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Use of pretreatment serum uric acid level to predict metastasis in locally advanced nasopharyngeal carcinoma

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机构: [1]Sun Yat Sen Univ Canc Ctr, Collaborat Innovat Ctr Canc Med, Dept Radiat Oncol, State Key Lab Oncol South China, Guangzhou 510060, Guangdong, Peoples R China; [2]Sun Yat Sen Univ, Sch Publ Hlth, Dept Med Stat & Epidemiol, Guangzhou, Guangdong, Peoples R China
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关键词: uric acid nasopharyngeal carcinoma prognosis metastasis intensity-modulated radiotherapy

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Background. The purpose of this study was to determine the predictive value of pretreatment serum uric acid (SUA) for metastasis in locally advanced nasopharyngeal carcinoma (NPC) treated with intensity-modulated radiotherapy. Methods. This retrospective study examined 1063 patients with locally advanced NPC. Multivariate survival analysis was used. Results. High pretreatment SUA level (>353.4 mu mol/L) independently predicted distant metastasis-free survival (p = .013) and was associated with high white blood cell (p = .005), lymphocyte counts (p < .001), and male sex (p < 0.001). In addition, SUA levels were significantly elevated in patients with T1 to T3 classification (p = .042). For patients with subsequent lung metastases after treatment, markedly higher pretreatment SUA levels were detected compared with patients who had other distant metastases (p = .012) and patients without distant metastasis (p = .024). Conclusion. Pretreatment SUA may be a useful biomarker for evaluating treatment options for patients with locally advanced NPC. (C) 2016 Wiley Periodicals, Inc.

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出版当年[2017]版:
大类 | 3 区 医学
小类 | 1 区 耳鼻喉科学 3 区 外科
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 耳鼻喉科学 3 区 外科
第一作者:
第一作者机构: [1]Sun Yat Sen Univ Canc Ctr, Collaborat Innovat Ctr Canc Med, Dept Radiat Oncol, State Key Lab Oncol South China, Guangzhou 510060, Guangdong, Peoples R China;
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通讯机构: [1]Sun Yat Sen Univ Canc Ctr, Collaborat Innovat Ctr Canc Med, Dept Radiat Oncol, State Key Lab Oncol South China, Guangzhou 510060, Guangdong, Peoples R China;
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