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血小板增多症对可切除非小细胞肺癌的预后影响

Prognostic impact of thrombocytosis in resectable non-small cell lung cancer.

作者信息

Tomita Masaki, Shimizu Tetsuya, Hara Masaki, Ayabe Takanori, Onitsuka Toshio

机构信息

Department of Surgery II, Faculty of Medicine, University of Miyazaki, Kihara 5200, Kiyotake, Miyazaki, 889-1692, Japan.

出版信息

Interact Cardiovasc Thorac Surg. 2008 Aug;7(4):613-5. doi: 10.1510/icvts.2007.174391. Epub 2008 May 23.

Abstract

Relationship between thrombocytosis and poor prognosis has been reported in lung cancer. However, the majority of previous studies included many advanced stage and small cell lung cancer patients. Few studies focused on resectable non-small cell lung cancer patients. In the present study, therefore, consecutive 240 non-small cell lung cancer patients who received surgical resection were reviewed retrospectively, and investigated the survival impact of preoperative platelet count. In our results, the frequency of preoperative thrombocytosis was only 5.83% (14/240). The 5-year survival of patients with and without thrombocytosis was 28.87% and 63.73%, respectively. Both univariate and multivariate analyses indicated the independent prognostic impact of thrombocytosis. The present study is the first evaluation of prognostic effect of thrombocytosis in patients with resectable non-small cell lung cancer. Preoperative platelet count was a prognostic factor for resectable non-small cell lung cancer patients.

摘要

肺癌中血小板增多症与预后不良之间的关系已有报道。然而,以往的大多数研究纳入了许多晚期和小细胞肺癌患者。很少有研究关注可切除的非小细胞肺癌患者。因此,在本研究中,我们回顾性分析了连续240例接受手术切除的非小细胞肺癌患者,并研究了术前血小板计数对生存的影响。在我们的研究结果中,术前血小板增多症的发生率仅为5.83%(14/240)。有和无血小板增多症患者的5年生存率分别为28.87%和63.73%。单因素和多因素分析均表明血小板增多症具有独立的预后影响。本研究是首次评估血小板增多症对可切除非小细胞肺癌患者的预后作用。术前血小板计数是可切除非小细胞肺癌患者的一个预后因素。

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