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平均血小板体积和血小板平均体积/血小板比值在最常见的软组织肉瘤中的诊断和预后作用。

Diagnostic and prognostic role of mean platelet volume and mean platelet volume/platelet ratio in the most common soft tissue sarcomas.

机构信息

Dr. Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, 06430 Yenimahalle, Ankara, Türkiye.

出版信息

Jt Dis Relat Surg. 2021;32(1):204-209. doi: 10.5606/ehc.2021.78522. Epub 2021 Jan 6.

Abstract

OBJECTIVES

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.

PATIENTS AND METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

患者和方法

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。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5970/8073433/babb2fb1a4e2/JDRS-2021-32-1-204-209-F1.jpg

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