Dr. Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, 06430 Yenimahalle, Ankara, Türkiye.
Jt Dis Relat Surg. 2021;32(1):204-209. doi: 10.5606/ehc.2021.78522. Epub 2021 Jan 6.
This study aims to investigate the diagnostic and prognostic role of mean platelet volume (MPV) and MPV/platelet (PLT) ratio in the most common soft tissue sarcomas.
We retrospectively investigated 131 patients (76 males, 55 females; mean age: 51.8±17.1; range, 18 to 87 years) with soft-tissue sarcomas between January 2011 and January 2019. Demographic features, MPV, PLT counts, mortality, and recurrence records of the patients were obtained from archives. A total of 165 healthy volunteers (101 males, 64 females; mean age 52.9±4.1; range, 18 to 60 years) who applied to the outpatient clinic in 2019 and had routine blood control without any additional disease formed the control group.
A total of 55 patients were diagnosed with liposarcoma and 76 with pleomorphic sarcoma. Of the tumors, 77.1% were located in the lower limbs. Lesions were mostly localized on the thigh 48.8% (n=64). Recurrence occurred in 28.2% of the patients. A total of 25 (19.1%) patients were exitus. The mean follow-up period of the patients was 34.4±19.1 (range, 9 to 112) months. The mean PLT value of the patient group was significantly higher than the control group. The median MPV and MPV/PLT ratio were statistically significantly lower in the patient group than in the control group. The MPV and MPV/PLT ratio were not associated with mortality and recurrence.
As a result, MPV and MPV/PLT ratio can be used as a diagnostic support parameter in soft tissue sarcomas, but have no prognostic value.
本研究旨在探讨平均血小板体积(MPV)和血小板(PLT)比值在最常见的软组织肉瘤中的诊断和预后作用。
我们回顾性调查了 2011 年 1 月至 2019 年 1 月期间患有软组织肉瘤的 131 名患者(76 名男性,55 名女性;平均年龄:51.8±17.1;范围 18 至 87 岁)。从档案中获取了患者的人口统计学特征、MPV、PLT 计数、死亡率和复发记录。2019 年,共有 165 名健康志愿者(101 名男性,64 名女性;平均年龄 52.9±4.1;范围 18 至 60 岁)在门诊就诊,常规进行血液检查,没有任何其他疾病,形成对照组。
共有 55 例患者被诊断为脂肪肉瘤,76 例患者被诊断为多形性肉瘤。肿瘤中,77.1%位于下肢。病变主要位于大腿 48.8%(n=64)。28.2%的患者复发。共有 25 例(19.1%)患者死亡。患者的平均随访期为 34.4±19.1(范围 9 至 112)个月。患者组的平均 PLT 值明显高于对照组。患者组的中位数 MPV 和 MPV/PLT 比值明显低于对照组。MPV 和 MPV/PLT 比值与死亡率和复发无关。
因此,MPV 和 MPV/PLT 比值可作为软组织肉瘤的诊断支持参数,但无预后价值。