Do changes in inflammatory markers predict hepatocellular carcinoma recurrence and survival after liver transplantation?

Autor: Lucas José Caram, Francisco Calderon, Esteban Masino, Victoria Ardiles, Ezequiel Mauro, Leila Haddad, Juan Pekolj, Jimena Vicens, Adrian Gadano, Eduardo de Santibañes, Martín de Santibañes
Rok vydání: 2022
Předmět:
Zdroj: Annals of Hepato-Biliary-Pancreatic Surgery. 26:40-46
ISSN: 2508-5859
2508-5778
DOI: 10.14701/ahbps.21-094
Popis: The role of inflammation in malignant cell proliferation has been well described. High values of platelet-to-lymphocyte ratio (PLR) and neutrophil-to-lymphocyte ratio (NLR) as markers of systemic inflammation have shown associations with unfavorable long-term outcomes. The purpose of this study was to determine values of NLR and PLR evaluated prior to and after surgery and their associations with mortality and recurrence rates of liver transplant patients with hepatocellular carcinoma (HCC).A total of 105 patients with HCC who underwent orthotopic liver transplantation (OLT) were retrospectively reviewed. NLR and PLR values were obtained from complete blood counts prior to and after surgery. Overall survival (OS) and recurrence-free survival (RFS) in relation with delta NLR and PLR were estimated.Serum alpha-fetoprotein levels100 ng/mL (The analysis of PLR as a continuous variable may predict recurrence outcomes in patients undergoing OLT for HCC. It is more representative than isolated values.
Databáze: OpenAIRE