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Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
by
Wei, Yanshuang
, Wang, Xiaoying
, Pu, Xiaolin
, Wu, Xinyu
, Wu, Fangfang
, Wei, Feifei
, Jiang, Hua
in
Aged
/ Aged, 80 and over
/ Analysis
/ Blood platelets
/ Cancer
/ Cancer patients
/ Cancer therapies
/ Care and treatment
/ Chemotherapy
/ Combination therapy
/ Development and progression
/ Disease
/ Dynamic platelet count
/ Female
/ Histology
/ Humans
/ Immunotherapy
/ Kaplan-Meier Estimate
/ Leukocytes (neutrophilic)
/ Lung cancer
/ Lung Neoplasms - blood
/ Lung Neoplasms - complications
/ Lung Neoplasms - mortality
/ Lymphocytes
/ Male
/ Mean Platelet Volume
/ Medical prognosis
/ Metastasis
/ Middle Aged
/ Mortality
/ Mutation
/ Oncology, Experimental
/ Patients
/ Platelet Count
/ Platelets
/ Prognosis
/ Radiation therapy
/ Retrospective Studies
/ Shear stress
/ Statistical analysis
/ Thrombocytosis
/ Thrombocytosis - blood
/ Thrombocytosis - complications
/ Tumors
2025
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Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
by
Wei, Yanshuang
, Wang, Xiaoying
, Pu, Xiaolin
, Wu, Xinyu
, Wu, Fangfang
, Wei, Feifei
, Jiang, Hua
in
Aged
/ Aged, 80 and over
/ Analysis
/ Blood platelets
/ Cancer
/ Cancer patients
/ Cancer therapies
/ Care and treatment
/ Chemotherapy
/ Combination therapy
/ Development and progression
/ Disease
/ Dynamic platelet count
/ Female
/ Histology
/ Humans
/ Immunotherapy
/ Kaplan-Meier Estimate
/ Leukocytes (neutrophilic)
/ Lung cancer
/ Lung Neoplasms - blood
/ Lung Neoplasms - complications
/ Lung Neoplasms - mortality
/ Lymphocytes
/ Male
/ Mean Platelet Volume
/ Medical prognosis
/ Metastasis
/ Middle Aged
/ Mortality
/ Mutation
/ Oncology, Experimental
/ Patients
/ Platelet Count
/ Platelets
/ Prognosis
/ Radiation therapy
/ Retrospective Studies
/ Shear stress
/ Statistical analysis
/ Thrombocytosis
/ Thrombocytosis - blood
/ Thrombocytosis - complications
/ Tumors
2025
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Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
by
Wei, Yanshuang
, Wang, Xiaoying
, Pu, Xiaolin
, Wu, Xinyu
, Wu, Fangfang
, Wei, Feifei
, Jiang, Hua
in
Aged
/ Aged, 80 and over
/ Analysis
/ Blood platelets
/ Cancer
/ Cancer patients
/ Cancer therapies
/ Care and treatment
/ Chemotherapy
/ Combination therapy
/ Development and progression
/ Disease
/ Dynamic platelet count
/ Female
/ Histology
/ Humans
/ Immunotherapy
/ Kaplan-Meier Estimate
/ Leukocytes (neutrophilic)
/ Lung cancer
/ Lung Neoplasms - blood
/ Lung Neoplasms - complications
/ Lung Neoplasms - mortality
/ Lymphocytes
/ Male
/ Mean Platelet Volume
/ Medical prognosis
/ Metastasis
/ Middle Aged
/ Mortality
/ Mutation
/ Oncology, Experimental
/ Patients
/ Platelet Count
/ Platelets
/ Prognosis
/ Radiation therapy
/ Retrospective Studies
/ Shear stress
/ Statistical analysis
/ Thrombocytosis
/ Thrombocytosis - blood
/ Thrombocytosis - complications
/ Tumors
2025
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Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
Journal Article
Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
2025
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Overview
Thrombocytosis is associated with poor prognosis in lung cancer patients. However, no studies have further assessed the effect of platelet-related parameters on the prognosis among lung cancer patients with thrombocytosis.
Between 2020 and 2021, lung cancer patients with a platelet count ≥ 300 *10
/L or normal count were retrospectively reviewed. Potential prognostic factors were identified using univariate and multivariate accelerate failure time (AFT) model. Kaplan-Meier method and log-rank test were used to compare survival outcome.
Among patients with thrombocytosis (
= 148), time point of platelet elevation, platelet distribution width (PDW), platelet-to-lymphocyte ratio (PLR) and neutrophil-to-lymphocyte ratio (NLR) did not significantly impact first-line progression-free survival (PFS). Compared to patients whose platelet count normalized after treatment, patients with sustained platelet elevation exhibited a worst PFS (β = - 1.291,
< 0.001), and although patients with fluctuant platelet elevation had worse PFS (β = - 0.358,
= 0.054), the difference was not statistically significant. Additionally, mean platelet volume (MPV) (β = 0.319,
= 0.008) and D-dimer (β = - 0.046,
= 0.025) were also factors affecting first-line PFS.
Among platelet-related parameters, besides MPV and D-dimer, the dynamic pattern of platelet count serves as a prognostic marker in lung cancer patients with thrombocytosis.
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