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Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
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Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
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Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis

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Prognostic implication of dynamic platelet count in lung cancer patients with thrombocytosis: a retrospective analysis
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.