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Copyright ©The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jan 27, 2026; 18(1): 113363
Published online Jan 27, 2026. doi: 10.4240/wjgs.v18.i1.113363
Integrating inflammation-based scores into gastric cancer prognosis
Lu-Yang Li, Shinichiro Kobayashi, Shunsuke Murakami, Shun Yamaguchi, Kaito Tasaki, Susumu Eguchi, Kengo Kanetaka
Lu-Yang Li, Shinichiro Kobayashi, Shunsuke Murakami, Shun Yamaguchi, Kaito Tasaki, Susumu Eguchi, Kengo Kanetaka, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki 852-8501, Japan
Author contributions: Li LY and Kobayashi S drafted the manuscript; Li LY, Kobayashi S, Murakami S, Yamaguchi S, and Tasaki K edited the manuscript; Eguchi S and Kanetaka K conceived the study and supervised the overall design. All authors have read and approved the final manuscript.
Supported by Japan Society for the Promotion of Science, No. 24K11935.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Shinichiro Kobayashi, MD, PhD, Associate Professor, FACS, Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki 852-8501, Japan. skobayashi1980@gmail.com
Received: August 25, 2025
Revised: October 2, 2025
Accepted: November 3, 2025
Published online: January 27, 2026
Processing time: 151 Days and 2 Hours
Core Tip

Core Tip: The conventional tumor-node-metastasis (TNM) staging system for gastric cancer has limitations as it often fails to capture tumor biology and host immune responses. Zhou et al developed a novel composite biomarker using the inflammatory markers, systemic inflammation response index and platelet-to-lymphocyte ratio. This score has been identified as an independent predictor of survival. A nomogram integrating this score with the TNM stage and other factors demonstrated superior predictive accuracy compared with the TNM system alone. Although promising, these findings require multicenter validation. Future studies should integrate these biomarkers with genomic data for more precise and personalized risk stratification of patients with gastric cancer.