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Prognostic significance of the ratio of absolute neutrophil to lymphocyte counts for breast cancer patients with ER/PR-positivity and HER2-negativity in neoadjuvant setting.

机译:ER / PR阳性和HER2阴性的乳腺癌患者在新辅助治疗中绝对嗜中性粒细胞与淋巴细胞计数之比的预后意义。

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The aim of this study was to determine the predictive or prognostic impact of absolute neutrophil count/absolute lymphocyte count ratio (NLR) in breast cancer patients with estrogen receptor/progesterone receptor (ER/PR)-positive and human epidermal growth factor receptor 2 (HER2)-negative subtype who have received neoadjuvant chemotherapy (NAC). We performed retrospective analysis of 157 patients with primary breast cancer with ER/PR-positive and HER2-negative subtype who were treated with NAC, followed by definitive surgical resection. The median follow-up after surgery was 21 months (range, 1-108 months). On univariate analysis, high NLR (>2.25) correlated with poorer recurrence-free survival (RFS) and overall survival (OS) (P?=?0.001 and P?
机译:这项研究的目的是确定绝对中性粒细胞计数/绝对淋巴细胞计数比(NLR)对患有雌激素/孕激素受体(ER / PR)阳性和人表皮生长因子受体2(2)的乳腺癌患者的预测或预后影响(已接受新辅助化疗(NAC)的HER2)阴性亚型。我们对157例接受NAC治疗的ER / PR阳性和HER2阴性亚型的原发性乳腺癌患者进行了回顾性分析,然后进行了明确的手术切除。术后中位随访时间为21个月(范围1-108个月)。单因素分析显示,较高的NLR(> 2.25)与较差的无复发生存期(RFS)和总体生存期(OS)相关(P <= 0.001,P 0.001)。对非病理完全缓解(pCR)亚组的亚组分析表明,高NLR对RFS和OS具有显着意义(P <= 0.001,P 0.001)。特别是,高NLR患者在高临床阶段的临床预后较差。单变量和多变量Cox分析显示NLR是RFS和OS的唯一预测因子​​。 NLR是接受NAC的ER / PR阳性和HER2阴性亚型的乳腺癌患者RFS和OS的独立预后因素。 NLR提供其他预后信息,以选择可能从进一步治疗中受益的合适患者。

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