Cargando…
The Preoperative Peripheral Blood Monocyte Count Is Associated with Liver Metastasis and Overall Survival in Colorectal Cancer Patients
BACKGROUND: Colorectal cancer (CRC) is the third most common malignancy in males and the second most common in females worldwide. Distant metastases have a strong negative impact on the prognosis of CRC patients. The most common site of CRC metastases is the liver. Both disease progression and metas...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927165/ https://www.ncbi.nlm.nih.gov/pubmed/27355390 http://dx.doi.org/10.1371/journal.pone.0157486 |
_version_ | 1782440230558629888 |
---|---|
author | Hu, Shidong Zou, Zhenyu Li, Hao Zou, Guijun Li, Zhao Xu, Jian Wang, Lingde Du, Xiaohui |
author_facet | Hu, Shidong Zou, Zhenyu Li, Hao Zou, Guijun Li, Zhao Xu, Jian Wang, Lingde Du, Xiaohui |
author_sort | Hu, Shidong |
collection | PubMed |
description | BACKGROUND: Colorectal cancer (CRC) is the third most common malignancy in males and the second most common in females worldwide. Distant metastases have a strong negative impact on the prognosis of CRC patients. The most common site of CRC metastases is the liver. Both disease progression and metastasis have been related to the patient’s peripheral blood monocyte count. We therefore performed a case-control study to assess the relationship between the preoperative peripheral blood monocyte count and colorectal liver metastases (CRLM). METHODS: Clinical data from 117 patients with colon cancer and 93 with rectal cancer who were admitted to the Chinese People’s Liberation Army General Hospital (Beijing, China) between December 2003 and May 2015 were analysed retrospectively, with the permission of both the patients and the hospital. RESULTS: Preoperative peripheral blood monocyte counts, the T and N classifications of the primary tumour and its primary site differed significantly between the two groups (P < 0.001, P < 0.001, P = 0.002, P < 0.001), whereas there were no differences in the sex, age, degree of tumour differentiation or largest tumour diameter. Lymph node metastasis and a high preoperative peripheral blood monocyte count were independent risk factors for liver metastasis (OR: 2.178, 95%CI: 1.148~4.134, P = 0.017; OR: 12.422, 95%CI: 5.076~30.398, P < 0.001), although the risk was lower in patients with rectal versus colon cancer (OR: 0.078, 95%CI: 0.020~0.309, P < 0.001). Primary tumour site (P<0.001), degree of tumour differentiation (P = 0.009), T, N and M classifications, TNM staging and preoperative monocyte counts (P<0.001) were associated with the 5-year overall survival (OS) of CRC patients. A preoperative peripheral blood monocyte count > 0.505 × 10(9) cells/L, high T classification and liver metastasis were independent risk factors for 5-year OS (RR: 2.737, 95% CI: 1.573~ 4.764, P <0.001; RR: 2.687, 95%CI: 1.498~4.820, P = 0.001; RR: 4.928, 95%CI: 2.871~8.457, P < 0.001). CONCLUSIONS: The demonstrated association between preoperative peripheral blood monocyte count and liver metastasis in patients with CRC recommends the former as a useful predictor of postoperative prognosis in CRC patients. |
format | Online Article Text |
id | pubmed-4927165 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-49271652016-07-18 The Preoperative Peripheral Blood Monocyte Count Is Associated with Liver Metastasis and Overall Survival in Colorectal Cancer Patients Hu, Shidong Zou, Zhenyu Li, Hao Zou, Guijun Li, Zhao Xu, Jian Wang, Lingde Du, Xiaohui PLoS One Research Article BACKGROUND: Colorectal cancer (CRC) is the third most common malignancy in males and the second most common in females worldwide. Distant metastases have a strong negative impact on the prognosis of CRC patients. The most common site of CRC metastases is the liver. Both disease progression and metastasis have been related to the patient’s peripheral blood monocyte count. We therefore performed a case-control study to assess the relationship between the preoperative peripheral blood monocyte count and colorectal liver metastases (CRLM). METHODS: Clinical data from 117 patients with colon cancer and 93 with rectal cancer who were admitted to the Chinese People’s Liberation Army General Hospital (Beijing, China) between December 2003 and May 2015 were analysed retrospectively, with the permission of both the patients and the hospital. RESULTS: Preoperative peripheral blood monocyte counts, the T and N classifications of the primary tumour and its primary site differed significantly between the two groups (P < 0.001, P < 0.001, P = 0.002, P < 0.001), whereas there were no differences in the sex, age, degree of tumour differentiation or largest tumour diameter. Lymph node metastasis and a high preoperative peripheral blood monocyte count were independent risk factors for liver metastasis (OR: 2.178, 95%CI: 1.148~4.134, P = 0.017; OR: 12.422, 95%CI: 5.076~30.398, P < 0.001), although the risk was lower in patients with rectal versus colon cancer (OR: 0.078, 95%CI: 0.020~0.309, P < 0.001). Primary tumour site (P<0.001), degree of tumour differentiation (P = 0.009), T, N and M classifications, TNM staging and preoperative monocyte counts (P<0.001) were associated with the 5-year overall survival (OS) of CRC patients. A preoperative peripheral blood monocyte count > 0.505 × 10(9) cells/L, high T classification and liver metastasis were independent risk factors for 5-year OS (RR: 2.737, 95% CI: 1.573~ 4.764, P <0.001; RR: 2.687, 95%CI: 1.498~4.820, P = 0.001; RR: 4.928, 95%CI: 2.871~8.457, P < 0.001). CONCLUSIONS: The demonstrated association between preoperative peripheral blood monocyte count and liver metastasis in patients with CRC recommends the former as a useful predictor of postoperative prognosis in CRC patients. Public Library of Science 2016-06-29 /pmc/articles/PMC4927165/ /pubmed/27355390 http://dx.doi.org/10.1371/journal.pone.0157486 Text en © 2016 Hu et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Hu, Shidong Zou, Zhenyu Li, Hao Zou, Guijun Li, Zhao Xu, Jian Wang, Lingde Du, Xiaohui The Preoperative Peripheral Blood Monocyte Count Is Associated with Liver Metastasis and Overall Survival in Colorectal Cancer Patients |
title | The Preoperative Peripheral Blood Monocyte Count Is Associated with Liver Metastasis and Overall Survival in Colorectal Cancer Patients |
title_full | The Preoperative Peripheral Blood Monocyte Count Is Associated with Liver Metastasis and Overall Survival in Colorectal Cancer Patients |
title_fullStr | The Preoperative Peripheral Blood Monocyte Count Is Associated with Liver Metastasis and Overall Survival in Colorectal Cancer Patients |
title_full_unstemmed | The Preoperative Peripheral Blood Monocyte Count Is Associated with Liver Metastasis and Overall Survival in Colorectal Cancer Patients |
title_short | The Preoperative Peripheral Blood Monocyte Count Is Associated with Liver Metastasis and Overall Survival in Colorectal Cancer Patients |
title_sort | preoperative peripheral blood monocyte count is associated with liver metastasis and overall survival in colorectal cancer patients |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927165/ https://www.ncbi.nlm.nih.gov/pubmed/27355390 http://dx.doi.org/10.1371/journal.pone.0157486 |
work_keys_str_mv | AT hushidong thepreoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT zouzhenyu thepreoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT lihao thepreoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT zouguijun thepreoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT lizhao thepreoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT xujian thepreoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT wanglingde thepreoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT duxiaohui thepreoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT hushidong preoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT zouzhenyu preoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT lihao preoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT zouguijun preoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT lizhao preoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT xujian preoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT wanglingde preoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients AT duxiaohui preoperativeperipheralbloodmonocytecountisassociatedwithlivermetastasisandoverallsurvivalincolorectalcancerpatients |