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术前高 C-反应蛋白/白蛋白比值是口腔鳞状细胞癌不良预后的一个因素。

Preoperative high c-reactive protein/albumin ratio is a poor prognostic factor of oral squamous cell carcinoma.

机构信息

Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science & Technology of China, Chengdu, PR China.

The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, PR China.

出版信息

Future Oncol. 2019 Jul;15(19):2277-2286. doi: 10.2217/fon-2019-0063. Epub 2019 Jun 25.

DOI:10.2217/fon-2019-0063
PMID:31237166
Abstract

To explore whether c-reactive protein/albumin (CRP/Alb) ratio is a poor prognostic factor for patients with oral squamous cell carcinoma (OSCC). Receiver-operating characteristic analysis was performed to evaluate the optimal cut-off value of CRP/Alb ratio in 240 patients with OSCC. The Kaplan-Meier method was used to plot the overall survival and disease-free survival curves. Cox proportional hazards model was used to implement univariate and multivariate analyses. Preoperative high CRP/Alb ratio was associated with age, advanced stage, lymphatic metastasis, platelet-to-lymphocyte ratio and neutrophil-to-lymphocyte ratio (all p < 0.05). Elevated CRP/Alb ratio independently predicts worse overall survival and disease-free survival of patients with OSCC. Preoperative high CRP/Alb ratio was a poor independent prognostic marker of OSCC.

摘要

探讨 C 反应蛋白/白蛋白(CRP/Alb)比值是否是口腔鳞状细胞癌(OSCC)患者的预后不良因素。对 240 例 OSCC 患者进行了受试者工作特征分析,以评估 CRP/Alb 比值的最佳截断值。采用 Kaplan-Meier 法绘制总生存和无病生存曲线。采用 Cox 比例风险模型进行单因素和多因素分析。术前高 CRP/Alb 比值与年龄、晚期、淋巴转移、血小板与淋巴细胞比值和中性粒细胞与淋巴细胞比值(均 p<0.05)相关。升高的 CRP/Alb 比值独立预测 OSCC 患者的总生存和无病生存较差。术前高 CRP/Alb 比值是 OSCC 的不良独立预后标志物。

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