基线红细胞分布宽度可以预测T细胞淋巴瘤患者的结果吗?
Yifen Lan1,2, Yanchun Zhao1, Jianai Sun1
1Department of Hematology, the First Affiliated Hospital, Zhejiang University School of Medicine, No. 79 Qingchun Road, Hangzhou, 310003, Zhejiang, China.
Annals of hematology
|January 23, 2026
概括
在外围T细胞淋巴瘤 (PTCL) 患者中,红细胞分布宽度 (RDW) 高表明对治疗的反应较差,预后更差. 这种易于测量的标志物有助于对PTCL的风险分层.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 周围T细胞淋巴瘤 (PTCL) 是一种具有不良结果的侵袭性非霍奇金淋巴瘤.
- 红细胞分布宽度 (RDW) 红细胞大小的变化与疾病预后有关.
研究的目的:
- 调查PTCL患者的基线RDW和预后之间的关联.
- 评估RDW对新诊断的PTCL治疗反应的影响.
主要方法:
- 对629名新诊断的PTCL患者进行了回顾性分析.
- 统计分析包括后勤回归和考克斯比例危险模型.
- 确定了基线RDW的14.45%的截止值.
主要成果:
- 与RDW<14.45% (78.75%) 的患者相比,RDW≥14.45%的患者的整体应答率 (41.98%) 显着较低.
- 较高的基线RDW (≥14.45%) 独立地与较差的治疗反应有关.
- 基线RDW已成为PTCL的独立预后因素.
结论:
- 基线RDW是一种有价值,可访问和廉价的生物标志物,用于PTCL的预后风险分层.
- 较高的RDW水平与PTCL患者的不良结果相关.
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