Accurate prediction of the lymph node status in ampullary duodenal carcinoma: potential guidance for clinical management

Autor: Ran Ni, Tianpeng Zhang, Yixuan Mou, Zhiming Hu, Zongting Gu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Cancer, Vol 24, Iss 1, Pp 1-11 (2024)
Druh dokumentu: article
ISSN: 1471-2407
DOI: 10.1186/s12885-024-13119-3
Popis: Abstract Purpose This study aimed to identify the risk factors associated with ampullary duodenal carcinoma (a-DC) and develop a clinical model to dynamically and accurately predict the risk of lymph node metastasis (LNM) in a-DC patients. Methods Data from 4077 patients (2004–2020) were extracted from the Surveillance, Epidemiology, and End Results database to form a training cohort, while 173 cases (2010–2020) from Zhejiang Provincial People’s Hospital in China were used as an external validation cohort. A reliable LASSO-logistic method was employed to identify independent risk factors for a-DC LNM, and a nomogram was developed based on these factors to assess the risk of a-DC LNM. The nomogram was evaluated using the Akaike information criterion, misclassification error, area under the curve, and likelihood ratio test. Finally, the nomogram’s accuracy and generalizability were externally validated.. Results After screening using LASSO and logistic regression four variables were identified as independent risk factors for a-DC LNM: sex (P
Databáze: Directory of Open Access Journals
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