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Published on: May 10, 2021
Prognostic Values of Platelet-Associated Indicators in Resectable Cervical Cancer
Jing-Mei Wang1,2, Ying Wang3, Yue-Qing Huang4
1Department of Radio-Oncology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, People's Republic of China.
Elevated platelet counts before and after treatment correlate with poorer outcomes in cervical cancer patients. Changes in other platelet parameters did not significantly impact survival rates.
Area of Science:
- Oncology
- Hematology
Background:
- Cervical cancer poses a significant global health threat to women.
- Platelet (PLT)-related parameters are linked to cancer prognosis.
Purpose of the Study:
- To investigate the association between platelet parameters and cervical cancer outcomes.
- To determine the prognostic value of pretreatment and post-radiotherapy platelet levels.
Main Methods:
- 110 cervical carcinoma patients were analyzed.
- Patients were grouped based on receiver operating characteristic (ROC) analysis cutoff values for PLT, MPV, PCT, and PDW.
- Post-/preradiotherapy ratios were calculated for platelet parameters.
Main Results:
- Higher pretreatment platelet count correlated with advanced FIGO stage and worse progression-free survival (PFS) and overall survival (OS).
- Increased post-/preradiotherapy platelet ratio was associated with worse PFS and OS.
- Changes in PCT, MPV, or PDW did not affect PFS or OS.
Conclusions:
- Pretreatment platelet count is a significant prognostic factor for cervical cancer.
- The ratio of post-/preradiotherapy platelet levels independently predicts patient outcomes.
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