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背景 肝纤维化作为肠直肠肝转移中肝内复发的微环境风险因素
Satoru Morita1, Koji Okabayashi2, Yutaka Endo1,3
1Department of Surgery, Keio University School of Medicine, Tokyo, Japan.
Annals of surgical oncology
|January 27, 2026
概括
背景肝纤维化与结直肠癌肝转移 (CRLMs) 切除后更高的肝内复发率有关. 量化纤维化是一种独立的风险因素,表明其作为风险分层生物标志物的潜力.
科学领域:
- 肝病学和瘤学 肝病学和瘤学
- 手术病理学手术病理学
- 癌症复发的可能
背景情况:
- 结肠直肠癌肝转移 (CRLMs) 经常复发,但背景肝纤维化的预后意义尚不清楚.
- 评估肝纤维化对于了解CRLM切除后瘤复发模式至关重要.
研究的目的:
- 通过组织学来定量评估背景肝纤维化.
- 为了确定肝纤维化和CRLM切除后肝内复发之间的关联.
主要方法:
- 对102名为CRLM (1999-2022) 进行肝切除的患者进行了回顾性分析.
- 使用全幻灯片成像对背景肝纤维化的组织学量化.
- 考克斯比例危险建模和ROC分析用于纤维化评估和患者分层.
主要成果:
- 23.5%的患者有显著的肝纤维化.
- 与非纤维化组 (29.5%;p=0.019) 相比,纤维化组中的肝脏内复发明显高 (58.3%).
- 纤维化面积百分比是肝脏内复发的独立预测指标 (HR1.45,p=0.02).
结论:
- 组织病理学定量肝纤维化是CRLM切除后肝内复发的独立风险因素.
- 肝脏的微环境,特别是纤维化,在瘤复发中起作用.
- 肝纤维化可能成为CRLM患者术后风险分层的一个有价值的生物标志物.
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