The pretreatment neutrophil-to-lymphocyte ratio predicts therapeutic response to radiation therapy and concurrent chemoradiation therapy in uterine cervical cancer

Verfasser / Beitragende:
[Makito Mizunuma, Yoshihito Yokoyama, Masayuki Futagami, Masahiko Aoki, Yoshihiro Takai, Hideki Mizunuma]
Ort, Verlag, Jahr:
2015
Enthalten in:
International Journal of Clinical Oncology, 20/5(2015-10-01), 989-996
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10147-015-0807-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s10147-015-0807-6 
245 0 4 |a The pretreatment neutrophil-to-lymphocyte ratio predicts therapeutic response to radiation therapy and concurrent chemoradiation therapy in uterine cervical cancer  |h [Elektronische Daten]  |c [Makito Mizunuma, Yoshihito Yokoyama, Masayuki Futagami, Masahiko Aoki, Yoshihiro Takai, Hideki Mizunuma] 
520 3 |a Background: The aim of this study was to investigate the prognostic role of the pretreatment neutrophil-to-lymphocyte ratio (NLR) as a predictive marker prior to treatment ofcervical cancer with radiation therapy (RT) alone or concurrent chemoradiation therapy (CCRT). Methods: Fifty-six patients with squamous cell carcinoma (SCC) of the uterine cervix who underwent RT or CCRT from 2005−2013 at the Hirosaki University Hospital were retrospectively identified using electronic databases. Patients were divided into a high NLR group (≥2.5) and a low NLR group (<2.5). The efficacy of RT and CCRT in the two groups was compared. Result: Of the 56 patients, 35 were in the high NLR group and 21 were in the low NLR group. In comparison to a high NLR, a low NLR was significantly associated with a complete response (P<0.001). When cancer was divided into stages I/II and III/IV, patients with a low NLR had a significantly better therapeutic outcome than those with a high NLR (P<0.05). Multivariate analysis showed that only the NLR was a significant prognostic factor for progression-free survival (PFS) and overall survival (OS). Patients with a high NLR had significantly shorter PFS and OS than those with a low NLR. Conclusion: Results showed that a low NLR before treatment could predict a good response to RT or CCRT at all stages of uterine cervical cancer. The NLR may be a promising parameter on which to base the choice of a therapeutic strategy to treat SCC of the uterine cervix. 
540 |a Japan Society of Clinical Oncology, 2015 
690 7 |a NLR  |2 nationallicence 
690 7 |a Uterine cervical cancer  |2 nationallicence 
690 7 |a Radiation therapy  |2 nationallicence 
690 7 |a Concurrent chemoradiation therapy  |2 nationallicence 
690 7 |a Therapeutic outcome  |2 nationallicence 
700 1 |a Mizunuma  |D Makito  |u Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan  |4 aut 
700 1 |a Yokoyama  |D Yoshihito  |u Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan  |4 aut 
700 1 |a Futagami  |D Masayuki  |u Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan  |4 aut 
700 1 |a Aoki  |D Masahiko  |u Department of Radiology and Radiation Oncology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Japan  |4 aut 
700 1 |a Takai  |D Yoshihiro  |u Department of Radiology and Radiation Oncology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Japan  |4 aut 
700 1 |a Mizunuma  |D Hideki  |u Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan  |4 aut 
773 0 |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 989-996  |x 1341-9625  |q 20:5<989  |1 2015  |2 20  |o 10147 
856 4 0 |u https://doi.org/10.1007/s10147-015-0807-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10147-015-0807-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mizunuma  |D Makito  |u Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Yokoyama  |D Yoshihito  |u Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Futagami  |D Masayuki  |u Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Aoki  |D Masahiko  |u Department of Radiology and Radiation Oncology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Takai  |D Yoshihiro  |u Department of Radiology and Radiation Oncology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mizunuma  |D Hideki  |u Department of Obstetrics and Gynecology, Hirosaki University Graduate School of Medicine, 5-Zaifu-cho, 036-8562, Hirosaki, Aomori, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t International Journal of Clinical Oncology  |d Springer Japan  |g 20/5(2015-10-01), 989-996  |x 1341-9625  |q 20:5<989  |1 2015  |2 20  |o 10147