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Clinical burden of preoperative albumin-globulin ratio in esophageal cancer patients

by Ohi, Masaki , Yoshiyama, Shigeyuki , Okita, Yoshiki , Kusunoki, Masato , Toiyama, Yuji , Hiro, Junichiro , Yasuda, Hiromi , Fujikawa, Hiroyuki , Oki, Satoshi , Kobayashi, Minako , Araki, Toshimitsu , Okugawa, Yoshinaga , Inoue, Yasuhiro , Shimura, Tadanobu , Mohri, Yasuhiko , Okigami, Masato

in Adult / Aged / Aged, 80 and over / Albumin / Albumin to globulin ratio / Antigens / Biomarkers / Cancer / Cancer therapies / Carcinoembryonic antigen / Chemotherapy / Colorectal cancer / Esophageal cancer / Esophageal Neoplasms - blood / Esophageal Neoplasms - mortality / Esophageal Neoplasms - surgery / Esophagus / Female / Globulins / Globulins - analysis / Humans / Identification methods / Inflammation / Lymph / Lymph nodes / Lymphatic system / Male / Medical prognosis / Metastases / Metastasis / Middle Aged / Mortality / Neoplasm Recurrence, Local - epidemiology / Patients / Preoperative Period / Prognosis / Proteins / Serum Albumin - analysis / Squamous cell carcinoma / Studies / Surgery / Survival / Survival Rate / Systematic review / Tumorigenesis

2017

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Clinical burden of preoperative albumin-globulin ratio in esophageal cancer patients

2017

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Clinical burden of preoperative albumin-globulin ratio in esophageal cancer patients

2017

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Journal Article

Clinical burden of preoperative albumin-globulin ratio in esophageal cancer patients

Ohi, Masaki,

Yoshiyama, Shigeyuki,

Okita, Yoshiki,

Kusunoki, Masato,

Toiyama, Yuji,

Hiro, Junichiro,

Yasuda, Hiromi,

Fujikawa, Hiroyuki,

Oki, Satoshi,

Kobayashi, Minako,

Araki, Toshimitsu,

Okugawa, Yoshinaga,

Inoue, Yasuhiro,

Shimura, Tadanobu,

Mohri, Yasuhiko,

Okigami, Masato

2017

Overview

Lower albumin-globulin ratio (AGR) is associated with increased mortality in several cancers. However, no studies have evaluated the relationship between the AGR and prognostic outcome in esophageal cancer (EC) patients. To identify indicators of early recurrence and poor prognosis, we assessed the clinicopathological findings and preoperative laboratory data (carcinoembryonic antigen [CEA], squamous cell carcinoma antigen, total protein, and albumin) of 112 EC patients who underwent surgery. The AGR was calculated as albumin/(total protein–albumin). A lower AGR was significantly associated with tumor progression. The CEA level was an independent predictor for overall survival (OS) and disease-free survival (DFS). The AGR and CEA combination was identified as a feasible indicator of poor prognosis and early recurrence. Among EC patients without lymph node metastasis, those with lower AGR had poorer DFS and OS than those with higher AGR. AGR was identified as a significant predictor of OS and DFS in EC patients. Among EC patients without lymph node metastasis, AGR may help identify candidates who might benefit from more intensive adjuvant therapy.

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Publisher

Elsevier Inc,Elsevier Limited

Subject

Adult

/ Aged

/ Aged, 80 and over

/ Albumin

/ Albumin to globulin ratio

/ Antigens

/ Biomarkers