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非小细胞肺癌患者凝血功能异常的相关因素与预后分析
BACKGROUND AND OBJECTIVE: The activation of coagulation and fibrinolysis is frequently encountered among cancer patients. Such tumors are associated with high risk of invasion, metastases, and negative final outcomes. Non-small cell lung cancer (NSCLC) accounts for approximately 80% to 85% of all lu...
Formato: | Online Artículo Texto |
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Lenguaje: | English |
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中国肺癌杂志编辑部
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000357/ https://www.ncbi.nlm.nih.gov/pubmed/25404269 http://dx.doi.org/10.3779/j.issn.1009-3419.2014.11.04 |
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collection | PubMed |
description | BACKGROUND AND OBJECTIVE: The activation of coagulation and fibrinolysis is frequently encountered among cancer patients. Such tumors are associated with high risk of invasion, metastases, and negative final outcomes. Non-small cell lung cancer (NSCLC) accounts for approximately 80% to 85% of all lung malignancies. This study aims to investigate the prognostic value of blood coagulation tests for NSCLC and provide a reference to patients on the prevention and treatment of thrombophilia. METHODS: Data were collected from 604 cases of hospitalized patients with histologically confirmed NSCLC from January 2009 to December 2012 at the Fourth Hospital of Hebei Medical University. Data included the related indexes of coagulation function in patients before treatment [(i.e., prothrombin time (PT), prothrombin time activity (PTA), international normalized ratio (INR), activated partial thromboplastin time (APTT), fibrinogen (Fib), D-dimer, and platelet count)], as well as sex, age, pathological type, TNM stage, and lymph node status. Fifty control subjects without cancer were included in the analysis. Statistical analysis was conducted by using SPSS 13.0 software. RESULTS: The plasma level of all coagulation tests including D-dimer, Fib, PT, APTT, INR, and platelet counts revealed statistically significant differences between the patient and control group (P < 0.001 for all variables; P=0.001, 5 and P=0.004, 5 for Fib and platelet counts, respectively). The squamous subtype exhibited high plasma Fib levels (P < 0.001) compared with adenocarcinoma cell lung cancer patients. Fib and PLT levels increased (P < 0.001 and P=0.014, respectively), and aPTT decreased (P < 0.001) in patients at stages Ⅲ and Ⅳ compared with those in patients at stages Ⅰ and Ⅱ. aPTT decreased significantly (P < 0.001), and Fib and D-dimer levels increased (P < 0.001 and P=0.048, respectively) in N1-3 patients with NSCLC compared with those of N0 patients. Prolonged PT and INR, high plasma Fib levels, and low PTA levels had statistically significant adverse effects on survival (P=0.032, P=0.001, P < 0.001, and P=0.005, respectively). Multivariate analyses revealed that only increased INR was associated with a decreased survival rate in the related indexes of coagulation function (P=0.017). CONCLUSION: Patients who have lung adenocarcinoma and/or lymph node metastasis at advanced stages of NSCLC are prone to thrombophilia. Prolonged PT and INR was associated with poor prognosis, and elevated INR was independently associated with a decreased survival rate. PT and INR are promising prognostic markers of NSCLC. |
format | Online Article Text |
id | pubmed-6000357 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | 中国肺癌杂志编辑部 |
record_format | MEDLINE/PubMed |
spelling | pubmed-60003572018-07-06 非小细胞肺癌患者凝血功能异常的相关因素与预后分析 Zhongguo Fei Ai Za Zhi 临床研究 BACKGROUND AND OBJECTIVE: The activation of coagulation and fibrinolysis is frequently encountered among cancer patients. Such tumors are associated with high risk of invasion, metastases, and negative final outcomes. Non-small cell lung cancer (NSCLC) accounts for approximately 80% to 85% of all lung malignancies. This study aims to investigate the prognostic value of blood coagulation tests for NSCLC and provide a reference to patients on the prevention and treatment of thrombophilia. METHODS: Data were collected from 604 cases of hospitalized patients with histologically confirmed NSCLC from January 2009 to December 2012 at the Fourth Hospital of Hebei Medical University. Data included the related indexes of coagulation function in patients before treatment [(i.e., prothrombin time (PT), prothrombin time activity (PTA), international normalized ratio (INR), activated partial thromboplastin time (APTT), fibrinogen (Fib), D-dimer, and platelet count)], as well as sex, age, pathological type, TNM stage, and lymph node status. Fifty control subjects without cancer were included in the analysis. Statistical analysis was conducted by using SPSS 13.0 software. RESULTS: The plasma level of all coagulation tests including D-dimer, Fib, PT, APTT, INR, and platelet counts revealed statistically significant differences between the patient and control group (P < 0.001 for all variables; P=0.001, 5 and P=0.004, 5 for Fib and platelet counts, respectively). The squamous subtype exhibited high plasma Fib levels (P < 0.001) compared with adenocarcinoma cell lung cancer patients. Fib and PLT levels increased (P < 0.001 and P=0.014, respectively), and aPTT decreased (P < 0.001) in patients at stages Ⅲ and Ⅳ compared with those in patients at stages Ⅰ and Ⅱ. aPTT decreased significantly (P < 0.001), and Fib and D-dimer levels increased (P < 0.001 and P=0.048, respectively) in N1-3 patients with NSCLC compared with those of N0 patients. Prolonged PT and INR, high plasma Fib levels, and low PTA levels had statistically significant adverse effects on survival (P=0.032, P=0.001, P < 0.001, and P=0.005, respectively). Multivariate analyses revealed that only increased INR was associated with a decreased survival rate in the related indexes of coagulation function (P=0.017). CONCLUSION: Patients who have lung adenocarcinoma and/or lymph node metastasis at advanced stages of NSCLC are prone to thrombophilia. Prolonged PT and INR was associated with poor prognosis, and elevated INR was independently associated with a decreased survival rate. PT and INR are promising prognostic markers of NSCLC. 中国肺癌杂志编辑部 2014-11-20 /pmc/articles/PMC6000357/ /pubmed/25404269 http://dx.doi.org/10.3779/j.issn.1009-3419.2014.11.04 Text en 版权所有©《中国肺癌杂志》编辑部2014 https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 3.0) License. See: https://creativecommons.org/licenses/by/3.0/ |
spellingShingle | 临床研究 非小细胞肺癌患者凝血功能异常的相关因素与预后分析 |
title | 非小细胞肺癌患者凝血功能异常的相关因素与预后分析 |
title_full | 非小细胞肺癌患者凝血功能异常的相关因素与预后分析 |
title_fullStr | 非小细胞肺癌患者凝血功能异常的相关因素与预后分析 |
title_full_unstemmed | 非小细胞肺癌患者凝血功能异常的相关因素与预后分析 |
title_short | 非小细胞肺癌患者凝血功能异常的相关因素与预后分析 |
title_sort | 非小细胞肺癌患者凝血功能异常的相关因素与预后分析 |
topic | 临床研究 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6000357/ https://www.ncbi.nlm.nih.gov/pubmed/25404269 http://dx.doi.org/10.3779/j.issn.1009-3419.2014.11.04 |
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