Prognostic Value of Hematological Parameters in Locally Advanced Cervical Cancer Patients Treated With Concurrent Chemoradiotherapy

被引:25
|
作者
Lee, Hyun Jung [1 ,2 ]
Kim, Jong Mi [1 ,2 ]
Chin, Yoo Jeong [1 ,2 ]
Chong, Gun Oh [1 ,3 ,4 ]
Park, Shin-Hyung [5 ,6 ]
Lee, Yoon Hee [1 ,3 ,4 ]
Hong, Dae Gy [1 ,3 ]
Lee, Yoon Soon [1 ,3 ]
机构
[1] Kyungpook Natl Univ, Sch Med, Dept Obstet & Gynecol, Daegu, South Korea
[2] Kyungpook Natl Univ Hosp, Dept Obstet & Gynecol, Daegu, South Korea
[3] Kyungpook Natl Univ, Chilgok Hosp, Dept Obstet & Gynecol, Daegu, South Korea
[4] Kyungpook Natl Univ, Sch Med, Mol Diagnost & Imaging Ctr, Daegu, South Korea
[5] Kyungpook Natl Univ, Sch Med, Dept Radiat Oncol, Daegu, South Korea
[6] Kyungpook Natl Univ Hosp, Dept Radiat Oncol, Daegu, South Korea
关键词
Locally advanced cervical cancer; post-treatment hematological parameters; prognosis; neutrophil-to-lymphocyte; concurrent chemoradiotherapy; NEUTROPHIL LYMPHOCYTE RATIO; TO-LYMPHOCYTE; INFLAMMATION; CARCINOMA;
D O I
10.21873/anticanres.13973
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background/Aim: We evaluated the clinical implications of pre- and post-treatment hematological parameters as prognostic factors in patients with locally advanced cervical cancer (LACC) who received definitive concurrent chemoradiotherapy (CCRT). Patients and Methods: We retrospectively analyzed 125 patients with LACC (FIGO stage IIB to IIIB) who received definitive CCRT. Clinical factors and hematological parameters, including neutrophil-to-lymphocyte ratio (NLR) were assessed pre- and post-CCRT. Univariate and multivariate analysis for disease-free survival (DFS) and overall survival (OS) were performed using clinicopathological and hematological parameters. Results: Disease recurred in 46 (36.8%) patients, and 24 patients (19.2%) died. On multivariate analysis, post-treatment NLR, Delta NLR (pre-treatment NLR/post-treatment NLR) and Delta PLR (platelet-to-lymphocyte ratio) (pre-treatment PLR/post-treatment PLR) were significant prognostic factors
引用
收藏
页码:451 / 458
页数:8
相关论文
共 50 条
  • [11] Pelvic node control in patients with locally advanced uterine cervical cancer treated with concurrent chemoradiotherapy
    Toita, T.
    Nagai, Y.
    Tamaki, W.
    Ogawa, K.
    Gibo, S.
    Kakinohana, Y.
    Kamiyama, K.
    Inamine, M.
    Aoki, Y.
    Murayama, S.
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (18)
  • [12] Toxicity of concurrent chemoradiotherapy for locally advanced cervical cancer
    Jakubowicz, J.
    Blecharz, P.
    Skotnicki, P.
    Reinfuss, M.
    Walasek, T.
    Luczynska, E.
    [J]. EUROPEAN JOURNAL OF GYNAECOLOGICAL ONCOLOGY, 2014, 35 (04) : 393 - 399
  • [13] Comparison of the Prognostic Value of F-18 Pet Metabolic Parameters of Primary Tumors and Regional Lymph Nodes in Patients with Locally Advanced Cervical Cancer Who Are Treated with Concurrent Chemoradiotherapy
    Chong, Gun Oh
    Jeong, Shin Young
    Park, Shin-Hyung
    Lee, Yoon Hee
    Lee, Sang-Woo
    Hong, Dae Gy
    Kim, Jae-Chul
    Lee, Yoon Soon
    Cho, Young Lae
    [J]. PLOS ONE, 2015, 10 (09):
  • [14] Comparison of the prognostic value of F-18 FDG PET/CT metabolic parameters of primary tumors and MRI findings in patients with locally advanced cervical cancer treated with concurrent chemoradiotherapy
    Dag, Zedef
    Yilmaz, Burcak
    Dogan, Ayse Kutluhan
    Aksan, Donay Unluer
    Ozkurt, Huseyin
    Kizilkaya, Hazim Orhan
    Arslan, Deniz
    [J]. BRACHYTHERAPY, 2019, 18 (02) : 154 - 162
  • [15] The value of metabolic parameters and textural analysis in predicting prognosis in locally advanced cervical cancer treated with chemoradiotherapy
    Pedraza, Sara
    Seiffert, Alexander P.
    Sarandeses, Pilar
    Munoz-Lopez, Beatriz
    Gomez, Enrique J.
    Sanchez-Gonzalez, Patricia
    Perez-Regadera, Jose F.
    [J]. STRAHLENTHERAPIE UND ONKOLOGIE, 2022, 198 (09) : 792 - 801
  • [16] The value of metabolic parameters and textural analysis in predicting prognosis in locally advanced cervical cancer treated with chemoradiotherapy
    Sara Pedraza
    Alexander P. Seiffert
    Pilar Sarandeses
    Beatriz Muñoz-Lopez
    Enrique J. Gómez
    Patricia Sánchez-González
    José F. Pérez-Regadera
    [J]. Strahlentherapie und Onkologie, 2022, 198 : 792 - 801
  • [17] The therapeutic value of adjuvant chemotherapy after concurrent chemoradiotherapy for locally advanced cervical cancer
    Wang, Ya-nan
    Zhong, Mei-ling
    Liang, Mei-rong
    Yang, Jian-tong
    Zeng, Si-yuan
    [J]. GYNECOLOGIC AND OBSTETRIC INVESTIGATION, 2023, 88 (05) : 286 - 293
  • [18] Hematological Parameters at Baseline: A Novel Prognostic Factor for Cervical Cancer Patients Undergoing Concurrent Chemoradiotherapy in South India
    Garg, Monal
    Bhati, Priya
    Balaji, Gautham
    Sasidharan, Ajay
    Kalavagunta, Sruthi
    Sheejamol, V. S.
    Dutta, Debnarayan
    [J]. CUREUS JOURNAL OF MEDICAL SCIENCE, 2024, 16 (09)
  • [19] Pelvic node control in locally advanced uterine cervical cancer treated with concurrent chemoradiotherapy
    Toita, T.
    Tamaki, W.
    Nagai, Y.
    Ogawa, K.
    Gibo, S.
    Kakinohana, Y.
    Hirakawa, M.
    Kamiyama, K.
    Aoki, Y.
    Murayama, S.
    [J]. EJC SUPPLEMENTS, 2007, 5 (04): : 321 - 322
  • [20] Prognostic prediction of oxidative stress related hematological biomarkers in locally advanced cervical cancer patients undergoing chemoradiotherapy
    Wu, Gang
    Gu, Mengxuan
    Zhu, Jiahao
    Gu, Ruike
    Yang, Bo
    Ji, Shengjun
    Zhao, Yutian
    Gu, Ke
    [J]. BIOMARKERS, 2024, 29 (05) : 255 - 264