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담낭암 성차에 관한 절제가능성 및 조직병리학적 예후-국내 다기관 연구

Other Titles
 Multi-Center Study on Gender Difference in Resectability and Pathologic Prognosis of Gallbladder Cancer 
 박양태  ;  강진형  ;  김재선  ;  정민규  ;  김성훈  ;  조재희  ;  우상명  ;  이경주  ;  김의주  ;  김효정 
 Korean Journal of Pancreas and Biliary Tract (대한췌담도학회지), Vol.27(3) : 121-127, 2022-07 
Journal Title
Korean Journal of Pancreas and Biliary Tract(대한췌담도학회지)
Issue Date
Gender ; Age factors ; Body mass index ; CA-19-9 antigen ; Bilirubin
In gallbladder cancer (GBC), gender differences in incidence and mortality rates have been reported with geographic variation. However, there is little known about sex-related difference in GBC prognosis. This study compares prognostic factors according to gender for GBC.
We searched clinicopathological factors in all stages of 952 GBC patients from seven medical centers in Korea. A total of 927 patients were enrolled and surgery with curative resection was performed in 499 patients.
Carbohydrate antigen (≥37 U/mL) was a significant prognostic factor in both females and males (odd ratio [OR], 4.30; 95% confidence interval [CI], 3.13-5.89; p<0.001). Age was a significant factor only in female patients, elderly patients were associated with low resectability and the likelihood of T-stage >2; an independent predictor of poor prognosis via multivariate analysis (OR, 1.03; 95% CI, 1.01-1.05; p=0.005, OR, 1.05; 95% CI, 1.02-1.08; p=0.002). Body mass index (BMI) also showed gender difference, and lower BMI (≤25 kg/m2) was the significant good indicator of multivariate analysis for lymph node metastasis in female patients (OR, 0.42; 95% CI, 0.23-0.77; p=0.005) but, the significant poor indicator of univariate analysis for advanced T-stage in male (OR, 2.79; 95% CI, 1.40-5.54; p=0.003).
These results suggest that there is a possibility of gender difference in GBC prognosis. Age and high BMI were poor prognostic factors for curative resection for female GBC patients.
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Cho, Jae Hee(조재희) ORCID logo https://orcid.org/0000-0003-4174-0091
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