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脂质谱作为癌症患者的预后因素。

Lipid profile as a prognostic factor in cancer patients.

作者信息

Cvetkovic Z, Cvetkovic B, Petrovic M, Ranic M, Debeljak-Martarcic J, Vucic V, Glibetic M

机构信息

Department of Hematology, Clinical Hospital Center Zemun, Belgrade, Serbia.

出版信息

J BUON. 2009 Jul-Sep;14(3):501-6.

Abstract

PURPOSE

The relationship between plasma lipid levels and neoplastic diseases is still unclear. The aim of this study was to analyse the lipid profile of individuals with non-Hodgkin's lymphoma (NHL) or prostate carcinoma (CaP) and to follow serum lipid levels changes in NHL patients according to their response to chemotherapy.

PATIENTS AND METHODS

Forty-seven patients with NHL, 57 patients with CaP, two control groups composed of 29 and 43 age- and sex-matched healthy adults, related to NHL and CaP patients, respectively, were included in the study. Follow-up studies of NHL patients were carried out after the 3rd and 6th cycle of chemotherapy.

RESULTS

Initial plasma cholesterol (Chol), HDL-cholesterol (HDL-Chol) and phospholipids (PL) values were significantly lower in patients with NHL or CaP than in controls. Following chemotherapy, we noticed a progressive increase in lipid levels in NHL patients with complete remission (CR) and stable disease (SD), and further decrease in patients with the disease progression.

CONCLUSION

Decreased plasma Chol, HDL-Chol and PL levels of patients with NHL or CaP can be considered as non-specific prognostic parameters in patients with these malignancies.

摘要

目的

血浆脂质水平与肿瘤性疾病之间的关系仍不明确。本研究的目的是分析非霍奇金淋巴瘤(NHL)或前列腺癌(CaP)患者的血脂谱,并根据NHL患者对化疗的反应跟踪其血清脂质水平变化。

患者与方法

本研究纳入了47例NHL患者、57例CaP患者,以及分别由29名和43名年龄及性别匹配的健康成年人组成的两个对照组,这两个对照组分别与NHL和CaP患者相关。在化疗第3周期和第6周期后对NHL患者进行随访研究。

结果

NHL或CaP患者的初始血浆胆固醇(Chol)、高密度脂蛋白胆固醇(HDL-Chol)和磷脂(PL)值显著低于对照组。化疗后,我们注意到完全缓解(CR)和疾病稳定(SD)的NHL患者脂质水平逐渐升高,而疾病进展的患者脂质水平进一步降低。

结论

NHL或CaP患者血浆Chol、HDL-Chol和PL水平降低可被视为这些恶性肿瘤患者的非特异性预后参数。

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