Baseline splenic volume as a biomarker for clinical outcome and circulating lymphocyte count in gastric cancer

Autor: Ziyang Zeng, Zhen Liu, Jie Li, Juan Sun, Mingwei Ma, Xin Ye, Jianchun Yu, Weiming Kang
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Frontiers in Oncology, Vol 12 (2023)
Druh dokumentu: article
ISSN: 2234-943X
DOI: 10.3389/fonc.2022.1065716
Popis: BackgroundThe spleen is the largest peripheral lymphoid organ in the body. Studies have implicated the spleen in the development of cancer. However, it is unknown whether splenic volume (SV) is associated with the clinical outcome of gastric cancer.MethodsData of gastric cancer patients treated with surgical resection were retrospectively analyzed. Patients were divided into three groups: underweight, normal-weight and overweight. Overall survival was compared in patients with high and low splenic volume. The correlation between splenic volume and peripheral immune cells were analyzed.ResultsOf 541 patients, 71.2% were male and the median age was 60. Underweight, normal-weight and overweight patients accounted for 5.4%, 62.3% and 32.3%, respectively. High splenic volume was associated with unfavorable prognosis across the three groups. In addition, the increase of splenic volume during neoadjuvant chemotherapy was not associated with prognosis. The baseline splenic volume was negatively correlated with lymphocytes (r=-0.21, p
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