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Lymph node burden predicts recurrence patterns in cholangiocarcinoma

Tumor features after surgery for intrahepatic cholangiocarcinoma can inform recurrence risk and patient outcomes.

  • Of 1,328 patients, 57.5% experienced recurrence: 381 had intrahepatic-only, 171 extrahepatic-only, and 165 combined recurrences.
  • Having three or more metastatic lymph nodes increased the odds of combined recurrence by 3.47 times compared to intrahepatic-only (adjusted odds ratio).
  • Patients with combined recurrence faced worse post-recurrence survival and were less likely to receive curative-intent treatment.

Understanding these factors can help tailor postoperative surveillance and intervention strategies.

Journal Article by Yuza K, Chatzipanagiotou OP (…) Pawlik TM et 16 al. in Br J Surg

© The Author(s) 2026. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.
© The Author(s) 2026. Published by Oxford University Press on behalf of BJS Foundation Ltd. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.

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