Title Correlation Between Platelet and Hemoglobin Levels and Pathological Characteristics and Prognosis of Early-Stage Squamous Cervical Carcinoma
Authors Li, Xiaowei
Tan, Cheng
Zhang, Wanxuan
Zhou, Jingyi
Wang, Zhiqi
Wang, Shijun
Wang, Jianliu
Wei, Lihui
Affiliation Peking Univ, Peoples Hosp, Dept Obstet & Gynecol, Beijing 100871, Peoples R China.
Keywords Carcinoma, Squamous Cell
Hemoglobin A
Platelet Count
GYNECOLOGIC-ONCOLOGY-GROUP
PRETREATMENT THROMBOCYTOSIS
NEOADJUVANT CHEMOTHERAPY
RADICAL HYSTERECTOMY
GASTRIC-CANCER
GROWTH-FACTOR
IMPACT
SURVIVAL
RADIOTHERAPY
ASSOCIATION
Issue Date 2015
Publisher MEDICAL SCIENCE MONITOR
Citation MEDICAL SCIENCE MONITOR.2015,21,3921-3928.
Abstract Background: We sought to determine the effect of pre-operative hemoglobin (HGB) and platelet (PLT) levels on the clinical features and prognosis of early-stage squamous cervical carcinoma (SCC). Material/Methods: We performed a retrospective analysis of 380 patients with SCC who underwent hysterectomy and pelvic lymphadenectomy. SCC was confirmed post-operatively by pathological diagnosis. The relations between HGB and PLT levels and clinicopathological characteristics were observed, and a Cox regression analysis was performed to determine their influence on survival. Results: There were significant differences in tumor staging, tumor diameter, and lymphatic metastasis between the 69 patients with PLT levels >300x10(9)/L and the 311 patients with PLT levels <= 300x10(9)/L (P<0.05). Tumor staging, extent of differentiation, and lymphatic metastasis were significantly different between 134 patients with HGB levels <120 g/L and 246 patients with HGB levels 3 120 g/L (P<0.05). The overall survival rate in the group with PLT levels >300x10(9)/L was lower than that in the group with PLT levels <= 300 x 10(9)/L, but this difference was not significant. The overall survival rate in the group with HGB levels <120 g/L was significantly lower than that in the group with HGB levels >= 120 g/L (P<0.05), and the overall survival rate in the group with PLT levels >300x10(9)/L and HGB levels <120 g/L was significantly lower than that in the group with PLT levels <= 300x10(9)/L and HGB levels >= 120 g/L (P<0.05). According to Cox regression analysis, a pre-operative HGB level <120 g/L was considered a separate risk factor affecting prognosis. Conclusions: Close attention must be paid to pre-operative PLT and HGB levels, and anemia should be remedied to facilitate the treatment of cervical carcinoma.
URI http://hdl.handle.net/20.500.11897/435870
ISSN 1643-3750
Indexed SCI(E)
PubMed
Appears in Collections: 人民医院

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