Department of Internal Medicine and Medical Oncology, Afyon Health Sciences University School of Medicine, Afyonkarahisar, Turkey.
Eur Rev Med Pharmacol Sci. 2021 Nov;25(21):6473-6479. doi: 10.26355/eurrev_202111_27091.
OBJECTIVE: In this study, we aimed to evaluate the prognostic value of preoperative serum ferritin level in patients with stage 2 colon cancer who underwent curative surgery. PATIENTS AND METHODS: The data of 120 patients who were stage 2 after curative surgery and whose ferritin levels were measured at the time of diagnosis without starting any treatment were analyzed. Demographic data such as age and gender, histopathological characteristics such as tumor size, lymphovascular invasion (LVI), perineural invasion (PNI), number of removed lymph nodes, tumor grade, and clinical and laboratory data were retrieved from the hospital medical charts or electronic medical records. In the survival analysis, the cut-off level of ferritin was accepted as 150 ng/ml, which is the upper limit determined by the World Health Organization (WHO), as a prognostic factor. RESULTS: Fifty (41.7%) of the patients were female, 70 (58.3%) were male, and the median age was 63.5 (range 24-90) years. There was no significant difference between the low and high ferritin groups regarding age, gender, T stage, tumor localization, histological subtype, PNI, LVI, removal of less than 12 lymph nodes, and tumor size. Disease-free survival and overall survival of patients with high ferritin levels were worse than patients with low ferritin levels, but this difference did not reach statistical significance. CONCLUSIONS: Serum ferritin level is an easily monitored, cost-effective, and reproducible marker. İn this study we found that high ferritin level was associated with poor survival, although it was not statistically significant.
目的:本研究旨在评估接受根治性手术的 2 期结肠癌患者术前血清铁蛋白水平的预后价值。
方法:分析了 120 例在诊断时未经任何治疗即测量铁蛋白水平且处于 2 期的根治性手术后患者的数据。从医院病历或电子病历中检索了年龄和性别等人口统计学数据、肿瘤大小、血管淋巴管侵犯(LVI)、神经周围侵犯(PNI)、切除的淋巴结数量、肿瘤分级等组织病理学特征以及临床和实验室数据。在生存分析中,铁蛋白的截止值被接受为 150ng/ml,这是世界卫生组织(WHO)确定的预后因素的上限。
结果:50 例(41.7%)患者为女性,70 例(58.3%)为男性,中位年龄为 63.5(24-90)岁。高低铁蛋白组在年龄、性别、T 分期、肿瘤定位、组织学亚型、PNI、LVI、切除淋巴结少于 12 个以及肿瘤大小方面无显著差异。高铁蛋白组患者的无病生存率和总生存率均较低铁蛋白组差,但差异无统计学意义。
结论:血清铁蛋白水平是一种易于监测、具有成本效益且可重复的标志物。在本研究中,我们发现高铁蛋白水平与较差的生存相关,尽管这没有统计学意义。
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