Clinical Characteristics of Colorectal Cancer Patients in terms of Selected Platelet Indices.


Journal

Disease markers
ISSN: 1875-8630
Titre abrégé: Dis Markers
Pays: United States
ID NLM: 8604127

Informations de publication

Date de publication:
2020
Historique:
received: 06 01 2020
revised: 09 07 2020
accepted: 31 07 2020
entrez: 2 11 2020
pubmed: 3 11 2020
medline: 13 8 2021
Statut: epublish

Résumé

Mounting evidence suggests that inflammation, immune response, and coagulation status determine many processes during the carcinogenesis pathway in colorectal cancer (CRC). Inflammation strongly promotes tumor formation, progression, and metastasis. The systemic inflammatory response (SIR) may be reflected by simple indicators evaluated on the basis of peripheral blood morphology parameters. The indices are easily obtained by the peripheral blood test and could be promising biomarkers for CRC. We present the results of the retrospective study evaluating the potential relation between the platelet indices (platelet count (PC), platelet-to-lymphocyte ratio (PLR), neutrophil platelet score (NPS), mean platelet volume (MPV), and MPV/PC ratio) and the clinicopathological features of CRC patients. The study included 247 patients (104 males and 143 females) aged 39-87 years with CRC stages II-IV. The complete blood counts with the automated differential counts were performed prior to the qualification to systemic treatment. High PC, high PLR, and NPS 0 were associated with older age and higher BMI of the patients. No link between the analyzed platelet indices and histological grade of the tumor, primary tumor location, and gender was noted. The patients aged ≥65 years were characterized by the higher MPV/PC ratio than the younger population. We observed a trend to the higher MPV/PC ratio among the patients with excessive body weight defined by BMI compared to BMI within normal limits. A higher frequency of PC > 400, NPS 1 and 2, and a trend to more frequent PLR ≥ 150 were observed in the subgroup with metastatic disease compared to individuals with CRC stages II and III. The presented results expand the knowledge on potential association between SIR parameters and other clinicopathological factors that should be considered during interpreting the prognostic and predictive value of the inflammation parameters.

Identifiants

pubmed: 33133303
doi: 10.1155/2020/6145604
pmc: PMC7568811
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

6145604

Informations de copyright

Copyright © 2020 Angelika Copija et al.

Déclaration de conflit d'intérêts

The authors declare no conflicts of interest.

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Auteurs

Angelika Copija (A)

Department of Nutrition-Related Disease Prevention, Department of Metabolic Disease Prevention, School of Public Health in Bytom, Medical University of Silesia, Katowice, Poland.
Department of Clinical Oncology, Regional Specialised Hospital No 4, Bytom, Poland.

Ewa Nowakowska-Zajdel (E)

Department of Nutrition-Related Disease Prevention, Department of Metabolic Disease Prevention, School of Public Health in Bytom, Medical University of Silesia, Katowice, Poland.
Department of Clinical Oncology, Regional Specialised Hospital No 4, Bytom, Poland.

Karolina Janion (K)

Department of Nutrition-Related Disease Prevention, Department of Metabolic Disease Prevention, School of Public Health in Bytom, Medical University of Silesia, Katowice, Poland.

Katarzyna Walkiewicz (K)

Department of Clinical Oncology, Regional Specialised Hospital No 4, Bytom, Poland.

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