Sequential Analysis of Neutrophil-to-lymphocyte Ratio for Differentiated Thyroid Cancer Patients Treated With Lenvatinib

被引:30
作者
Fukuda, Naoki [1 ]
Wang, Xiaofei [1 ]
Ohmoto, Akihiro [1 ]
Urasaki, Tetsuya [1 ]
Sato, Yasuyoshi [1 ]
Nakano, Kenji [1 ]
Nishizawa, Masatoshi [1 ]
Yunokawa, Mayu [1 ]
Ono, Makiko [1 ]
Tomomatsu, Junichi [1 ]
Takahashi, Shunji [1 ]
机构
[1] JFCR, Canc Inst Hosp, Dept Med Oncol, Tokyo, Japan
来源
IN VIVO | 2020年 / 34卷 / 02期
基金
日本学术振兴会;
关键词
Thyroid cancer; lenvatinib; neutrophil-to-lymphocyte ratio; prognostic factors; ANTITUMOR ACTIVITIES; INHIBITOR; E7080; CARCINOMA; IMPACT;
D O I
10.21873/invivo.11828
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Background/Aim: Neutrophil-to-lymphocyte ratio (NLR) has been reported to be associated with poor prognosis for radioactive iodine ablation refractory differentiated thyroid cancer (RR-DTC). Little is known whether NLR can be a tumor marker for RR-DTC patients treated with lenvatinib. Patients and Methods: We retrospectively analyzed RR-DTC patients treated with lenvatinib. NLR was calculated at 4 points before and during lenvatinib treatment. Results: The median NLR value increased at the start of lenvatinib treatment, compared to 6 months prior to initiation of lenvatinib treatment. The median overall survival was significantly longer in patients with the lower NLR (<3) at the start of lenvatinib treatment. The median NLR values decreased when the patients achieved best tumor response, and increased again upon disease progression. Conclusion: NLR values vary before and during lenvatinib treatment, suggesting that this ratio can reflect disease activity of RR-DTC. NLR can supportively be used as a tumor marker of RR-DTC and an indicator for starting lenvatinib treatment.
引用
收藏
页码:709 / 714
页数:6
相关论文
共 21 条
[1]   Sorafenib in radioactive iodine-refractory, locally advanced or metastatic differentiated thyroid cancer: a randomised, double-blind, phase 3 trial [J].
Brose, Marcia S. ;
Nutting, Christopher M. ;
Jarzab, Barbara ;
Elisei, Rossella ;
Siena, Salvatore ;
Bastholt, Lars ;
de la Fouchardiere, Christelle ;
Pacini, Furio ;
Paschke, Ralf ;
Shong, Young Kee ;
Sherman, Steven I. ;
Smit, Johannes W. A. ;
Chung, John ;
Kappeler, Christian ;
Pena, Carol ;
Molnar, Istvan ;
Schlumberger, Martin J. .
LANCET, 2014, 384 (9940) :319-328
[2]   Cytokine profile and prognostic significance of high neutrophil-lymphocyte ratio in colorectal cancer [J].
Chen, Z-Y ;
Raghav, K. ;
Lieu, C. H. ;
Jiang, Z-Q ;
Eng, C. ;
Vauthey, J-N ;
Chang, G. J. ;
Qiao, W. ;
Morris, J. ;
Hong, D. ;
Hoff, P. ;
Tran, H. ;
Menter, D. G. ;
Heymach, J. ;
Overman, M. ;
Kopetz, S. .
BRITISH JOURNAL OF CANCER, 2015, 112 (06) :1088-1097
[3]   The neutrophil to lymphocyte ratio can discriminate anaplastic thyroid cancer against poorly or well differentiated cancer [J].
Cho, Jin-Seong ;
Park, Min-Ho ;
Ryu, Young-Jae ;
Yoon, Jung-Han .
ANNALS OF SURGICAL TREATMENT AND RESEARCH, 2015, 88 (04) :187-192
[4]   Development and clinical impact of thyroglobulin antibodies in patients with differentiated thyroid carcinoma during the first 3 years after thyroidectomy [J].
Görges, R ;
Maniecki, M ;
Jcntzen, W ;
Sheu, SNY ;
Mann, K ;
Bockisch, A ;
Janssen, OE .
EUROPEAN JOURNAL OF ENDOCRINOLOGY, 2005, 153 (01) :49-55
[5]   Investigation of the freely available easy-to-use software 'EZR' for medical statistics [J].
Kanda, Y. .
BONE MARROW TRANSPLANTATION, 2013, 48 (03) :452-458
[6]   Prognostic importance of baseline neutrophil to lymphocyte ratio in patients with advanced papillary thyroid carcinomas [J].
Kim, Ju-Yeon ;
Park, Taejin ;
Jeong, Sang-Ho ;
Jeong, Chi-Young ;
Ju, Young-Tae ;
Lee, Young-Joon ;
Hong, Soon-Chan ;
Ha, Woo-Song ;
Choi, Sang-Kyung ;
Jung, Eun Jung .
ENDOCRINE, 2014, 46 (03) :526-531
[7]   SIGNIFICANCE OF ANTITHYROGLOBULIN AUTOANTIBODIES IN DIFFERENTIATED THYROID-CARCINOMA [J].
KUMAR, A ;
SHAH, DH ;
SHRIHARI, U ;
DANDEKAR, SR ;
VIJAYAN, U ;
SHARMA, SM .
THYROID, 1994, 4 (02) :199-202
[8]   Risk-Adapted Management of Differentiated Thyroid Cancer Assessed by a Sensitive Measurement of Basal Serum Thyroglobulin [J].
Malandrino, Pasqualino ;
Latina, Adele ;
Marescalco, Salvatore ;
Spadaro, Angela ;
Regalbuto, Concetto ;
Fulco, Rosa Anna ;
Scollo, Claudia ;
Vigneri, Riccardo ;
Pellegriti, Gabriella .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2011, 96 (06) :1703-1709
[9]   Association of Baseline Neutrophil-to-Lymphocyte Ratio with Clinicopathological Characteristics of Papillary Thyroid Carcinoma [J].
Manatakis, Dimitrios K. ;
Tseleni-Balafouta, Sofia ;
Balalis, Dimitrios ;
Soulou, Vasiliki N. ;
Korkolis, Dimitrios P. ;
Sakorafas, George H. ;
Plataniotis, Georgios ;
Gontikakis, Emmanouil .
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY, 2017, 2017
[10]   Multi-kinase inhibitor E7080 suppresses lymph node and lung metastases of human mammary breast tumor MDA-MB-231 via inhibition of vascular endothelial growth factor-receptor (VEGF-R) 2 and VEGF-R3 kinase [J].
Matsui, Junji ;
Funahashi, Yasuhiro ;
Uenaka, Toshimitsu ;
Watanabe, Tatsuo ;
Tsuruoka, Akihiko ;
Asada, Makoto .
CLINICAL CANCER RESEARCH, 2008, 14 (17) :5459-5465