Liang Xinjun, Yao Shuang, Lu Ping, Ma Yifei, Xu Hongli, Yin Zhucheng, Hu Junjie, Liu Yanyan, Wei Shaozhong
Department of Medical Oncology, Tongji Medical College, Hubei Cancer Hospital, Huazhong University of Science and Technology, Wuhan, China.
Colorectal Cancer Clinical Research Center of Hubei Province, Wuhan, China.
Front Oncol. 2021 May 25;11:610264. doi: 10.3389/fonc.2021.610264. eCollection 2021.
Inflammatory factors and nutritional status are critical to the prognosis of colorectal cancer patients. This study aimed to investigate the prognostic value of the combination of preoperative lymphocytes, albumin, and neutrophils (LANR) in patients with resectable colorectal cancer. A total of 753 patients with pathologically diagnosed primary colorectal cancer were included in the study. The value of LANR was defined as follows: LANR, lymphocyte × albumin/neutrophil. The ROC curve, subgroup analysis and Cox proportional hazard regression analysis were used to assess the prognostic value of LANR in overall survival and progression-free survival. The median age of the patients was 60 years (range 52-67 years). In overall survival, the area under the curve of LANR was 0.6276, and the HR (95% CI) was 0.551 (0.393-0.772). And in progression-free survival, the area under the curve of LANR was 0.5963, and the HR (95% CI) was 0.697 (0.550-0.884). The results indicate that preoperative LANR may be a reliable predictor of overall and progression-free survival in resectable colorectal cancer patients. LANR is an important prognostic indicator for patients with resectable colorectal cancer, and it can also provide a reference for clinicians and patients to choose a treatment plan.
炎症因子和营养状况对结直肠癌患者的预后至关重要。本研究旨在探讨术前淋巴细胞、白蛋白和中性粒细胞联合检测(LANR)对可切除结直肠癌患者的预后价值。本研究共纳入753例经病理诊断为原发性结直肠癌的患者。LANR的计算方法如下:LANR = 淋巴细胞×白蛋白/中性粒细胞。采用ROC曲线、亚组分析和Cox比例风险回归分析评估LANR对总生存期和无进展生存期的预后价值。患者的中位年龄为60岁(范围52 - 67岁)。在总生存期方面,LANR的曲线下面积为0.6276,HR(95%CI)为0.551(0.393 - 0.772)。在无进展生存期方面,LANR的曲线下面积为0.5963,HR(95%CI)为0.697(0.550 - 0.884)。结果表明,术前LANR可能是可切除结直肠癌患者总生存期和无进展生存期的可靠预测指标。LANR是可切除结直肠癌患者的重要预后指标,也可为临床医生和患者选择治疗方案提供参考。