Role of the Appendicular Skeletal Muscle Index for Predicting the Recurrence-Free Survival of Head and Neck Cancer

被引：8

作者：

Yeh, Kun-Yun ^{[1
,2
]}

Ling, Hang Huong ^{[1
,2
]}

Ng, Shu-Hang ^{[3
,4
]}

Wang, Cheng-Hsu ^{[1
,2
]}

Chang, Pei-Hung ^{[1
,2
]}

Chou, Wen-Chi ^{[5
,6
]}

Chen, Fang-Ping ^{[2
,7
,8
,9
]}

Lin, Yu-Ching ^{[2
,9
,10
]}

机构：

[1] Chang Gung Mem Hosp, Coll Med, Dept Internal Med, Div Hematooncol, Keelung, Taiwan

[2] Chang Gung Univ, Keelung 222, Taiwan

[3] Chang Gung Mem Hosp, Dept Med Imaging & Intervent, Taoyuan 222, Taiwan

[4] Chang Gung Univ, Taoyuan 222, Taiwan

[5] Chang Gung Mem Hosp, Coll Med, Dept Internal Med, Div Hematooncol, Linkou, Taiwan

[6] Chang Gung Univ, Taoyuan 333, Taiwan

[7] Chang Gung Mem Hosp, Coll Med, Dept Obstet & Gynecol, Keelung, Taiwan

[8] Chang Gung Univ, Hlth Aging Res Ctr, Taoyuan 333, Taiwan

[9] Chang Gung Mem Hosp, Osteoporosis Prevent & Treatment Ctr, Keelung 222, Taiwan

[10] Chang Gung Mem Hosp, Coll Med, Dept Med Imaging & Intervent, Keelung, Taiwan

来源：

DIAGNOSTICS | 2021年 / 11卷 / 02期

关键词：

appendicular skeletal muscle index; head and neck cancer; dual-energy X-ray absorptiometry; recurrence-free survival rate; lean mass; concurrent chemoradiotherapy; LOCALLY ADVANCED HEAD; BODY-COMPOSITION; MASS; SARCOPENIA; RADIATION; IMPACT;

D O I：

10.3390/diagnostics11020309

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: This study investigates whether the appendicular skeletal muscle index (ASMI) was an independent prognostic predictor for patients with locally advanced head and neck cancer (LAHNC) receiving concurrent chemoradiotherapy (CCRT) and whether there were any differences in lean mass loss in different body regions during CCRT. Methods: In this prospective study, we analyzed the clinicopathological variables and the total body composition data before and after treatment. The factors associated with the 2-year recurrence-free survival rate (RFSR) were analyzed via logistic regression analysis. Results: A total of 98 patients were eligible for analysis. The body weight, body mass index, and all parameters of body composition significantly decreased after CCRT. The pretreatment ASMI was the only independent prognostic factor for predicting the 2-year RFSR (hazard ratio, 0.235; 95% confidence interval, 0.062-0.885; p = 0.030). There was at least 5% reduction in total lean and fat mass (p < 0.001); however, the highest lean mass loss was observed in the arms (9.5%), followed by the legs (7.2%), hips (7.1%), waist (4.7%), and trunk (3.6%). Conclusions: The pretreatment ASMI was the only independent prognostic predictor for the 2-year RFSR of LAHNC patients undergoing CCRT. Asynchronous loss of lean mass may be observed in different body parts after CCRT.

引用

页数：11

共 29 条

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