基本和组合的外围生物标志物在接受术前全身治疗的乳腺癌患者中没有预测和预后价值
Cem Karaali1, Huseyin Esin2, Emel E Pala3
1Department of General Surgery, University of Health Sciences, Izmir Faculty of Medicine, Izmir City Hospital.
Cirugia y cirujanos
|January 20, 2026
概括
这项研究发现,在接受新辅助化疗 (NAC) 的乳腺癌患者中,常见的炎症标志物和治疗反应之间没有显著的联系. 需要进一步的研究来预测病理完整反应 (pCR) 和患者的结果.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 实现病理完整反应 (pCR) 是接受新辅助化疗 (NAC) 的乳腺癌患者的一个关键目标.
- 对pCR和预后的预测生物标志物对于优化治疗策略至关重要.
研究的目的:
- 研究各种免疫-炎症指数的潜力,包括中性粒细胞/淋巴细胞比率 (NLR),血小板/淋巴细胞比率 (PLR) 等,用于预测接受NAC的乳腺癌患者的PCR和生存结果.
主要方法:
- 在2010年至2021年期间,对228名接受NAC治疗的乳腺癌患者进行了回顾性分析.
- 评估免疫-炎症指数,如NLR,PLR,MLR,SII,SIRI和PIV. 这些指数包括:
主要成果:
- 只有25.9%的患者实现了pCR.
- 多变量分析显示,乳腺癌分子亚型和HER2状态与pCR有显著的关联.
- 评估的免疫-炎症指数和pCR,无病存活率或整体存活率之间没有发现显著的关联.
结论:
- 研究的免疫炎症指数 (NLR,PLR,MLR,SII,SIRI,PIV) 似乎不是接受NAC.的乳腺癌患者的PCR或生存的可靠预测指标.
- 乳腺癌分子亚型和HER2状态仍然是影响NAC后PCR的重要因素.
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