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Elevated neutrophil-to-lymphocyte ratio predicts poor outcome in patients with advanced non-small-cell lung cancer receiving first-line gefitinib or erlotinib treatment

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机构: [1]Sun Yat Sen Univ, Zhongshan City Peoples Hosp, Dept Med Oncol, Zhongshan Hosp, Zhongshan, Peoples R China; [2]Sun Yat Sen Univ, Dept Med Oncol, Ctr Canc, Guangzhou, Guangdong, Peoples R China; [3]Sun Yat Sen Univ, Dept Hematol Oncol, Ctr Canc, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China; [4]Sun Yat Sen Univ, Jiangmen Hosp, Jiangmen Cent Hosp, Dept Clin Oncol, Jiangmen, Peoples R China
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关键词: epidermal growth factor receptor neutrophil-to-lymphocyte ratio non-small-cell lung cancer prognosis

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AimElevated neutrophil-to-lymphocyte ratio (NLR) has been demonstrated to be a poor prognostic factor in multiple types of malignancies, whereas the effect of NLR on the prognosis of epidermal growth factor receptor (EGFR)-mutated advanced non-small-cell lung cancer (NSCLC) patients treated with first-line EGFR tyrosine kinase inhibitors (TKIs) is not fully addressed. Methods81 metastatic NSCLC patients harboring EGFR mutation treated with first-line EGFR TKIs were retrospectively included. The associations between baseline clinical characteristics, including NLR, and tumor response, progression and survival were investigated. ResultsElevated NLR (3.5) was observed in 33 of 81 patients. The progression-free and overall survival of the patients with increased NLR was significantly worse than that of the patients with decreased NLR (8.20 vs 10.60 months, P<0.001 and 17.20 vs 23.20 months, P<0.001, respectively). Elevated NLR was confirmed to be an independent prognostic factor for worse progression-free and overall survival in Cox multivariate analysis. ConclusionElevated NLR is likely to be associated with poor outcome in EGFR-mutated advanced NSCLC patients treated with first-line EGFR TKIs.

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出版当年[2017]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 肿瘤学
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第一作者机构: [1]Sun Yat Sen Univ, Zhongshan City Peoples Hosp, Dept Med Oncol, Zhongshan Hosp, Zhongshan, Peoples R China;
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通讯机构: [3]Sun Yat Sen Univ, Dept Hematol Oncol, Ctr Canc, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China;
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