Implications of Low Serum Albumin as a Prognostic Factor of Long-term Outcomes in Patients With Breast Cancer.

In Vivo

Division of Breast and Endocrine Surgery, Department of General Surgical Science, Graduate School of Medicine, Gunma University, Gunma, Japan.

Published: June 2021

AI Article Synopsis

  • This study looked at how preoperative serum albumin levels affect long-term outcomes in breast cancer patients who underwent surgery.
  • It involved analyzing records from 157 patients, dividing them based on whether their serum albumin levels were below or above 4.0 g/dl before surgery.
  • Findings showed that lower albumin levels were linked to a shorter recurrence-free survival and overall survival, suggesting that low albumin could indicate a negative tumor environment despite not correlating with other poor-prognostic factors.

Article Abstract

Background/aim: We examined the relationship between preoperative serum albumin levels and long-term outcomes in patients with breast cancer.

Patients And Methods: We retrospectively analyzed the records of 157 patients who underwent breast cancer surgery at a single institution. We divided the patients into those with <4.0 g/dl and those with ≥4.0 g/dl preoperative serum albumin.

Results: The overall median follow-up period was 86.7 months. Among the 157 patients, 19 (12.1%) had decreased serum albumin levels preoperatively. A significant association with preoperative albumin levels was found only for patient age; however, we were unable to determine an association between preoperative albumin levels and various clinical features. The recurrence-free survival (p=0.030) and the overall survival (p=0.001) were both significantly shorter in patients with low albumin levels.

Conclusion: Low serum albumin levels were associated with poor prognosis, but not with poor-prognostic factors. Therefore, low albumin levels may reflect the tumor microenvironment in breast cancer.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7439858PMC
http://dx.doi.org/10.21873/invivo.12003DOI Listing

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