4.6 Article

A novel blood tool of cancer prognosis in esophageal squamous cell carcinoma: the Fibrinogen/Albumin Ratio

期刊

JOURNAL OF CANCER
卷 8, 期 6, 页码 1025-1029

出版社

IVYSPRING INT PUBL
DOI: 10.7150/jca.16491

关键词

esophageal squamous cell carcinoma; blood tool; fibrinogen; albumin

类别

资金

  1. National Natural Science Foundation of China [81402003]
  2. Guangzhou Science and Technology Program [2014Y2-00143]
  3. Sun Yat-sen University medical young teacher training program [15ykpy34]
  4. Sun Yat-sen University Clinical Research 5010 Program [2007048]

向作者/读者索取更多资源

Background: Coagulation and nutrition play important roles in cancer progression. We aim to investigate the impact of the fibrinogen/albumin ratio(FAR) in esophageal squamous cell carcinoma (ESCC) patients. Methods: We retrospectively analyzed 1135 patients with radical esophagectomy for ESCC from January 2008 to December 2010 in our center. X-tile software was used to determine the optimal cutoff levels for these biomarkers. Results: The optimal cutoff value was 0.08 for the FAR by the X-tile software. The FAR was statistically significantly associated with age(p=0.003), sex(p=0.030), tumor length (p=0.043), pT status(p<0.001) and pN status(p<0.001). Pearson's correlation indicated that the FAR were positively associated with the serum C-reactive protein (CRP) (r=0.583, p<0.001), and the NLR ( r=0.316, p<0.001). Multivariate analysis indicated that age, tumor grade, pT status, pN status and preoperative FAR were independent prognostic factors in patients with ESCC. Conclusions: Preoperative FAR was an independent prognostic factor in ESCC patients. Lower FAR may improve OS of ESCC patients.

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