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Title:
Initial neutrophil lymphocyte ratio is superior to platelet lymphocyte ratio as an adverse prognostic and predictive factor in metastatic colorectal cancer | Medical Oncology
Description:
The prognostic, especially predictive, values of inflammation indexes in advanced colorectal cancer were not established. Therefore, the both values of neutrophil lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) in patients with initially metastatic colorectal cancer (mCRC) were investigated and compared. Samples were collected from 243 patients who were initially diagnosed with mCRC between 2005 and 2010 in the Sun Yat-sen University Cancer Center. Elevated NLR (p < 0.001), PLR (p = 0.008), and CEA (p < 0.001) were identified as statistically significant poor prognostic factors for overall survival (OS), while only NLR (p = 0.029) and CEA (p < 0.001) were validated as independent predictors. Univariate analysis identified elevated NLR (p < 0.001), PLR (p = 0.023), and CEA (p < 0.001) as statistically significant poor predict factors for the progression-free survival (PFS) of first-line chemotherapy, while NLR (p = 0.013) and CEA (p = 0.001) were independent. In addition, we observed significantly different OS (p < 0.001) and PFS (p < 0.001) among patients who had elevations in both NLR and CEA levels and those having one elevation or neither elevation. NLR, PLR, and CEA were significant predictors of OS and PFS in mCRC. However, only NLR and CEA play as independent. When coupled with CEA, NLR may lead to improved prognostic predictors.
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cancer, article, pubmed, google, scholar, patients, colorectal, prognostic, cas, ratio, nlr, oncol, cea, survival, lymphocyte, inflammatory, metastatic, chemotherapy, kim, surg, privacy, cookies, content, yin, xia, access, markers, colon, systemic, response, outcome, preoperative, mcmillan, information, publish, search, neutrophil, platelet, predictive, wenzhuo, chenxi, guo, wang, qiu, chen, zhang, liangping, inflammation, advanced, plr,
Topics {āļø}
sun yat-sen university month download article/chapter pre-operative plasma levels inflammation-based prognostic score pre-treatment inflammatory indexes neutrophil lymphocyte ratio neutrophil-lymphocyte ratio lymphocyte ratio predict full article pdf platelet lymphocyte ratio platelet-lymphocyte ratio bei zhang metastatic colorectal cancer privacy choices/manage cookies colon cancer progression pre-operative assessment liangping xia primary operable cancer operable colorectal cancer systemic inflammatory response inflammatory markers adjuvant folfox chemotherapy advanced colorectal cancer poor prognosis plasma protease inhibitors patients undergoing resection european economic area c-reactive protein nat rev immunol ductal adenocarcinoma head cancer-specific survival line palliative chemotherapy improved prognostic predictors prognostic biomarker clin cancer res conditions privacy policy selected markers colorectal cancer patients progression-free survival disease-free survival lymphocyte ratio accepting optional cookies prognostic significance author information authors article log check access instant access articleĀ numberĀ 439 journal finder publish delta neutrophil
Questions {ā}
- Can neutrophil-to-lymphocyte ratio predict the survival of colorectal cancer patients who have received curative surgery electively?
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headline:Initial neutrophil lymphocyte ratio is superior to platelet lymphocyte ratio as an adverse prognostic and predictive factor in metastatic colorectal cancer
description:The prognostic, especially predictive, values of inflammation indexes in advanced colorectal cancer were not established. Therefore, the both values of neutrophil lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) in patients with initially metastatic colorectal cancer (mCRC) were investigated and compared. Samples were collected from 243 patients who were initially diagnosed with mCRC between 2005 and 2010 in the Sun Yat-sen University Cancer Center. Elevated NLR (pĀ <Ā 0.001), PLR (pĀ =Ā 0.008), and CEA (pĀ <Ā 0.001) were identified as statistically significant poor prognostic factors for overall survival (OS), while only NLR (pĀ =Ā 0.029) and CEA (pĀ <Ā 0.001) were validated as independent predictors. Univariate analysis identified elevated NLR (pĀ <Ā 0.001), PLR (pĀ =Ā 0.023), and CEA (pĀ <Ā 0.001) as statistically significant poor predict factors for the progression-free survival (PFS) of first-line chemotherapy, while NLR (pĀ =Ā 0.013) and CEA (pĀ =Ā 0.001) were independent. In addition, we observed significantly different OS (pĀ <Ā 0.001) and PFS (pĀ <Ā 0.001) among patients who had elevations in both NLR and CEA levels and those having one elevation or neither elevation. NLR, PLR, and CEA were significant predictors of OS and PFS in mCRC. However, only NLR and CEA play as independent. When coupled with CEA, NLR may lead to improved prognostic predictors.
datePublished:2013-01-10T00:00:00Z
dateModified:2013-01-10T00:00:00Z
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NLR
CEA
Colorectal cancer
Biomarker
Prognosis
Oncology
Hematology
Pathology
Internal Medicine
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headline:Initial neutrophil lymphocyte ratio is superior to platelet lymphocyte ratio as an adverse prognostic and predictive factor in metastatic colorectal cancer
description:The prognostic, especially predictive, values of inflammation indexes in advanced colorectal cancer were not established. Therefore, the both values of neutrophil lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) in patients with initially metastatic colorectal cancer (mCRC) were investigated and compared. Samples were collected from 243 patients who were initially diagnosed with mCRC between 2005 and 2010 in the Sun Yat-sen University Cancer Center. Elevated NLR (pĀ <Ā 0.001), PLR (pĀ =Ā 0.008), and CEA (pĀ <Ā 0.001) were identified as statistically significant poor prognostic factors for overall survival (OS), while only NLR (pĀ =Ā 0.029) and CEA (pĀ <Ā 0.001) were validated as independent predictors. Univariate analysis identified elevated NLR (pĀ <Ā 0.001), PLR (pĀ =Ā 0.023), and CEA (pĀ <Ā 0.001) as statistically significant poor predict factors for the progression-free survival (PFS) of first-line chemotherapy, while NLR (pĀ =Ā 0.013) and CEA (pĀ =Ā 0.001) were independent. In addition, we observed significantly different OS (pĀ <Ā 0.001) and PFS (pĀ <Ā 0.001) among patients who had elevations in both NLR and CEA levels and those having one elevation or neither elevation. NLR, PLR, and CEA were significant predictors of OS and PFS in mCRC. However, only NLR and CEA play as independent. When coupled with CEA, NLR may lead to improved prognostic predictors.
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name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:Tumor Center, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Peopleās Republic of China
name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:State Key Laboratory of Oncology in South China, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
name:VIP Region, Sun Yat-sen University Cancer Center, Guangzhou, Peopleās Republic of China
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