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T-stage-specific abdominal visceral fat, haematological nutrition indicators and inflammation as prognostic factors in patients with clear renal cell carcinoma.

Authors :
Guo, Hao
Zhang, Yumei
Ma, Heng
Gong, Peiyou
Shi, Yinghong
Zhao, Wenlei
Wang, Aijie
Liu, Ming
Sun, Zehua
Wang, Fang
Wang, Qing
Ba, Xinru
Source :
Adipocyte. Dec2022, Vol. 11 Issue 1, p133-142. 10p.
Publication Year :
2022

Abstract

Clear cell renal carcinoma (ccRCC) is the most common histological type of renal cancer and has the highest mortality. Several studies have been conducted on the relationship between adipose tissue and ccRCC prognosis, however, the results have been inconsistent to date. The current study aimed at establishing a link between abdominal fat composition and short-term prognosis in patients with ccRCC after T-stage stratification. We retrospectively analysed 250 patients with pathologically confirmed ccRCC (173 low T-stage and 77 high T-stage) in our hospital. The computed tomography (CT) images were evaluated using ImageJ. Then, subcutaneous and visceral fat areas (SFA and VFA), total fat areas (TFA) and the relative VFA (rVFA) were measured and computed. Meanwhile, biochemical indices of blood serum were analysed. The results showed that rVFA in low T-stage cohort who had a history of short-term postoperative complications were significantly lower than those who did not. No such association was observed in the high T-stage cohort. Further investigation revealed that the correlations between biochemical indexes and fat area-related variables varied across T-stage groups. As a result, rVFA is a reliable independent predictor of short-term prognosis in patients with low T-stage ccRCC but not in patients with high T-stage ccRCC. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
21623945
Volume :
11
Issue :
1
Database :
Academic Search Index
Journal :
Adipocyte
Publication Type :
Academic Journal
Accession number :
160755627
Full Text :
https://doi.org/10.1080/21623945.2022.2048546