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Evaluation of C-reactive protein and its prognostic relationship in patients with Hodgkin's Lymphoma
Elizete Aparecida da Silva Negreiros1, Talita Máira Bueno da Silveira1, Sérgio Costa Fortier1
1Irmandade da Santa Casa de Misericórdia de São Paulo, Faculdade de Ciências Médicas da Santa Casa de São Paulo. São Paulo/SP, Brazil.
C-Reactive Protein (CRP) levels at diagnosis and during treatment are important for monitoring Hodgkin´s Lymphoma patients. High CRP indicates advanced disease and predicts treatment response and survival.
Area of Science:
- Oncology
- Hematology
- Clinical Chemistry
Background:
- Hodgkin´s Lymphoma (HL) is a cancer of the lymphatic system.
- Prognostic markers are crucial for managing HL patients.
- C-Reactive Protein (CRP) is an inflammatory marker with potential prognostic value.
Purpose of the Study:
- To evaluate the prognostic significance of C-Reactive Protein (CRP) in Hodgkin´s Lymphoma (HL).
- To correlate CRP levels with disease stage, B symptoms, and treatment response in HL patients.
- To assess CRP's role in predicting outcomes for HL patients.
Main Methods:
- Retrospective analysis of 68 Hodgkin´s Lymphoma patient records (2012-2016).
- Assessment of C-Reactive Protein (CRP) levels at diagnosis and during chemotherapy.
- Correlation of CRP levels (>1mg/dl considered elevated) with clinical parameters and treatment outcomes.
Main Results:
- Elevated baseline CRP correlated with advanced stage (p=0.015) and B symptoms (p=0.02).
- Low CRP post-chemotherapy cycles predicted complete response (p=0.04 and p=0.03).
- Treatment-refractory patients had a higher risk of mortality (p=0.002).
Conclusions:
- C-Reactive Protein (CRP) is a clinically valuable marker for Hodgkin´s Lymphoma (HL) follow-up.
- High CRP levels are associated with advanced disease and B symptoms.
- CRP predicts treatment response and identifies refractory cases, impacting patient survival.
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