. Totally, 4595 ICC patients were collected with a male to female ratio of nearly 1:1. The higher proportion of ICC patients was elderly, tumor size ≥ 5 cm and advanced AJCC stage. Most patients (79.2%) have no surgery, while low proportion of patients receiving radiotherapy (15.1%). The median survival was 7.0 months (range 0–153 months). The 5-year CSS and OS rates were 8.96% and 7.90%. Multivariate analysis found that elderly age (aged ≥ 65 years old), male, diagnosis at 2008–2011, higher grade, tumor size ≥ 5 cm, and advanced AJCC stage were independent factors for poorer prognosis; while API/AI (American Indian/AK Native, Asian/Pacific Islander) race, married, chemotherapy, surgery and radiotherapy were independent favorable factors in both CSS and OS. Furthermore, stratified analysis found that chemotherapy and radiotherapy improved CSS and OS in patients without surgery. Age, sex, race, years of diagnosis, married status, grade, tumor size, AJCC stage, surgery, chemotherapy and radiotherapy were significantly related to prognosis of ICC. Chemotherapy and radiotherapy could significantly improve survival in patients without surgery. |
format |
article |
author |
Tian-hua Yu Xin Chen Xuan-he Zhang Er-chi Zhang Cai-xia Sun |
author_facet |
Tian-hua Yu Xin Chen Xuan-he Zhang Er-chi Zhang Cai-xia Sun |
author_sort |
Tian-hua Yu |
title |
Clinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study |
title_short |
Clinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study |
title_full |
Clinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study |
title_fullStr |
Clinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study |
title_full_unstemmed |
Clinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study |
title_sort |
clinicopathological characteristics and prognostic factors for intrahepatic cholangiocarcinoma: a population-based study |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/57a9bf9bab13432e8137b13e13b4103a |
work_keys_str_mv |
AT tianhuayu clinicopathologicalcharacteristicsandprognosticfactorsforintrahepaticcholangiocarcinomaapopulationbasedstudy AT xinchen clinicopathologicalcharacteristicsandprognosticfactorsforintrahepaticcholangiocarcinomaapopulationbasedstudy AT xuanhezhang clinicopathologicalcharacteristicsandprognosticfactorsforintrahepaticcholangiocarcinomaapopulationbasedstudy AT erchizhang clinicopathologicalcharacteristicsandprognosticfactorsforintrahepaticcholangiocarcinomaapopulationbasedstudy AT caixiasun clinicopathologicalcharacteristicsandprognosticfactorsforintrahepaticcholangiocarcinomaapopulationbasedstudy |
_version_ |
1718392021384691712 |