Evidence map›Paper›PMID 41684597›Full record

ArticleFrontiers in oncology2026

Improved preoperative clinical staging system for intrahepatic cholangiocarcinoma using the ABC factors: a retrospective study.

Yiyun Huang, Wenkai Ye, Junnan Huang, Linwei Xu, Yuhua Zhang, Renwei Xing, Zewei Zhang

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Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Yiyun HuangThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Wenkai YeThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Junnan HuangThe Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Linwei XuDepartment of Hepatopancreatobiliary Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Yuhua ZhangDepartment of Hepatopancreatobiliary Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Renwei XingDepartment of Hepatobiliary Surgery, Taizhou Municipal Hospital (Taizhou University Affiliated Municipal Hospital), School of Medicine, Taizhou University, Taizhou, Zhejiang, China.
Zewei ZhangDepartment of Hepatopancreatobiliary Surgery, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to assess the prognostic significance of ABC factors, including anatomical factors (A), biological factors (B: carbohydrate antigen 19-9 [CA19-9]), and patient condition (C) or performance status (PS), in intrahepatic cholangiocarcinoma (ICC) patients who underwent surgery, with the ultimate goal of enhancing the preoperative clinical staging system for the diagnosis of ICC. Methods: We retrospectively analyzed the clinical data of 217 patients who underwent radical surgery for intrahepatic cholangiocarcinoma at the Zhejiang Cancer Hospital between January 2010 and August 2022. All patients were stratified into early (EA), intermediate (IM), and locally advanced (LA) stages, according to radiological findings. Multivariate Cox proportional hazards analysis was used to examine the impact of ABC factors on overall survival (OS) and disease-free survival (DFS). Results: Overall, 107 (49.3%), 86 (39.6%), and 24 (11.1%) patients were diagnosed with EA, IM, and LA, respectively. The preoperative CA19-9 level in 73 patients (33.6%) was >500 U/mL. The performance status score of 53 patients (24.4%) was ≥1. The independent risk factors for OS and DFS were IM, LA, CA19-9 >500 U/mL and performance status score ≥1. The median OS was 32.2, 20.4, 11.0, 9.8, and 6.8 months and the median DFS was 19.3, 14.8, 7.7, 5.9, and 3.3 months for patients with ABC composite scores of 0 to 4. Conclusion: ABC is an independent prognostic factor for OS and DFS in patients undergoing radical surgery for ICC. The preoperative clinical staging of patients with ICC should fully consider the anatomical, biological, and PS factors.

Indexed as

ABC factorclinical stageintrahepatic cholangiocarcinomaprognosisretrospective study

Identifiers

PMID41684597
PMCPMC12890631

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