Pre-treatment haemoglobin concentration is a prognostic factor in patients with early-stage breast cancer

被引:8
作者
Kandemir, EG [1 ]
Mayadagli, A [1 ]
Turken, O [1 ]
Yaylaci, M [1 ]
Ozturk, A [1 ]
机构
[1] GATA Haydarpasa Training Hosp, Dept Med Oncol, Istanbul, Turkey
关键词
breast cancer; anaemia; haemoglobin; concentration; prognostic factors;
D O I
10.1177/147323000503300307
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
We investigated the prevalence of anaemia (haemoglobin concentration < 12 g/dl) in 336 women with early-stage breast cancer and its association with other known prognostic factors. The median follow-up period was 60.5 months (range 9 123 months). Seventy-nine women (23.5%) had a low pre-treatment haemoglobin concentration, but anaemia was not correlated with age, tumour size, nodal status, histological grade or hormone receptor status. Univariate analysis revealed that disease-free survival and overall survival were shorter in patients with anaemia at the time of diagnosis than in patients with normal haemoglobin concentrations. Anaemia remained a significant prognostic factor for disease-free survival and overall survival in the multivariate analysis (relative risk, 1.884 and 1.785, respectively). These results suggest that pre-treatment haemoglobin concentration is an independent prognostic factor in patients with early-stage breast cancer.
引用
收藏
页码:319 / 328
页数:10
相关论文
共 37 条
[1]  
[Anonymous], 1994, RADIOBIOLOGY RADIOLO
[2]   Pretreatment haemoglobin levels significantly predict the tumour response to primary chemotherapy in human breast cancer [J].
Bottini, A ;
Berruti, A ;
Brizzi, MP ;
Bersiga, A ;
Generali, D ;
Allevi, G ;
Aguggini, S ;
Bolsi, G ;
Bonardi, S ;
Bertoli, G ;
Alquati, P ;
Dogliotti, L .
BRITISH JOURNAL OF CANCER, 2003, 89 (06) :977-982
[3]   Biological basis of anemia [J].
Bron, D ;
Meuleman, N ;
Mascaux, C .
SEMINARS IN ONCOLOGY, 2001, 28 (02) :1-6
[4]  
Caro JJ, 2001, CANCER-AM CANCER SOC, V91, P2214, DOI 10.1002/1097-0142(20010615)91:12<2214::AID-CNCR1251>3.0.CO
[5]  
2-P
[6]   Low hemoglobin is associated with increased serum levels of vascular endothelial growth factor (VEGF) in cancer patients -: Does anemia stimulate angiogenesis? [J].
Dunst, J ;
Pigorsch, S ;
Hänsgen, G ;
Hintner, I ;
Lautenschläger, C ;
Becker, A .
STRAHLENTHERAPIE UND ONKOLOGIE, 1999, 175 (03) :93-96
[7]   OXYGEN DISTRIBUTION IN SQUAMOUS-CELL CARCINOMA METASTASES AND ITS RELATIONSHIP TO OUTCOME OF RADIATION-THERAPY [J].
GATENBY, RA ;
KESSLER, HB ;
ROSENBLUM, JS ;
COIA, LR ;
MOLDOFSKY, PJ ;
HARTZ, WH ;
BRODER, GJ .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1988, 14 (05) :831-838
[8]   Hypoxia-mediated selection of cells with diminished apoptotic potential in solid tumours [J].
Graeber, TG ;
Osmanian, C ;
Jacks, T ;
Housman, DE ;
Koch, CJ ;
Lowe, SW ;
Giaccia, AJ .
NATURE, 1996, 379 (6560) :88-91
[9]  
Graham CH, 1999, INT J CANCER, V80, P617, DOI 10.1002/(SICI)1097-0215(19990209)80:4<617::AID-IJC22>3.0.CO
[10]  
2-C