Thrombocytosis as a useful prognostic indicator in patients with lung cancer

Keisuke Aoe, Akio Hiraki, Hiroshi Ueoka, Katsuyuki Kiura, Masahiro Tabata, Motoyuki Tanaka, Mitsune Tanimoto

Research output: Contribution to journalArticle

62 Citations (Scopus)

Abstract

Background: Thrombocytosis can accompany various cancers including lung cancer. This finding has recently been suggested to indicate poor prognosis. Objectives and Methods: We retrospectively examined the clinical records of 611 patients with lung cancer to investigate whether there is a correlation between thrombocytosis, other clinicopathologic factors, and survival Results: Ninety-eight of the patients (16%) manifested thrombocytosis at the time of their first evaluation at our hospital. Thrombocytosis and age (p = 0.0006) and thrombocytosis and performance status (p = 0.0002) are significantly correlated, but thrombocytosis is not related to gender, tumor histology, clinical stage, or serum lactate dehydrogenase concentrations. Survival is significantly shorter in patients with thrombocytosis: [median survival time (MST) 7.5 months; n = 98] than without thrombocytosis (MST 10.1 months; n = 513; p = 0.0029). Multivariate analysis of prognostic factors using the Cox proportional hazards model indicated that thrombocytosis had independent prognostic significance. Conclusion: Thrombocytosis at the first patient evaluation is an independent prognostic factor in lung cancer.

Original languageEnglish
Pages (from-to)170-173
Number of pages4
JournalRespiration
Volume71
Issue number2
DOIs
Publication statusPublished - May 6 2004

Keywords

  • Lung cancer
  • Multivariate analysis of prognostic factors
  • Platelet count
  • Poor prognosis
  • Thrombocytosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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