Pretreatment platelet-lymphocyte ratio is an independent predictor of cervical cancer recurrence following concurrent chemoradiation therapy

被引:39
作者
Nakamura, Keiichiro [1 ]
Nishida, Takeshi [1 ]
Haruma, Tomoko [1 ]
Haraga, Junko [1 ]
Omichi, Chiaki [1 ]
Ogawa, Chikako [1 ]
Kusumoto, Tomoyuki [1 ]
Seki, Noriko [1 ]
Masuyama, Hisashi [1 ]
Hiramatsu, Yuji [1 ]
机构
[1] Okayama Univ, Dept Obstet & Gynecol, Grad Sch Med Dent & Pharmaceut Sci, 2-5-1 Shikata Cho, Okayama, Okayama 7008558, Japan
关键词
recurrent cervical cancer; platelet to lymphocyte ratio; prognosis predictor;
D O I
10.3892/mco.2015.595
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The aim of the present study was to identify the correlations between inflammation markers such as neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR) and C-reactive protein (CRP) and the prognosis in patients with recurrent cervical cancer. The associations among NLR, PLR and CRP and clinical characteristics and prognosis were examined in 32 patients receiving chemotherapy with recurrent cervical cancer following concurrent chemoradiation therapy (CCRT). The patient median survival time was 198 days (range, 42-1,022 days). Pretreatment NLR and PLR were significantly correlated with the recurrence of cervical cancer following CCRT (R=-0.538, P=0.002; and R=-0.542, P=0.001, respectively). Pretreatment PLR >322.0 was significantly associated with a poor prognosis for recurrent cervical cancer following CCRT by univariate and multivariate analyses (P=0.015 and P=0.029). These findings indicate that pretreatment PLR is an important predictor of prognosis in patients with recurrent cervical cancer following CCRT.
引用
收藏
页码:1001 / 1006
页数:6
相关论文
共 39 条
[1]  
Aliustaoglu M, 2010, HEPATO-GASTROENTEROL, V57, P640
[2]  
ARSENEAU J, 1986, INVEST NEW DRUG, V4, P187
[3]   TYPE-BETA TRANSFORMING GROWTH-FACTOR IN HUMAN-PLATELETS - RELEASE DURING PLATELET DEGRANULATION AND ACTION ON VASCULAR SMOOTH-MUSCLE CELLS [J].
ASSOIAN, RK ;
SPORN, MB .
JOURNAL OF CELL BIOLOGY, 1986, 102 (04) :1217-1223
[4]   Usefulness of the Neutrophil-to-Lymphocyte Ratio in Predicting Short- and Long-Term Mortality in Breast Cancer Patients [J].
Azab, Basem ;
Bhatt, Vijaya R. ;
Phookan, Jaya ;
Murukutla, Srujitha ;
Kohn, Nina ;
Terjanian, Terenig ;
Widmann, Warren D. .
ANNALS OF SURGICAL ONCOLOGY, 2012, 19 (01) :217-224
[5]   Inflammation and cancer: back to Virchow? [J].
Balkwill, F ;
Mantovani, A .
LANCET, 2001, 357 (9255) :539-545
[6]   RANDOMIZED TRIAL OF 3 CISPLATIN DOSE SCHEDULES IN SQUAMOUS-CELL CARCINOMA OF THE CERVIX - A GYNECOLOGIC ONCOLOGY GROUP-STUDY [J].
BONOMI, P ;
BLESSING, JA ;
STEHMAN, FB ;
DISAIA, PJ ;
WALTON, L ;
MAJOR, FJ .
JOURNAL OF CLINICAL ONCOLOGY, 1985, 3 (08) :1079-1085
[7]   Chemotherapy for recurrent cervical cancer [J].
Cadron, Isabelle ;
Van Gorp, Toon ;
Amant, Frederic ;
Leunen, Karin ;
Neven, Patrick ;
Vergote, Ignace .
GYNECOLOGIC ONCOLOGY, 2007, 107 (01) :S113-S118
[8]   Survival and recurrence after concomitant chemotherapy and radiotherapy for cancer of the uterine cervix: a systematic review and meta-analysis [J].
Green, JA ;
Kirwan, JM ;
Tierney, JF ;
Symonds, P ;
Fresco, L ;
Collingwood, M ;
Williams, CJ .
LANCET, 2001, 358 (9284) :781-786
[9]   Immunity, Inflammation, and Cancer [J].
Grivennikov, Sergei I. ;
Greten, Florian R. ;
Karin, Michael .
CELL, 2010, 140 (06) :883-899
[10]   Preoperative serum vascular endothelial growth factor as a prognostic parameter in ovarian cancer [J].
Hefler, Lukas A. ;
Zeillinger, Robert ;
Grimm, Christoph ;
Sood, Anil K. ;
Cheng, Wen Fang ;
Gadducci, Angiolo ;
Tempfer, Clemens B. ;
Reinthaller, Alexander .
GYNECOLOGIC ONCOLOGY, 2006, 103 (02) :512-517