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Original Research

Open Access

Leukocytosis and thrombocytosis as prognostic factors for women with uterine cervical cancer

  • Y. Murata1
  • Y. Miyahara1
  • K. Suzuki1
  • S. Wakahashi1
  • T. Sudo2
  • S. Nagao2
  • S. Yamaguchi2
  • Y. Ebina1
  • H. Yamada1,*,

1Department of Obstetrics and Gynecology, Kobe University Graduate School of Medicine, Kobe

2Department of Gynecologic Oncology, Hyogo Cancer Center, Akashi (Japan)

DOI: 10.31083/j.ejgo.2020.01.4886 Vol.41,Issue 1,February 2020 pp.93-97

Published: 15 February 2020

*Corresponding Author(s): H. Yamada E-mail: yhideto@med.kobe-u.ac.jp

Abstract

Purpose of Investigation: The aim of this study was to evaluate whether leukocytosis and thrombocytosis prior to treatment was associated with the prognosis of women with uterine cervical cancer. Materials and Methods: The authors assessed 2,267 women who were diagnosed as having FIGO Stages I-IV uterine cervical cancer and were followed up for at least five years. The age, clinical stage, histology, leukocytosis, and thrombocytosis at the initial diagnosis were evaluated for overall survival (OS). Results: Leukocytosis and thrombocytosis were identified in 315 and in 134 women, respectively. Fifty-eight had both conditions. Multivariable analysis revealed that age [hazard ratio (HR) 1.7, p < 0.001], advanced FIGO Stage (4.8, p < 0.001), histology (2.0, p < 0.001), leukocytosis (1.5, p < 0.01), and thrombocytosis (2.0, p < 0.01) were independent factors for decreased OS. OS of women with both thrombocytosis and leukocytosis was the worst (p < 0.01). Conclusion: Leukocytosis and thrombocytosis were independently associated with decreased OS in women with uterine cervical cancer.

Keywords

Cervical cancer; Leukocytosis; Thrombocytosis; Prognosis.

Cite and Share

Y. Murata,Y. Miyahara,K. Suzuki,S. Wakahashi,T. Sudo,S. Nagao,S. Yamaguchi,Y. Ebina,H. Yamada. Leukocytosis and thrombocytosis as prognostic factors for women with uterine cervical cancer. European Journal of Gynaecological Oncology. 2020. 41(1);93-97.

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