Minimum absolute lymphocyte count during radiotherapy as a new prognostic factor for nasopharyngeal cancer.

作者: Oyeon Cho , Young-Taek Oh , Mison Chun , O-Kyu Noh , Jae-Sung Hoe

DOI: 10.1002/HED.24158

关键词: Absolute lymphocyte countGastroenterologyNasopharyngeal cancerMedicinePrognostic factorLymphocyteRadiation therapySurgeryMultivariate analysisInternal medicineChemoradiotherapyProspective cohort study

摘要: Background The purpose of this study was to investigate whether the minimum absolute lymphocyte count (ALC) during radiotherapy (RT) could predict clinical outcome in patients with nasopharyngeal cancer (NPC). Methods We analyzed 70 NPC including 63 treated chemoradiotherapy and used multivariate analysis determine ALC affected outcome. Results Patients were grouped by ALC, a cutoff 245 cells/μL. Five-year disease-specific survival (DSS) progression-free (PFS) for ≥245 versus <245 88.1% 60.8% (p = .004) 71.2% 35.2% .004). All 10 <120 experienced disease progression. Four 6 (67%) who died progression within months. Conclusion Minimum may poor 5-year DSS should be evaluated prospective studies. © 2015 Wiley Periodicals, Inc. Head Neck,

参考文章(29)
M Colciago, F Brivio, M Mancuso, S Meregalli, E Bonetto, P Lissoni, G Gardani, Radiotherapy-induced lymphocytopenia: changes in total lymphocyte count and in lymphocyte subpopulations under pelvic irradiation in gynecologic neoplasms. Journal of Biological Regulators and Homeostatic Agents. ,vol. 19, pp. 153- 158 ,(2005)
Ying Jin, Xiao Ye, Chunxiao He, Beibei Zhang, Yiping Zhang, Pretreatment neutrophil-to-lymphocyte ratio as predictor of survival for patients with metastatic nasopharyngeal carcinoma. Head and Neck-journal for The Sciences and Specialties of The Head and Neck. ,vol. 37, pp. 69- 75 ,(2015) , 10.1002/HED.23565
Jun Ma, Hai-Qiang Mai, Ming-Huang Hong, Hua-Qing Min, Zhi-Da Mao, Nian-Ji Cui, Tai-Xiang Lu, Hao-Yuan Mo, Results of a Prospective Randomized Trial Comparing Neoadjuvant Chemotherapy Plus Radiotherapy With Radiotherapy Alone in Patients With Locoregionally Advanced Nasopharyngeal Carcinoma Journal of Clinical Oncology. ,vol. 19, pp. 1350- 1357 ,(2001) , 10.1200/JCO.2001.19.5.1350
Ani Balmanoukian, Xiaobu Ye, Joseph Herman, Daniel Laheru, Stuart A. Grossman, The association between treatment-related lymphopenia and survival in newly diagnosed patients with resected adenocarcinoma of the pancreas. Cancer Investigation. ,vol. 30, pp. 571- 576 ,(2012) , 10.3109/07357907.2012.700987
N. Cézé, G. Thibault, G. Goujon, J. Viguier, H. Watier, E. Dorval, T. Lecomte, Pre-treatment lymphopenia as a prognostic biomarker in colorectal cancer patients receiving chemotherapy. Cancer Chemotherapy and Pharmacology. ,vol. 68, pp. 1305- 1313 ,(2011) , 10.1007/S00280-011-1610-3
Daniel T.T. Chua, Jun Ma, Jonathan S.T. Sham, Hai-Qiang Mai, Damon T.K. Choy, Ming-Huang Hong, Tai-Xiang Lu, Hua-Qing Min, Long-Term Survival After Cisplatin-Based Induction Chemotherapy and Radiotherapy for Nasopharyngeal Carcinoma: A Pooled Data Analysis of Two Phase III Trials Journal of Clinical Oncology. ,vol. 23, pp. 1118- 1124 ,(2005) , 10.1200/JCO.2005.12.081
Alessandro D Santin, Paul L Hermonat, Antonella Ravaggi, Stefania Bellone, Juan Roman, Sergio Pecorelli, Martin Cannon, Groesbeck P Parham, Effects of concurrent cisplatinum administration during radiotherapy vs. radiotherapy alone on the immune function of patients with cancer of the uterine cervix International Journal of Radiation Oncology Biology Physics. ,vol. 48, pp. 997- 1006 ,(2000) , 10.1016/S0360-3016(00)00769-0
Lei Chen, Chao-Su Hu, Xiao-Zhong Chen, Guo-Qing Hu, Zhi-Bin Cheng, Yan Sun, Wei-Xiong Li, Yuan-Yuan Chen, Fang-Yun Xie, Shao-Bo Liang, Yong Chen, Ting-Ting Xu, Bin Li, Guo-Xian Long, Si-Yang Wang, Bao-Min Zheng, Ying Guo, Ying Sun, Yan-Ping Mao, Ling-Long Tang, Yu-Ming Chen, Meng-Zhong Liu, Jun Ma, Concurrent chemoradiotherapy plus adjuvant chemotherapy versus concurrent chemoradiotherapy alone in patients with locoregionally advanced nasopharyngeal carcinoma: a phase 3 multicentre randomised controlled trial Lancet Oncology. ,vol. 13, pp. 163- 171 ,(2012) , 10.1016/S1470-2045(11)70320-5
Jian L. Campian, Guneet Sarai, Xiaobu Ye, Shanthi Marur, Stuart A. Grossman, Association between severe treatment‐related lymphopenia and progression‐free survival in patients with newly diagnosed squamous cell head and neck cancer Head and Neck-journal for The Sciences and Specialties of The Head and Neck. ,vol. 36, pp. 1747- 1753 ,(2014) , 10.1002/HED.23535
S.R. Walsh, E.J. Cook, F. Goulder, T.A. Justin, N.J. Keeling, Neutrophil-lymphocyte ratio as a prognostic factor in colorectal cancer. Journal of Surgical Oncology. ,vol. 91, pp. 181- 184 ,(2005) , 10.1002/JSO.20329