Systemic inflammation score as a preoperative prognostic factor for patients with pT2-T4 resectable gastric cancer: a retrospective study

Systemic inflammation has been reported to be associated with cancer progression and metastasis. Systemic inflammation score (SIS), calculated from preoperative serum albumin level and lymphocyte-to-monocyte ratio, has been shown to be a novel prognostic factor for several types of tumors. This stud...

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Published in:BMC surgery 2023-01, Vol.23 (1), p.8-8, Article 8
Main Authors: Matsumoto, Takuro, Ohki, Shinji, Kaneta, Akinao, Matsuishi, Akira, Maruyama, Yuya, Yamada, Leo, Tada, Takeshi, Hanayama, Hiroyuki, Watanabe, Yohei, Hayase, Suguru, Okayama, Hirokazu, Sakamoto, Wataru, Momma, Tomoyuki, Saze, Zenichiro, Kono, Koji
Format: Article
Language:English
Subjects:
Albumin
Cancer
Care and treatment
Development and progression
Gastric cancer
Humans
Inflammation
Lymphocytes
Metastasis
Neoplasm Recurrence, Local - epidemiology
Oncology, Experimental
Prognosis
Prognostic factor
Retrospective Studies
Risk factors
Stomach cancer
Stomach Neoplasms - pathology
Systemic inflammation score
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Summary:Systemic inflammation has been reported to be associated with cancer progression and metastasis. Systemic inflammation score (SIS), calculated from preoperative serum albumin level and lymphocyte-to-monocyte ratio, has been shown to be a novel prognostic factor for several types of tumors. This study aimed to evaluate the prognostic value of the SIS in patients with pT2-4 resectable gastric cancer (GC). Total 97 patients with pT2-4 GC who underwent curative surgery from 322 cases between 2009 and 2015 in Fukushima Medical University Hospital were included. We performed univariate and multivariate analyses to evaluate the usefulness of preoperative SIS and other prognostic factors for relapse-free survival (RFS) and overall survival (OS). The higher SIS score was associated with undifferentiated cancer and recurrence. Univariate analysis of RFS identified deeper tumor invasion and higher SIS were significant risk factors and multivariate analysis revealed that both of them were independent prognostic factors for RFS. As for OS, age, tumor invasion, SIS and LNR were significantly correlated with RFS. In multivariate analysis, tumor invasion, SIS and LNR were independent prognostic factors for OS. SIS was an independent prognostic factor for RFS and OS in pT2-4 resectable gastric cancer patients who underwent curative gastrectomy.
ISSN:1471-2482
1471-2482
DOI:10.1186/s12893-023-01904-z