尿道癌中白蛋白-球蛋白比值的预后意义

IF 1.5 4区 医学 Q3 UROLOGY & NEPHROLOGY Urologia Internationalis Pub Date : 2024-09-27 DOI:10.1159/000540665
Hengxin Chen, Menghai Wu, Minfeng Chen
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引用次数: 0

摘要

引言虽然白蛋白-球蛋白比值(AGR)已被用于多种实体恶性肿瘤的预后评估,但迄今为止,还没有研究证实AGR作为泌尿道癌生物标志物的预后意义。我们分析了AGR与尿道癌预后的关系,旨在为尿道癌找到一个有希望的预后生物标志物:我们回顾了 2008 年 1 月至 2021 年 10 月期间在中南大学湘雅医院确诊的 25 例尿道癌患者的临床资料。根据接收者操作特征曲线确定术前 AGR 的最佳临界值。采用Kaplan-Meier曲线分析术前AGR对患者总生存期(OS)和无复发生存期(RFS)的影响。Cox比例危险模型用于分析包括术前AGR在内的预后因素:结果:尿道癌患者术前 AGR 的最佳临界值为 1.45。低术前AGR与较差的OS和RFS明显相关。单变量分析和多变量分析表明,术前低AGR是预测尿道癌患者预后不良、OS和RFS的独立可靠因素:结论:术前AGR较低的膀胱癌患者预后较差,术前AGR是膀胱癌研究中一个有价值的预后指标。
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Prognostic Significance of Albumin-Globulin Ratio in Urachal Carcinoma.

Introduction: Although albumin-globulin ratio (AGR) has been used in the prognostic assessment of multiple solid malignancies, so far no research has confirmed the prognostic significance of AGR as a biomarker for urachal carcinoma. We analyzed the relationship between AGR and prognosis in urachal carcinoma, aiming to identify a promising prognostic biomarker for urachal carcinoma.

Methods: We reviewed the clinical data of 25 patients diagnosed with urachal carcinoma in the Xiangya Hospital, Central South University, from January 2008 to October 2021. The best cut-off value of preoperative AGR was determined according to the receiver operator characteristic curve. The Kaplan-Meier curve was used to analyze the effect of preoperative AGR on the overall survival (OS) and relapse-free survival (RFS) of patients. Cox proportional hazards model was used to analyze prognostic factors including preoperative AGR.

Results: The best cut-off value of preoperative AGR in urachal carcinoma patients is 1.45. Low preoperative AGR is significantly associated with worse OS and RFS. Univariate analysis and multivariate analysis indicated that low preoperative AGR is an independent and reliable factor to predict poor prognosis, OS, and RFS in urachal carcinoma patients.

Conclusion: Urachal carcinoma patients with low preoperative AGR have worse prognosis, and preoperative AGR is a valuable prognostic indicator for urachal carcinoma research.

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来源期刊
Urologia Internationalis
Urologia Internationalis 医学-泌尿学与肾脏学
CiteScore
3.30
自引率
6.20%
发文量
94
审稿时长
3-8 weeks
期刊介绍: Concise but fully substantiated international reports of clinically oriented research into science and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.
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