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Keywords {🔍}

crp, nlr, patients, tumor, survival, article, hcc, cancer, pubmed, google, scholar, levels, study, response, carcinoma, hepatocellular, prognostic, childpugh, class, cas, mgl, ratio, elevated, analysis, treatment, serum, creactive, protein, markers, significant, korea, figure, stage, months, neutrophiltolymphocyte, prognosis, factors, liver, inflammation, inflammatory, size, high, disease, data, role, incheon, group, authors, baseline, median,

Topics {✒️}

tumour t-lymphocyte infiltration tac-based loco-regional therapy tumor-infiltrating cd4+ t-lymphocytes open access article based loco-regional therapy c-reactive protein formation human c-reactive protein serum c-reactive protein malignant tumors/international union article download pdf pre-publication history kaplan-meier survival curves aggravating child-pugh class delta neutrophil–lymphocyte ratio lymphocyte-mediated immune response loco-regional therapy significant positive inter-correlation /ii/iii/iva/ivb jung hyun kwon c-reactive protein chul seung kay accumulated il-17-recruited neutrophils elevated serum α-fetoprotein cox regression model privacy choices/manage cookies jeong won jang authors’ original file key proangiogenic factor hepatocellular carcinoma cells full access human cholangiocellular carcinoma kaplan-meier method liver disease progressed kyu won chung liver cancer surgery paracrine regulation mediated child-pugh class portal vein thrombosis renal cell cancer child-pugh classes present findings show bmc cancer 13 factors affecting recurrence anti-apoptotic activity stimulates proangiogenic activity understand inflammatory process key prognostic factors present study focused log-rank test systemic inflammatory response

Questions {❓}

• Muller I, Munder M, Kropf P, Hansch GM: Polymorphonuclear neutrophils and T lymphocytes: strange bedfellows or brothers in arms?

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         headline:Prognostic value of C-reactive protein and neutrophil-to-lymphocyte ratio in patients with hepatocellular carcinoma
         description:Accumulating evidence indicates that components of the systemic inflammatory response, such as C-reactive protein (CRP) and neutrophil-to-lymphocyte ratio (NLR), have been associated with prognosis of various cancers. We aimed to elucidate whether CRP and NLR could serve as potential surrogate markers for response and survival in patients with hepatocellular carcinoma (HCC). The study population consisted of 318 consecutive patients with HCC. CRP and NLR were measured at baseline with follow-up measurements. With the mean follow-up of 13.9 months, the median survival time was 13.8 months. Child-Pugh class, tumor size > 5 cm, tumor multiplicity, presence of portal vein thrombosis, α-fetoprotein > 200 ng/mL, CRP > 6.3 mg/L and NLR > 2.3 were identified as independent factors for worse survival of HCC (all p < 0.05). Patients with elevated CRP (> 6.3 mg/L) and elevated NLR (> 2.3) had a significantly shorter overall survival than those with low CRP and low NLR (all p < 0.001). The combined use of CRP and NLR provided incremental prognostic information. With significant inter-correlations, levels of CRP and NLR escalated with aggravating Child-Pugh class from A to C or progressing tumor stage from I to IV. CRP and NLR on baseline and serial measurements were well predictive of treatment response (p < 0.001). CRP and NLR are independent indicators for survival in HCC patients, reflecting tumor burden and hepatic reserve. Their role in predicting tumor response and survival is more enhanced when used in combination. This study suggests that CRP and NLR are important prognostic biomarkers for HCC.
         datePublished:2013-02-15T00:00:00Z
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      headline:Prognostic value of C-reactive protein and neutrophil-to-lymphocyte ratio in patients with hepatocellular carcinoma
      description:Accumulating evidence indicates that components of the systemic inflammatory response, such as C-reactive protein (CRP) and neutrophil-to-lymphocyte ratio (NLR), have been associated with prognosis of various cancers. We aimed to elucidate whether CRP and NLR could serve as potential surrogate markers for response and survival in patients with hepatocellular carcinoma (HCC). The study population consisted of 318 consecutive patients with HCC. CRP and NLR were measured at baseline with follow-up measurements. With the mean follow-up of 13.9 months, the median survival time was 13.8 months. Child-Pugh class, tumor size > 5 cm, tumor multiplicity, presence of portal vein thrombosis, α-fetoprotein > 200 ng/mL, CRP > 6.3 mg/L and NLR > 2.3 were identified as independent factors for worse survival of HCC (all p < 0.05). Patients with elevated CRP (> 6.3 mg/L) and elevated NLR (> 2.3) had a significantly shorter overall survival than those with low CRP and low NLR (all p < 0.001). The combined use of CRP and NLR provided incremental prognostic information. With significant inter-correlations, levels of CRP and NLR escalated with aggravating Child-Pugh class from A to C or progressing tumor stage from I to IV. CRP and NLR on baseline and serial measurements were well predictive of treatment response (p < 0.001). CRP and NLR are independent indicators for survival in HCC patients, reflecting tumor burden and hepatic reserve. Their role in predicting tumor response and survival is more enhanced when used in combination. This study suggests that CRP and NLR are important prognostic biomarkers for HCC.
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         Neutrophil-to-lymphocyte ratio
         C-reactive protein
         Hepatocellular carcinoma
         Survival
         Cancer Research
         Oncology
         Surgical Oncology
         Health Promotion and Disease Prevention
         Biomedicine
         general
         Medicine/Public Health
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      name:Division of Hepatology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seocho-gu, South Korea
      name:Department of Internal Medicine, The Catholic University of Korea, Incheon St. Mary’s Hospital, Incheon, South Korea
      name:Department of Internal Medicine, The Catholic University of Korea, Incheon St. Mary’s Hospital, Incheon, South Korea
      name:Department of Internal Medicine, The Catholic University of Korea, Incheon St. Mary’s Hospital, Incheon, South Korea
      name:Department of Radiation Oncology, The Catholic University of Korea, Incheon, South Korea
      name:Department of Radiology, The Catholic University of Korea, Incheon St. Mary’s Hospital, Incheon, South Korea
      name:Department of Laboratory Medicine, The Catholic University of Korea, Incheon St. Mary’s Hospital, Incheon, South Korea

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