title: Prognostic Value of Neutrophil-Related Factors in Locally Advanced Cervical Squamous Cell Carcinoma Patients Treated with Cisplatin-Based Concurrent Chemoradiotherapy.
abstract: The aim of this study was to explore the relationship between neutrophil-related factors, including neutrophil-lymphocyte ratio (NLR) and the responses of neutrophil to granulocyte colony-stimulating factors (RNG), and the prognosis of patients with locally advanced cervical squamous cell carcinoma (LACSCC) undergoing cisplatin-based concurrent chemoradiotherapy (CCCRT). A total of sixty LACSCC patients were enrolled in this study. We analyzed the association of NLR or RNG with clinicopathologic characteristics of these patients. The prognostic factors were evaluated by univariate and multivariate survival analysis. The optimal cut-off value of the NLR was determined to be 2.0 for the overall survival (OS). A higher level of the NLR was associated with younger age (P = 0.017) and higher baseline platelet count (P = 0.040). NLR was identified to be the only independent prognostic factor for OS by multivariate analysis (P = 0.037). The median RNG was 3.01, with a range of 1.19-16.84. RNG level was significantly associated with lymph node metastasis of these patients (P = 0.023). And higher RNG was identified as being a closely independent poor prognostic factor for OS (P = 0.055). This study showed that NLR and RNG may be used as potential biomarkers for survival prediction in patients with LACSCC receiving CCCRT.
authors.affiliation: Department of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, China; Cancer Institute, Ningxia Medical University, Yinchuan, Ningxia 750004, China.
authors.forename: Yan-Yang
authors.initials: YY
authors.lastname: Wang
authors.affiliation: Department of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, China; Cancer Institute, Ningxia Medical University, Yinchuan, Ningxia 750004, China.
authors.forename: Zhou-Lan
authors.initials: ZL
authors.lastname: Bai
authors.affiliation: Department of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, China; Cancer Institute, Ningxia Medical University, Yinchuan, Ningxia 750004, China.
authors.forename: Jian-Li
authors.initials: JL
authors.lastname: He
authors.affiliation: Department of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, China; Cancer Institute, Ningxia Medical University, Yinchuan, Ningxia 750004, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, China; Cancer Institute, Ningxia Medical University, Yinchuan, Ningxia 750004, China.
authors.forename: Ren
authors.initials: R
authors.lastname: Zhao
authors.affiliation: Department of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, China; Cancer Institute, Ningxia Medical University, Yinchuan, Ningxia 750004, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Hai
authors.affiliation: Department of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia 750004, China; Cancer Institute, Ningxia Medical University, Yinchuan, Ningxia 750004, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Zhe
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000276:immunology / Q000401:mortality / Q000628:therapy*; D059248:Chemoradiotherapy; D002945:Cisplatin / Q000008:administration & dosage* / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D018655:Lymphocyte Count; D008875:Middle Aged; D009504:Neutrophils / Q000276:immunology*; D011379:Prognosis; D016019:Survival Analysis; D016896:Treatment Outcome; D002583:Uterine Cervical Neoplasms / Q000276:immunology / Q000401:mortality / Q000628:therapy*
chemical_list: D002945:Cisplatin