Pre-operative systemic inflammatory response markers in predicting lymph node metastasis in endometrioid endometrial adenocarcinoma

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• 作者：Dong Hoon Suh^a ; Hee Seung Kim^a ; Hyun Hoon Chung^a ; Jae Weon Kim^a ; Noh Hyun Park^a ; Yong Sang Song^a ; ^b ; ^c ; Soon-Beom Kang^a ; ^{sdhwcj@naver.com}
• 关键词：Systemic inflammatory response markers ; Serum CA-125 level ; Lymph node metastasis ; Endometrial cancer
• 刊名：European Journal of Obstetrics and Gynecology and Reproductive Biology
• 出版年：2012
• 期刊代码：92_03012115
• 类别：med
• 出版时间：June, 2012
• 卷：162
• 期：2
• 页码：206-210
• 文件大小：308 K

摘要

Objectives

To evaluate the correlation of pre-operative systemic inflammatory response (SIR) markers with lymph node (LN) metastasis compared with serum CA-125 in endometrioid endometrial adenocarcinoma.

Study design

Retrospective review of 319 patients who were pathologically proven to have endometrioid endometrial adenocarcinoma after staging operations. Serum CA-125 and pre-operative SIR markers [neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), C-reactive protein (CRP), albumin, platelets and fibrinogen] were assessed. Receiver operating characteristic (ROC) curves were plotted for each SIR marker and serum CA-125.

Results

NLR, PLR and serum CA-125 were higher in the LN-positive group compared with the LN-negative group (p = 0.003, 0.012 and 0.025, respectively). Serum albumin was significantly lower in the LN-positive group compared with the LN-negative group (p < 0.001). ROC curves demonstrated the best cut-off values for NLR (鈮?.97), PLR (鈮?.14), albumin (鈮?.15 g/dl) and serum CA-125 (鈮?2.50 U/ml) for pre-operative diagnosis of LN metastasis. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and accuracy of serum CA-125 were 63.3%, 87.6%, 37.3%, 95.4%and 85.1%, respectively. No pre-operative SIR markers were superior to serum CA-125 in terms of sensitivity, specificity, PPV, NPV or accuracy, with the exception of the slightly higher sensitivity of PLR (64.5%).

Conclusions

Pre-operative SIR markers do not appear to be more effective in predicting LN metastasis than serum CA-125 in endometrioid endometrial adenocarcinoma.