Associations of complete blood count parameters with disease-free survival in right- and left-sided colorectal cancer patients.

Alsalman, A, Al-Mterin, MA ORCID: https://orcid.org/0000-0003-1245-8118, Abu-Dayeh, A, Alloush, F, Murshed, K ORCID: https://orcid.org/0000-0001-8045-363X and Elkord, E ORCID: https://orcid.org/0000-0002-3868-0318 2022, 'Associations of complete blood count parameters with disease-free survival in right- and left-sided colorectal cancer patients.' , Journal of personalized medicine, 12 (5) , p. 816.

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Abstract

Colorectal cancer (CRC) is a leading cause of cancer-related deaths worldwide. Some complete blood count (CBC) parameters are found to be associated with CRC prognosis. In this study, ninety-seven pretreated CRC patients were included, and the patients were divided into two groups: left-sided and right-sided, depending on the anatomical location of the tumor. Based on clinicopathologic features including tumor budding, disease stages, and tumor anatomical location, levels of CBC parameters were compared, and disease-free survivals (DFS) were determined. There were differences between patients with different tumor budding scores for only three parameters, including red cell distribution width (RDW), numbers of platelets, and mean platelet volume (MPV). Furthermore, numbers of WBCs, monocytes, and MPV in CRC patients with early disease stages were higher than those with advanced stages. However, levels of eosinophil in CRC patients with advanced stages were higher than those with early stages. Depending on the tumor anatomical location, we observed that numbers of red blood cells (RBCs), hemoglobin (Hgb), and hematocrit (Hct) in CRC patients with left-sided tumors were higher than those with right-sided tumors. We found that low levels of MPV were associated with shorter DFS. However, high levels of eosinophils were associated with shorter DFS in all CRC patients. When patients were divided based on the tumor anatomical location, higher levels of MPV, MCHC, and Hgb were associated with better DFS in the left-sided but not right-sided CRC patients. However, left-sided, but not right-sided, CRC patients with high levels of eosinophil and RDW had shorter DFS. Furthermore, right-sided, but not left-sided, CRC patients with high levels of platelets tended to have a shorter DFS. Our data show that MPV and eosinophils could serve as potential prognostic biomarkers in pre-treatment CRC patients, regardless of the tumor anatomical location. Additionally, lower levels of MPV, MCHC, and Hgb, and high levels of eosinophils and RDW could be negative predictive biomarkers in left-sided CRC patients.

Item Type: Article
Schools: Schools > School of Health and Society
Journal or Publication Title: Journal of personalized medicine
Publisher: MDPI
ISSN: 2075-4426
Related URLs:
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 09 Aug 2022 12:28
Last Modified: 17 Aug 2022 08:16
URI: https://usir.salford.ac.uk/id/eprint/64298

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