Prognostic significance of preoperative neutrophil-lymphocyte ratio combined with tu-mor-associated neutrophils in patients with gastric cancer
10.3969/j.issn.1000-8179.2018.02.043
- VernacularTitle:外周血粒淋比联合肿瘤相关中性粒细胞对术后胃癌患者预后的影响
- Author:
Xiaopei HUANG
1
;
Jiangbo ZHU
;
Wenjun CHANG
;
Xiaofang ZHANG
;
Tianbao ZHANG
;
Zhengchun KANG
;
Wei XUE
Author Information
1. 第二军医大学卫生毒理学教研室 上海市200433
- Keywords:
gastric cancer;
neutrophil-lymphocyte ratio;
tumor associated neutrophils;
prognosis
- From:
Chinese Journal of Clinical Oncology
2018;45(2):77-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the prognostic significance of preoperative neutrophil-lymphocyte ratio(NLR)combined with tu-mor-associated neutrophils(TANs)in the stroma of gastric cancer tissues of patients.Methods:One hundred and twenty-six gastric cancer tissue samples from patients enrolled in Changhai hospital from June 2006 to May 2011 were divided into four groups accord-ing to NLRs in preoperative peripheral blood combined with high or low infiltration of neutrophils in gastric cancer tissues.The 5-year survival of the four groups was then compared,and their correlations with clinicopathologic features and prognosis were analyzed.Re-sults:High NLRs in peripheral blood combined with low infiltrating TANs in gastric tissues was associated with lower differential grade (P<0.001)and larger tumor size(P=0.026).Of the four groups,patients with high NLR in peripheral blood combined with low infiltrat-ing TANs in gastric cancer tissues demonstrated the lowest survival rates,whereas those with low NLR and high infiltrating TANs had highest survival rates, and this difference was statistically significant (P<0.05). Univariate and multivariate Cox regression analyses showed that high NLR in peripheral blood combined with low infiltrating TANs in gastric cancer tissues(P<0.05)was an independent factor indicating poor prognosis.Conclusions:NLR in preoperative peripheral blood combined with infiltrating TANs in gastric cancer tissues can be used as a prognostic indicator for patients with gastric cancer,especially high NLR in preoperative peripheral blood com-bined with low infiltrating TANs in gastric cancer tissue indicates poor prognosis.
