[1]杨红彩,郭 志,司同国,等.去势抵抗性前列腺癌患者冷冻消融治疗后中性粒细胞与淋巴细胞比值变化的意义[J].介入放射学杂志,2017,(03):237-242.
 YANG Hongcai,GUO Zhi,SI Tongguo,et al.Clinical significance of neutrophil- to- lymphocyte ratio changes in patients with castration- resistant prostate cancer after receiving cryoablation[J].journal interventional radiology,2017,(03):237-242.
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去势抵抗性前列腺癌患者冷冻消融治疗后中性粒细胞与淋巴细胞比值变化的意义 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年03期
页码:
237-242
栏目:
非血管介入
出版日期:
2017-03-25

文章信息/Info

Title:
Clinical significance of neutrophil- to- lymphocyte ratio changes in patients with castration- resistant prostate cancer after receiving cryoablation
作者:
杨红彩 郭 志 司同国 邢文阁 于海鹏 杨雪玲 刘长富 张炜浩 国永飞 常 旭
Author(s):
YANG Hongcai GUO Zhi SI Tongguo XING Wenge YU Haipeng YANG Xueling LIU Changfu ZHANG Weihao GUO Yongfei CHANG Xu
Department of Interventional Therapy, CancerHospital of Tianjin Medical University, National Clinical Research Center of Cancer, Key Laboratory of Cancer Prevention and Therapy of Tianjin, Tianjin 300060, China
关键词:
【关键词】 去势抵抗性前列腺癌 中性粒细胞/淋巴细胞比值 氩氦冷冻消融术 预后
文献标志码:
A
摘要:
【摘要】 目的 探讨去势抵抗性前列腺癌(CRPC)患者氩氦冷冻消融术前外周血中性粒细胞与淋巴细胞比值(NLR)变化的意义。方法 收集并分析天津医科大学肿瘤医院33例行氩氦冷冻消融术的CRPC患者的临床病理资料。将可能影响术后总生存期(OS)的因素:年龄、基线前列腺特异抗原(PSA)水平、血红蛋白、白细胞计数、血小板计数、白蛋白、碱性磷酸酶、NLR、血小板与淋巴细胞比值(PLR)、激素敏感时间、是否化疗、有无骨转移、Gleason评分、ECOG评分、PSA有效率进行单因素和多因素分析。结果 本研究共33例患者,平均年龄为69岁(50~82岁),中位生存期为28个月(6~55个月),单因素分析显示:基线PSA水平、碱性磷酸酶、NLR、激素敏感时间、是否化疗、有无骨转移、Gleason评分、PSA有效率是影响CRPC患者冷冻消融术后OS的相关因素(P<0.05)。多因素分析显示:基线PSA水平(P=0.003)、NLR(P=0.009)、Gleason评分(P<0.001)是CRPC患者冷冻消融术后OS的独立预测因子。结论 NLR可作为CRPC患者行氩氦冷冻消融术的预后指标,NLR升高提示患者预后不良。

参考文献/References:

[1] Jemal A, Bray F, Center MM, et al. Global cancer statistics[J]. CA Cancer J Clin, 2011, 61: 69- 90.
[2] Proctor MJ, McMillan DC, Morrison DS, et al. A derived neutrophil to lymphocyte ratio predicts survival in patients with cancer[J]. Br J Cancer, 2012, 107: 695- 699.
[3] Shah TT, Ahmed H, Kanthabalan A, et al. Focal cryotherapy of localized prostate cancer: a systematic review of the literature[J]. Expert Rev Anticancer Ther, 2014, 14: 1337- 1347.
[4] 常小峰, 连惠波, 汪 维, 等. 冷冻治疗激素难治性前列腺癌[J]. 中国肿瘤外科杂志, 2012, 4: 197- 199.
[5] Mao HL, Zhu ZQ, Chen CD. The androgen receptor in hormone- refractory prostate cancer[J]. Asian J Androl, 2009, 11: 69- 73.
[6] Mulholland DJ, Jiao J, Wu H. Hormone refractory prostate cancer: lessons learned from the PTEN prostate cancer model[J]. Adv Exp Med Biol, 2008, 617: 87- 95.
[7] Goya M, Ishii G, Miyamoto S, et al. Prostate- specific antigen induces apoptosis of osteoclast precursors: potential role in osteoblastic bone metastases of prostate cancer[J]. Prostate, 2006, 66: 1573- 1584.
[8] Saad F, Segal S, Eastham J. Prostate- specific antigen kinetics and outcomes in patients with bone metastases from castration- resistant prostate cancer treated with or without zoledronic acid[J]. Eur Urol, 2014, 65: 146- 153.
[9] 张 姣, 王海涛, 杨 庆, 等. 化疗前中性粒细胞与淋巴细胞比值对接受多西他赛化疗的去势难治性前列腺癌患者预后的影响[J]. 肿瘤, 2015, 35: 333- 339.
[10] Ide H, Nakashima J, Kono H, et al. Prognostic stratification in patients who received hormonal therapy for prostate- specific antigen recurrence after radical prostatectomy[J]. Jpn J Clin Oncol, 2010, 40: 177- 180.
[11] Xiao WK, Chen D, Li SQ, et al. Prognostic significance of neutrophil- lymphocyte ratio in hepatocellular carcinoma: a meta- analysis[J]. BMC Cancer, 2014, 14: 117.
[12] Lee BS, Lee SH, Son JH. Neutrophil- lymphocyte ratio predicts survival in patients with advanced cholangiocarcinoma on chemotherapy[J]. Cancer Immunol Immunother, 2016, 65: 141- 150.
[13] Pang W, Lou N, Jin C, et al. Combination of preoperative platelet/lymphocyte and neutrophil/lymphocyte rates and tumor- related factors to predict lymph node metastasis in patients with gastric cancer[J]. Eur J Gastroenterol Hepatol, 2016, 28: 493- 502.
[14] Asaoka T, Miyamoto A, Maeda S, et al. Prognostic impact of preoperative NLR and CA19- 9 in pancreatic cancer[J]. Pancreatology, 2016, 16: 434- 440.
[15] Cedres S, Torrejon D, Martinez A, et al. Neutrophil to lymphocyte ratio(NLR) as an indicator of poor prognosis in stage Ⅳ non- small cell lung cancer[J]. Clin Transl Oncol, 2012, 14: 864- 869.
[16] Li MX, Liu XM, Zhang XF, et al. Prognostic role of neutrophil- to- lymphocyte ratio in colorectal cancer: a systematic review and meta- analysis[J]. Int J Cancer, 2014, 134: 2403- 2413.
[17] Hu K, Lou L, Ye J, et al. Prognostic role of the neutrophil- lymphocyte ratio in renal cell carcinoma: a meta- analysis[J]. BMJ Open, 2015, 5: e006404.
[18] Koh CH, Bhoo- Pathy N, Ng KL, et al. Utility of pre- treatment neutrophil- lymphocyte ratio and platelet- lymphocyte ratio as prognostic factors in breast cancer[J]. Br J Cancer, 2015, 113: 150- 158.
[19] Gu X, Gao X, Li X, et al. Prognostic significance of neutrophil- to- lymphocyte ratio in prostate cancer: evidence from 16, 266 patients[J]. Sci Rep, 2016, 6: 22089.
[20] Lee H, Jeong SJ, Hong SK, et al. High preoperative neutrophil- lymphocyte ratio predicts biochemical recurrence in patients with localized prostate cancer after radical prostatectomy[J]. World J Urol, 2016, 34: 821- 827.
[21] Nuhn P, Vaghasia AM, Goyal J, et al. Association of pretreatment neutrophil- to- lymphocyte ratio (NLR) and overall survival (OS)in patients with metastatic castration-resistant prostate cancer(mCRPC) treated with first- line docetaxel[J]. BJU Int, 2014, 114: E11- E17.

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备注/Memo

备注/Memo:
(收稿日期:2016-05-25)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2017-03-14