Article ; Online: Abnormal preoperative haematological parameters in Endometrial cancer; reflecting tumour aggressiveness or reduced response to radiotherapy?
Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
2024 Volume 44, Issue 1, Page(s) 2294332
Abstract: Background: In endometrial cancer (EC), preoperative anaemia, thrombocytosis and leucocytosis appear to be associated with worse prognosis. It remains unclear whether these parameters solely reflect tumour aggressiveness, or also impact response to ... ...
Abstract | Background: In endometrial cancer (EC), preoperative anaemia, thrombocytosis and leucocytosis appear to be associated with worse prognosis. It remains unclear whether these parameters solely reflect tumour aggressiveness, or also impact response to adjuvant treatment. Therefore, our primary aim is to evaluate the prognostic relevance of anaemia, thrombocytosis and leucocytosis on survival in EC. Secondary, to explore their predictive relevance in response to radiotherapy in EC. Methods: A retrospective multicentre cohort study was performed within 10 hospitals. Preoperative haematological parameters were defined as: Anaemia - haemoglobin <7.45 mmol/L (<12 g/Dl), thrombocytosis - platelets >400 × 10 Results: A total of 894 patients were included with a median follow-up of 4.5 years. Anaemia was present in 103 (11.5%), thrombocytosis in 79 (8.8%) and leucocytosis in 114 (12.7%) patients. The presence of anaemia or thrombocytosis was significantly associated with ESGO/ESTRO/ESP high-risk (respectively, Conclusions: Current data demonstrate the importance of preoperative anaemia as independent prognostic factor in patients with EC. Moreover, anaemia seems to be associated with reduced response to radiotherapy. Prospective validation in a larger study cohort is needed to verify anaemia as predictive biomarker for radiotherapy. |
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MeSH term(s) | Female ; Humans ; Anemia/etiology ; Biomarkers ; Cohort Studies ; Endometrial Neoplasms/complications ; Endometrial Neoplasms/radiotherapy ; Endometrial Neoplasms/surgery ; Leukocytosis ; Thrombocytosis/etiology ; Retrospective Studies |
Chemical Substances | Biomarkers |
Language | English |
Publishing date | 2024-01-07 |
Publishing country | England |
Document type | Multicenter Study ; Journal Article |
ZDB-ID | 604639-3 |
ISSN | 1364-6893 ; 0144-3615 |
ISSN (online) | 1364-6893 |
ISSN | 0144-3615 |
DOI | 10.1080/01443615.2023.2294332 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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