KMID : 1143920220260010040
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Annals of Hepato-Biliary-Pancreatic Surgery 2022 Volume.26 No. 1 p.40 ~ p.46
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Do changes in inflammatory markers predict hepatocellular carcinoma recurrence and survival after liver transplantation?
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Caram Lucas Jose
Calderon Francisco Masino Esteban Ardiles Victoria Mauro Ezequiel Haddad Leila Pekolj Juan Vicens Jimena Gadano Adrian de Santibanes Eduardo de Santibanes Martin
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Abstract
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Backgrounds/Aims: 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).
Methods: 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.
Results: Serum alpha-fetoprotein levels > 100 ng/mL (p = 0.014) and lymphovascular emboli in the specimen (p = 0.048) were identified to be significant predictors of RFS. Child-Pugh score (p = 0.016) was found to be an independent factor associated with poorer OS. An increasing delta PLR was associated with worse RFS, although it showed no significant association with OS.
Conclusions: 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.
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KEYWORD
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Transplantation, Liver neoplasms, Recurrence, Neutrophils, Platelets
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