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Clinicopathological features and survival for gallbladder NEN: a population-based study
Dong Cen1,2, Hui Liu1, Zhe Wan1,2
1Key Laboratory of Laparoscopic Technology of Zhejiang Province, Sir Run-Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Gallbladder neuroendocrine neoplasms (GB-NEN) survival is impacted by age, marital status, tumor size, and stage. Gallbladder surgery improves outcomes, but lymph node resection offers no additional benefit.
Area of Science:
- Oncology
- Gastroenterology
- Epidemiology
Background:
- Gallbladder neuroendocrine neoplasms (GB-NEN) are rare, comprising 0.5% of all neuroendocrine neoplasms.
- Limited understanding of GB-NEN necessitates further clinicopathological and survival research.
Purpose of the Study:
- To investigate the clinicopathology and survival of GB-NEN patients.
- To identify prognostic factors influencing overall and cancer-specific survival in GB-NEN.
Main Methods:
- Analysis of 248 GB-NEN patients diagnosed between 2004-2015 from the SEER database.
- Kaplan-Meier curves for survival time analysis.
- Multivariate Cox proportional hazard models to determine independent predictors of survival.
Main Results:
- Majority of patients were women (67.3%), white (77%), and married (61.7%).
- Common tumor characteristics included <2 cm size (31.0%), G3 stage (25.8%), and distant SEER stage (41.1%).
- Gallbladder surgery significantly improved survival (P < 0.001), while combined surgery and lymphadenectomy showed no added benefit. Older age, unmarried status, large tumor size (>5 cm), and distant SEER stage predicted poorer survival.
Conclusions:
- Age, marital status, tumor size, and SEER stage are significant predictors of GB-NEN patient survival.
- Gallbladder surgery is associated with improved survival outcomes.
- Combined gallbladder surgery and lymphadenectomy do not enhance survival compared to surgery alone.
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