文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

放化疗后外周血淋巴细胞计数变化与宫颈癌患者生存率的相关性。

Correlation between changes in the number of peripheral blood lymphocytes and survival rate in patients with cervical cancer after radio-chemotherapy.

机构信息

No. 2 Disease Aarea of Radiotherapy Abdomen and Pelvis, Shanxi Provincial Cancer Hospital, Taiyuan 030013, China.

No. 3 Department of Gastroenterology, Shanxi Provincial Cancer Hospital, Taiyuan 030013, China.

出版信息

Cancer Radiother. 2021 Feb;25(1):72-76. doi: 10.1016/j.canrad.2020.08.045. Epub 2021 Jan 5.


DOI:10.1016/j.canrad.2020.08.045
PMID:33414058
Abstract

PURPOSE: This study aimed to compare the absolute numbers of various types of lymphocytes in the peripheral blood before and after chemotherapy following radio-chemotherapy in patients with cervical cancer, so as to explore the correlation between the changes in the absolute numbers of peripheral various types of lymphocytes and the overall survival rate of patients. METHODS: Data of 205 patients with cervical cancer admitted to the hospital from June 2014 to August 2016 were retrospectively analyzed. These patients underwent concurrent radio-chemotherapy, followed by chemotherapy. The absolute numbers of peripheral blood lymphocytes and subtypes were compared before and after re-chemotherapy. RESULTS: For patients with a good prognosis, the number of lymphocytes, T cells, and cytotoxic T cells (Tc) significantly decreased (P<0.05) after re-chemotherapy, while this phenomenon was not observed in patients with poor prognosis. Kaplan-Meier univariate analysis showed that patients with cervical cancer who had an advanced FIGO stage before treatment, presence of lymph node metastasis, and increased numbers of Tc and T helper cells after re-chemotherapy showed a low 30-month survival rate; the overall log-rank analysis showed significant differences (P<0.05). Multivariate Cox proportional hazards regression analysis, presence of lymph node metastasis: HR=9.718, P=0.002, 95% CI=0.183-0.679; Tc grouping: HR=3.239, P=0.0.072, 95% CI=0.950-03.347; Th group: HR=3.197, P=0.074, 95% CI=0.943-3.564. CONCLUSIONS: After radio-chemotherapy, in patients with advanced cervical cancer, the change in the numbers of peripheral blood Tc and Th before and after re-chemotherapy was associated with the 30-month overall survival rate of patients. It can be considered as a predictor of the survival of patients with advanced cervical cancer.

摘要

目的:本研究旨在比较宫颈癌放化疗后再化疗前后外周血各种类型淋巴细胞的绝对值,探讨外周血各种类型淋巴细胞绝对值的变化与患者总生存率的关系。

方法:回顾性分析 2014 年 6 月至 2016 年 8 月我院收治的 205 例宫颈癌患者的临床资料。这些患者接受了同期放化疗,然后进行化疗。比较再化疗前后外周血淋巴细胞及亚型的绝对值。

结果:对于预后良好的患者,再化疗后淋巴细胞、T 细胞和细胞毒性 T 细胞(Tc)数量明显减少(P<0.05),而预后不良的患者则没有这种现象。Kaplan-Meier 单因素分析显示,治疗前国际妇产科联盟(FIGO)分期较晚、存在淋巴结转移、再化疗后 Tc 和辅助性 T 细胞增多的宫颈癌患者 30 个月生存率较低;总对数秩分析差异有统计学意义(P<0.05)。多因素 Cox 比例风险回归分析显示,淋巴结转移:HR=9.718,P=0.002,95%CI=0.183-0.679;Tc 分组:HR=3.239,P=0.0.072,95%CI=0.950-03.347;Th 组:HR=3.197,P=0.074,95%CI=0.943-3.564。

结论:放化疗后,晚期宫颈癌患者再化疗前后外周血 Tc 和 Th 数量的变化与患者 30 个月总生存率有关,可作为晚期宫颈癌患者生存的预测指标。

相似文献

[1]
Correlation between changes in the number of peripheral blood lymphocytes and survival rate in patients with cervical cancer after radio-chemotherapy.

Cancer Radiother. 2021-2

[2]
Chemoradiotherapy followed by consolidation chemotherapy involving paclitaxel and carboplatin and in FIGO stage IIIB/IVA cervical cancer patients.

J Gynecol Oncol. 2017-1

[3]
Adjuvant chemotherapy versus concurrent chemoradiotherapy for high-risk cervical cancer after radical hysterectomy and systematic lymphadenectomy.

Int J Clin Oncol. 2016-2-8

[4]
A new marker based on risk stratification of human papillomavirus DNA and tumor size to predict survival of locally advanced cervical cancer.

Int J Gynecol Cancer. 2019-2-7

[5]
[Analysis of prognostic factors and therapeutic patterns of recurrent stage Ⅰb-Ⅱa cervical squamous carcinoma treated with radical hysterectomy].

Zhonghua Fu Chan Ke Za Zhi. 2019-6-25

[6]
Treatment outcomes of extended-field radiation therapy and the effect of concurrent chemotherapy on uterine cervical cancer with para-aortic lymph node metastasis.

Radiat Oncol. 2015-1-13

[7]
The prognostic value of haematologic parameter changes during treatment in cervical cancer patients treated with definitive chemoradiotherapy.

J Obstet Gynaecol. 2019-7

[8]
Clinical Role of Adjuvant Chemotherapy after Radical Hysterectomy for FIGO Stage IB-IIA Cervical Cancer: Comparison with Adjuvant RT/CCRT Using Inverse-Probability-of-Treatment Weighting.

PLoS One. 2015-7-15

[9]
Platinum-based combination chemotherapy vs. weekly cisplatin during adjuvant CCRT in early cervical cancer with pelvic LN metastasis.

Anticancer Res. 2013-10

[10]
The clinicopathological features and treatment modalities associated with survival of neuroendocrine cervical carcinoma in a Chinese population.

BMC Cancer. 2019-1-7

引用本文的文献

[1]
The DC-T cell axis is an effective target for the treatment of non-small cell lung cancer.

Immun Inflamm Dis. 2023-11

[2]
Early onset of severe lymphopenia during definitive radiotherapy correlates with mean body dose and predicts poor survival in cervical cancer.

Cancer Biomark. 2022

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索