Volumen plaquetario medio e índice de plaquetas-linfocitos como factores de pronóstico en cáncer papilar de tiroides.

IF 0.5 4区 医学 Q4 SURGERY
Jesús E Mendoza-Hernández, Luis M Hurtado-López, Erich O P Basurto-Kuba, Edgar R Montes de Oca-Durán, Felipe R Zaldívar-Ramírez, Abraham Pulido-Cejudo
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引用次数: 0

Abstract

Background: Papillary thyroid cancer is the most common endocrine neoplasia. There are prognostic factors that establish risk of recurrence and mortality; however, patients considered low risk may have a less favorable evolution and hence the importance of finding new markers.

Objective: To assess whether the mean platelet volume (MPV) and the platelet-lymphocyte index (PLI) show a relationship with the clinical staging in papillary thyroid cancer.

Method: Retrospective, observational and analytical study. Preoperative MPV and PLI were recorded, its relationship with TNM and MACIS systems was sought, as well as locally advanced invasion and tumor focality.

Results: 107 cases treated from November 2017 to February 2020. No statistically significant difference was observed in these two preoperative parameters with advanced and initial stages, risk groups or tumor focality. The statistical analysis used was one-way ANOVA with SPSS 25, a 95% confidence interval and p < 0.05.

Conclusions: Despite the logical reasoning of tumor pathophysiology, our study did not find a relationship between papillary thyroid carcinoma with MPV and PLI, and should be complemented with more extensive studies.

平均血小板体积和血小板淋巴细胞指数是甲状腺乳头状癌的预后因素。
背景:甲状腺乳头状癌是最常见的内分泌肿瘤。存在确定复发和死亡风险的预后因素;然而,被认为低风险的患者可能有不太有利的进化,因此寻找新的标记物很重要。目的:探讨平均血小板体积(MPV)和血小板淋巴细胞指数(PLI)与甲状腺乳头状癌临床分期的关系。方法:回顾性、观察性、分析性研究。术前记录MPV和PLI,寻求其与TNM和MACIS系统的关系,以及局部晚期侵袭和肿瘤病灶。结果:2017年11月至2020年2月共治疗107例。这两项术前参数与早期、晚期、危险人群、肿瘤病灶均无统计学差异。统计学分析采用SPSS 25进行单因素方差分析,95%置信区间,p < 0.05。结论:尽管从肿瘤病理生理上进行了合理的推理,但我们的研究并没有发现甲状腺乳头状癌与MPV和PLI之间的关系,需要更广泛的研究来补充。
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来源期刊
Cirugia Y Cirujanos
Cirugia Y Cirujanos 医学-外科
CiteScore
0.90
自引率
20.00%
发文量
207
审稿时长
6-12 weeks
期刊介绍: Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.
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