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자료유형
학술저널
저자정보
저널정보
대한산부인과학회 Obstetrics & Gynecology Science Obstetrics & Gynecology Science 제63권 제1호
발행연도
2020.1
수록면
55 - 63 (9page)

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ObjectiveThis study aimed to investigate the potential predictive factors for platinum resistance and poor prognosis inepithelial ovarian, fallopian tube, and primary peritoneal cancer treated with platinum-based chemotherapy. MethodsMedical records of 306 patients with the above mentioned cancers treated with platinum-based chemotherapybetween 2007 and 2017 were retrospective reviewed. Clinical data, preoperative neutrophil-to-lymphocyte ratio (NLR),platelet-to-lymphocyte ratio (PLR), platinum-free interval, and survival time were recorded. NLR, PLR, and cancerantigen 125 (CA125) levels were calculated for an optimal cutoff point using receiver operating characteristic curves. The clinicopathological variables were compared using univariate and multivariate analyses to identify independentpredictive factors for platinum resistance and poor survival outcomes. ResultsThe optimal cutoff points for NLR, PLR, and CA125 were 3.38, 210, and 365 IU/L, respectively. Univariate analysisindicated that NLR >3.38, PLR >210, CA125 >365, advanced stage, suboptimal disease, serous type, and ascites weresignificant predictive factors for platinum resistance. However, only NLR >3.38 and advanced stage were independentpredictive factors with an adjusted odds ratio of 1.880 and 3.333, respectively. Regarding factors associated with poorsurvival outcomes, only PLR >210 and advanced stage were independent factors, with a hazard ratio of 1.578 and 3.994,respectively. ConclusionHigh NLR and advanced stage were potential independent predictive factors for platinum resistance, whereas highPLR and advanced stage were potential independent predictive factors for poor survival outcomes.

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