Published in:
Open Access
04-01-2024 | Lymphopenia | ASO Author Reflections
ASO Author Reflections: Perioperative Lymphopenia Following Hepatectomy for Hepatocellular Carcinoma: A Routine Yet Overlooked Prognostic Biomarker
Authors:
Diamantis I. Tsilimigras, MD, Timothy M. Pawlik, MD, PhD, MPH, MTS, MBA
Published in:
Annals of Surgical Oncology
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Issue 4/2024
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Excerpt
Immune dysregulation plays an important role in cancer progression.
1,2 Lymphopenia, defined as the absence or reduced count of host lymphocytes, in the perioperative period might indicate a state of pre-existing cancer-related immune tolerance.
3,4 Although laboratory tests are routinely obtained prior to and following a hepatectomy for hepatocellular carcinoma (HCC), little is known about the incidence and clinical significance of perioperative lymphopenia among patients undergoing resection for HCC. In this study, we sought to investigate whether preoperative or surgical stress-induced lymphopenia (i.e. absolute lymphocyte count [ALC] <1000/μL) was predictive of short- and long-term outcomes following HCC resection.
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