AIM: The aim of this study was to develop a prognostic scoring system to predict the outcome of @entity1 with unresectable metastatic @entity694 who received primary @entity5 resection. METHOD: @entity1 with confirmed metastatic @entity694 treated at the Peking University Cancer Hospital between 2003 and 2012 were reviewed retrospectively. The correlation of clinicopathological factors with overall survival was analyzed using the Kaplan-Meier method and the log-rank test. Independent prognostic factors were identified using a Cox proportional hazards regression model, and were then combined to form a prognostic scoring system. RESULTS: 110 eligible @entity1 were included in the study. The median survival time was 10.4 months and the two-year overall survival (OS) rate was 21.8%. Age over 70 years, an @entity623 ( @entity623 ) level over 160 IU/L, @entity843 , a platelet lymphocyte ratio (PLR) above 162 and no postoperative therapy were independently associated with a @entity1349 in multivariate analysis. Age, @entity623 , @entity843 and PLR were subsequently combined to form the so called AAAP scoring system. @entity1 were classified into high, medium and low risk groups according to the score obtained. There were significant differences in OS between each group (p<0.001). CONCLUSION: Age, @entity623 , @entity843 , PLR and postoperative therapy were independent prognostic factors for survival of @entity1 with metastatic @entity694 who underwent primary @entity5 resection. The AAAP scoring system may be a useful tool for surgical decision making . This article is protected by copyright. All rights reserved.

@entity694 with unresectable synchronous metastases: the AAAP scoring system for predicting the outcome after primary XXXX resection.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['colon tumour', 'tumour'] @entity843 :: ('MESH:D001201', 'Disease') :: ['ascites'] @entity694 :: ('MESH:D003110', 'Disease') :: ['colonic cancer', 'colon cancer'] @entity623 :: ('250', 'Gene') :: ['ALP', 'alkaline phosphatase'] @entity1349 :: ('MESH:D011475', 'Disease') :: ['shorter OS']
@entity5 :: (MESH:D009369,Disease) :: ['tumour']
