Korean J Clin Oncol.
2022 Dec;18(2):61-65. 10.14216/kjco.22008.
Clinical impact of serum prealbumin in pancreaticobiliary disease
- Affiliations
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- 1Department of Surgery Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
- 2Department of Radiology Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
- 3Department of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea
- KMID: 2538060
- DOI: http://doi.org/10.14216/kjco.22008
Abstract
- Purpose
Although there are many studies on prealbumin in individual diseases such as malignant or inflammatory diseases, there are few comparative studies. This study aimed to compare the clinical differences between prealbumin levels in cholecystitis and pancreaticobiliary malignancies and investigate the clinical impact of low prealbumin levels in pancreaticobiliary malignancies.
Methods
From June 2021 to September 2021, 61 patients who had undergone surgery for various pancreaticobiliary diseases were enrolled in this study, and their clinicopathological data were retrospectively analyzed.
Results
Many elderly patients with malignant diseases had poor American Society of Anesthesiologists (ASA) scores, significantly lower albumin and prealbumin levels, and higher systemic immune inflammation indices. The low prealbumin group was older; had poorer ASA scores; and had significantly lower body mass index and hemoglobin and albumin levels and higher systemic immune inflammation indices than the normal prealbumin group. In malignant diseases, the low prealbumin group had significantly lower body mass index and hemoglobin levels and a tendency toward more advanced disease (lymph node and distant metastasis).
Conclusion
Preoperative low prealbumin levels had an area under the receiver operator characteristic curve of 0.69, suggesting that it may be useful for predicting pancreaticobiliary malignancies. Prealbumin levels were lower in malignant diseases, possibly related to poor nutritional status and systemic immune inflammation. Low prealbumin levels may predict the risk of more advanced disease.
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