دورية أكاديمية

A high neutrophil-to-lymphocyte ratio as a potential marker of mortality in patients with Merkel cell carcinoma: A retrospective study.

التفاصيل البيبلوغرافية
العنوان: A high neutrophil-to-lymphocyte ratio as a potential marker of mortality in patients with Merkel cell carcinoma: A retrospective study.
المؤلفون: Zaragoza, Julia, Kervarrec, Thibault, Touzé, Antoine, Avenel-Audran, Martine, Beneton, Nathalie, Esteve, Eric, Wierzbicka Hainaut, Ewa, Aubin, François, Machet, Laurent, Samimi, Mahtab
المصدر: Journal of the American Academy of Dermatology; Oct2016, Vol. 75 Issue 4, p712-721.e1, 1p
مستخلص: Background: The prognostic relevance of a high blood neutrophil-to-lymphocyte ratio (NLR) has been reported in many cancers, although, to our knowledge, not investigated in patients with Merkel cell carcinoma (MCC) to date.Objective: We assessed whether the NLR at baseline was associated with specific survival and recurrence-free survival in MCC.Methods: We retrospectively included MCC cases between 1999 and 2015 and collected clinical data, blood cell count at baseline, and outcome. A Cox model was used to identify factors associated with recurrence and death from MCC.Results: Among the 75 patients included in the study, a high NLR at baseline (NLR ≥4) was associated with death from MCC in univariate (hazard ratio 2.76, 95% confidence interval 1.15-6.62, P = .023) and multivariate (hazard ratio 3.30, 95% confidence interval 1.21-9.01, P = .020) analysis, but not with recurrence.Limitations: Because of the retrospective design, we excluded patients with missing data and not all confounding factors that may influence the NLR were available.Conclusion: A high NLR at baseline was independently associated with specific mortality in patients with MCC. The NLR seems to constitute an easily available and inexpensive prognostic biomarker at baseline. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Supplemental Index
الوصف
تدمد:01909622
DOI:10.1016/j.jaad.2016.05.045