Risk Factors of Early Liver Metastasis for Pancreatic Ductal Adenocarcinoma after Radical Resection
Table 3
Univariate analysis of risk factors for early liver metastasis.
Variable
Early liver metastasis ()
Nonliver metastasis ()
OR (95% CI)
Age (years, %)
≥60
41 (74.5)
67 (75.3)
0.962 (0.443-2.086)
0.921
<60
14 (25.5)
22 (24.7)
Sex (%)
Male
37 (67.3)
52 (58.4)
1.463 (0.724-2.956)
0.289
Female
18 (32.7)
37 (41.6)
BMI (kg/m2, %)
≥24
15 (27.3)
30 (33.7)
0.738 (0.352-1.543)
0.419
<24
40 (72.7)
59 (66.3)
ALB (g/L, %)
≥40
23 (41.8)
42 (47.2)
0.804 (0.408-1.585)
0.529
<40
32 (58.2)
47 (52.8)
ALT (U/L, %)
≥40
25 (45.5)
35 (39.3)
1.286 (0.651-2.538)
0.469
<40
30 (54.5)
54 (60.7)
CA199 (IU/ml, %)
≥400
17 (30.9)
23 (25.8)
1.284 (0.611-2.699)
0.510
<400
38 (69.1)
66 (74.2)
CA125 (IU/ml, %)
≥30
17 (30.9)
14 (15.7)
2.397 (1.068-5.376)
0.034
<30
38 (69.1)
75 (84.3)
CEA (ug/L, %)
≥5
8 (14.5)
16 (18.0)
0.777 (0.308-1.957)
0.592
<5
47 (85.5)
73 (82.0)
Tumor size (cm, %)
>4
30 (54.5)
29 (32.6)
2.483 (1.243-4.957)
0.010
≤4
25 (45.5)
60 (67.4)
Tumor location (%)
Head/neck
39 (70.9)
50 (56.2)
1.901 (0.928-3.894)
0.079
Body/tail
16 (29.1)
39 (43.8)
Lymph node metastasis (%)
Yes
26 (47.3)
35 (39.3)
1.383 (0.701-2.728)
0.349
No
29 (52.7)
54 (60.7)
Lymph node ratio (%)
≥0.2
15 (27.3)
13 (14.6)
2.192 (0.951-5.056)
0.066
<0.2
40 (72.7)
76 (85.4)
Capsule invasion (%)
Present
19 (34.5)
27 (30.3)
1.212 (0.592-2.481)
0.599
Absent
36 (65.5)
62 (69.7)
Tumor differentiation (%)
Poor
35 (63.6)
34 (38.2)
2.831 (1.411-5.679)
0.003
Well-moderate
20 (36.4)
55 (61.8)
Microvascular invasion (%)
Present
33 (60.0)
40 (44.9)
1.837 (0.929-3.635)
0.080
Absent
22 (40.0)
49 (55.1)
Perineural invasion (%)
Present
47 (85.5)
74 (83.1)
1.191 (0.469-3.026)
0.714
Absent
8 (14.5)
15 (16.9)
Frozen resection margin (%)
Positive
4 (7.3)
10 (11.2)
0.620 (0.184-2.082)
0.439
Negative
51 (92.7)
79 (88.8)
PV/SMV reconstruction (%)
Yes
25 (45.5)
23 (25.8)
2.391 (1.173-4.874)
0.016
No
30 (54.5)
66 (74.2)
CA/CHA reconstruction (%)
Yes
2 (3.6)
1 (1.1)
3.321 (0.294-37.514)
0.332
No
53 (96.4)
88 (98.9)
Morbidity (%)
0-II
52 (94.5)
86 (96.6)
0.605 (0.118-3.108)
0.547
III-IV
3 (5.5)
3 (3.4)
Neoadjuvant chemotherapy (%)
Yes
6 (10.9)
11 (12.4)
0.868 (0.302-2.498)
0.793
No
49 (89.1)
78 (87.6)
Adjuvant chemotherapy (%)
Yes
32 (58.2)
61 (68.5)
0.639 (0.318-1.284)
0.208
No
23 (41.8)
28 (31.5)
TNM stage (%)
I-IIA
29 (52.7)
54 (60.7)
0.723 (0.367-1.426)
0.349
IIB-IV
26 (47.3)
35 (39.3)
Data are presented as numbers (percentages). ALB: albumin; CA199: carbohydrate antigen 199; CA125: carbohydrate antigen 125; CEA: carcinoembryonic antigen. For abbreviations see Table 1.