Table 1. Univariate and multivariate analysis of clinico-pathological factors affecting 5-year overall survival in primary BTC.
(A) Extrahepatic cholangiocarcinoma | ||||||||
Clinico-pathological parameter | Number | Univariate analysis | Multivariate analysis | |||||
5yOS (%) | p value | HR* | 95%CI* | p value | ||||
Age | ≥65 / <65 | 46 / 35 | 41 / 55 | 0.31 | ||||
Gender | Male / Female | 59 / 22 | 42 / 64 | 0.16 | ||||
Preoperative jaundice | absence / presence | 40 / 41 | 47 / 47 | 0.81 | ||||
Biliary drainage | absence / presence | 13 / 68 | 64 / 44 | 0.19 | ||||
Preoperative serum CA19-9 | ≥37 / <37 | 52 / 29 | 35 / 74 | 0.0084 | 2.3 | 1.0–5.9 | 0.047 | |
Preoperative serum CEA | ≥5 / <5 | 4 / 77 | 0 / 49 | 0.12 | ||||
Tumor location | Bp / Bd | 18 / 63 | 43 / 48 | 0.79 | ||||
Lymphatic permeation | absence / presence | 18 / 63 | 76 / 40 | 0.0047 | 1.6 | 0.52–7.4 | 0.42 | |
Vascular permeation | absence / presence | 25 / 56 | 59 / 43 | 0.22 | ||||
Portal venous invasion | absence / presence | 77 / 4 | 49 / 25 | 0.0003 | ||||
Arterial system invasion | absence / presence | 78 / 3 | 48 / 33 | 0.49 | ||||
Perineural invasion | absence / presence | 22 / 59 | 80 / 36 | 0.0021 | 3.1 | 1.2–11 | 0.018 | |
Macroscopic growth pattern | invasive / others | 71 / 10 | 45 / 68 | 0.25 | ||||
Histology | tub1, pap / others | 49 / 32 | 53 / 39 | 0.23 | ||||
Resection status | R0 / R1, 2 | 43 / 38 | 57 / 36 | 0.04 | 1.4 | 0.71–2.7 | 0.34 | |
CDO1 TaqMeth value | ≥28.9 / <28.9 | 22 / 59 | 22 / 56 | 0.0018 | 2.4 | 1.2–4.7 | 0.016 | |
the sixth TNM classification | ||||||||
pT | Tis,T1 / T2 / T3 / T4 | 10 / 12 / 31 / 28 | 100 / 56 / 40 / 34 | 0.01 | ||||
pN | absence / presence | 43 / 38 | 66 / 27 | 0.0002 | ||||
pStage | 0.016 | 0.079 | ||||||
0, IA, IB | 15 | 76 | Reference | |||||
IIA | 17 | 61 | 1.0 | 0.25–5.1 | ||||
IIB | 21 | 33 | 2.0 | 0.58–9.7 | ||||
III | 28 | 34 | 3.0 | 0.90–14 | ||||
Operative procedure | PD / Liver resection / others | 64 / 14 / 3 | 49 / 42 / 33 | 0.64 | ||||
Postoperative jaundice | absence / presence | 70 /11 | 47 / 55 | 0.75 | ||||
Postoperative serum CA19-9 | ≥37 / <37 | 19 / 62 | 31 / 52 | 0.077 | ||||
Postoperative serum CEA | ≥5 / <5 | 2 / 79 | 100 / 46 | 0.21 | ||||
Postoperative chemotherapy | absence / presence | 20 / 61 | 62 / 43 | 0.34 | ||||
(B) Ampullary carcinoma | ||||||||
Clinico-pathological parameter | Number | Univariate analysis | Multivariate analysis | |||||
5yOS (%) | p value | HR* | 95%CI* | p value | ||||
Age | ≥65 / <65 | 16 / 11 | 65 / 82 | 0.57 | ||||
Gender | Male / Female | 16 / 11 | 70 / 81 | 0.66 | ||||
Preoperative jaundice | absence / presence | 16 / 11 | 88 / 61 | 0.24 | ||||
Biliary drainage | absence / presence | 4 / 23 | 100 / 70 | 0.31 | ||||
Preoperative serum CA19-9 | ≥37 / <37 | 11 / 16 | 57 / 88 | 0.19 | ||||
Preoperative serum CEA | ≥5 / <5 | 1 / 26 | 0 / 76 | 0.0068 | 1.5 | 0.06–20 | 0.76 | |
Lymphatic permeation | absence / presence | 11 / 16 | 100 / 59 | 0.036 | 1.6E+08 | 0.04- | 0.52 | |
Vascular permeation | absence / presence | 10 / 17 | 100 / 60 | 0.047 | 1.2E+08 | 0.03- | 0.58 | |
Portal venous invasion | absence / presence | 27 / 0 | 74 / - | |||||
Arterial system invasion | absence / presence | 27 / 0 | 74 / - | |||||
Perineural invasion | absence / presence | 21 / 6 | 86 / 25 | 0.0008 | 1.0 | 0.04–15 | 0.99 | |
Macroscopic growth pattern | invasive / others | 11 / 16 | 32 / 94 | 0.014 | 4.0 | 0.28–97 | 0.29 | |
Histology | tub1, pap / others | 21 / 6 | 75 / 67 | 0.49 | ||||
Resection status | R0 / R1, 2 | 24 / 3 | 83 / 0 | <0.0001 | 4.3 | 0.37–101 | 0.24 | |
CDO1 TaqMeth value | ≥28.9 / <28.9 | 9 / 18 | 66 / 78 | 0.89 | ||||
the sixth TNM classification | ||||||||
pT | Tis,T1 / T2 / T3 / T4 | 9 / 4 / 14 / 0 | 100 / 100 / 54 / - | 0.052 | ||||
pN | absence / presence | 11 / 16 | 91 / 65 | 0.25 | ||||
pStage | 0, IA, IB / IIA / IIB / III | 8 / 3 / 16 / 0 | 100 / 67 / 65 / - | 0.26 | ||||
Postoperative jaundice | absence / presence | 27 / 0 | 74 / - | |||||
Postoperative serum CA19-9 | ≥37 / <37 | 5 / 22 | 50 / 82 | 0.45 | ||||
Postoperative serum CEA | ≥5 / <5 | 1 / 26 | 100 / 73 | 0.68 | ||||
Postoperative chemotherapy | absence / presence | 10 / 17 | 90 / 66 | 0.29 |
*HR: hazard ratio, CI: confidence interval