Prediction of very early recurrence of pancreatic head cancer after radical surgery by preoperative enhanced CT imaging features and postoperative pathology
- VernacularTitle:临床病理结合术前增强CT影像学特征预测胰头癌根治术后极早期复发
- Author:
Yuan LI
1
;
Weijun QI
1
;
Yuntao BING
1
;
Hangyan WANG
1
;
Lei LI
1
;
Chaolai MA
1
;
Chunhui YUAN
1
;
Dianrong XIU
1
Author Information
- Publication Type:Journal Article
- Keywords: Pancreatic neoplasms; Recurrence; Risk factors
- From: Chinese Journal of General Surgery 2025;40(9):700-705
- CountryChina
- Language:Chinese
- Abstract: Objective:To predict very early recurrence after radical resection in patients with pancreatic head cancer by combining preoperative enhanced CT imaging findings and clinicopathological features.Methods:The clinicopathological and preoperative enhanced CT imaging features of 241 patients who underwent radical pancreaticoduodenectomy at Peking University Third Hospital from Jan 2010 to Dec 2022 were retrospectively collected and analyzed.Results:Using recurrence within 3 months after surgery as the definition for very early recurrence, 49 out of 241 patients experienced very early recurrence. Multivariate analysis showed that preoperative BMI<18.5 kg/m2( P=0.040), rim enhancement( P=0.028), lymphovascular invasion( P<0.001), and poor tumor differentiation ( P=0.013) were independent risk factors for very early recurrence. Conclusion:Enhanced CT imaging features combined with clinicopathological characteristics can predict very early recurrence after resection of pancreatic head cancer.
