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자료유형
학술저널
저자정보
안상현 (연세대학교(원주의대)) 심홍진 (Department of Surgery Yonsei University Wonju College of Medicine Wonju Korea) 김광민 (Department of Surgery Yonsei University Wonju College of Medicine) 김보라 (Department of Internal Medicine Yonsei University Wonju College of Medicine) Bang Hui-Jae (Department of Surgery Konkuk University Chungju Hospital) Do Hyejin (Department of Anesthesiology Yonsei University Wonju College of Medicine) Lee Hyang-Rae (Department of Family Medicine Yonsei University Wonju College of Medicine) Kim Youngwan (Department of Surgery Yonsei University Wonju College of Medicine)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.38 No.2
발행연도
2022.4
수록면
97 - 108 (12page)
DOI
10.3393/ac.2021.01004.0143

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We aimed to review whether pretreatment inflammatory markers reflect the short- and long-term outcomes of patients with colon cancer, rectal cancer, colon and rectal cancers, and metastatic colorectal cancer (CRC). We found that pretreatment complete blood count and blood chemistry tests reflect short-term and long-term oncological outcomes in patients with CRC. Specifically, in patients with colon cancer, hypoalbuminemia was associated with worse postoperative morbidity, mortality, and inferior survival. In patients with rectal cancer, elevated neutrophil-lymphocyte ratio (NLR) and thrombocytosis were associated with postoperative complications, poor overall survival (OS), and disease-free survival (DFS). A high C-reactive protein/albumin ratio (CAR) was associated with poor OS and DFS. In patients with metastatic CRC, increased NLR and platelet-lymphocyte ratio (PLR) were associated with poor OS, DFS, and progression-free survival (PFS). In addition, high CAR and a low albumin/globulin ratio on blood chemistry tests were associated with poor OS and PFS. Although universal cut-off values were not available, various types of pretreatment laboratory markers could be utilized as adjuncts to predict prognosis in patients with CRC.

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