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平均血小板体积降低与宫颈癌发生相关。

Decreased Mean Platelet Volume is Associated with Cervical Cancer Development.

作者信息

Shen Wen-Jie, Fu Shuang, Li Na, Li Lu-Lu, Cao Zhi-Gang, Li Chuanfu, Liu Tiemin, Wang Rui-Tao

机构信息

Department of Gynaecology and Obstetrics, First Affiliated Hospital of Chinese PLA General Hospital, Harbin Medical University, Harbin, Heilongjiang, 150081, China. Email:

出版信息

Asian Pac J Cancer Prev. 2017 Jul 27;18(7):1769-1772. doi: 10.22034/APJCP.2017.18.7.1769.

Abstract

Background: Cervical cancer is the most common gynecological malignant disorder worldwide. Activated platelets play a key role in cancer development and progression. Mean platelet volume (MPV) is an early indicator of platelet activation. The aim of the present study was to evaluate MPV levels in patients with cervical cancer. Materials and methods: A total of 181 patients with cervical cancer and 181 controls between January 2015 and June 2015 were included in the study. Patient characteristics and hematologic test data at initial diagnosis were collected and odds ratios (ORs) and 95% confidence intervals (CIs) for risk of cervical cancer were calculated using multivariate logistic regression analyses across MPV quartiles. Results: MPV levels were decreased in patients with cervical cancer compared with control subjects. A significant correlation between MPV and FIGO stage was found. Moreover, after adjusting for other risk factors, the ORs (95%CIs) for cervical cancer according to MPV quartiles were 4.450 (1.975-10.026), 2.505 (1.206-5.202), 0.573 (0.261-1.259), and 1.000, respectively. Conclusions: MPV was found to be independently associated with the presence of cervical cancer. Our results suggest that MPV could be potential diagnostic screening tool.

摘要

背景

宫颈癌是全球最常见的妇科恶性疾病。活化血小板在癌症发展和进展中起关键作用。平均血小板体积(MPV)是血小板活化的早期指标。本研究的目的是评估宫颈癌患者的MPV水平。材料与方法:本研究纳入了2015年1月至2015年6月期间共181例宫颈癌患者和181例对照。收集初次诊断时的患者特征和血液学检测数据,并通过跨MPV四分位数的多因素逻辑回归分析计算宫颈癌风险的比值比(OR)和95%置信区间(CI)。结果:与对照相比,宫颈癌患者的MPV水平降低。发现MPV与国际妇产科联盟(FIGO)分期之间存在显著相关性。此外,在调整其他危险因素后,根据MPV四分位数,宫颈癌的OR(95%CI)分别为4.450(1.975 - 10.026)、2.505(1.206 - 5.202)、0.573(0.261 - 1.259)和1.000。结论:发现MPV与宫颈癌的存在独立相关。我们的结果表明,MPV可能是一种潜在的诊断筛查工具。

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