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Association of depressed postoperative lymphoproliferative responses to alloantigens with poor prognosis in patients with stage I lung cancer

✍ Scribed by G. B. Cannon; J. H. Dean; R. B. Herberman; E. Perlin; J. Reid; C. Miller; N. P. Lang


Publisher
John Wiley and Sons
Year
1980
Tongue
French
Volume
25
Category
Article
ISSN
0020-7136

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✦ Synopsis


Abstract

Thirty‐five patients with Stage I carcinoma of the lung were tested postoperatively to assess lympho‐proliferative responses. Depressed lymphocyte proliferation (LP) responses to alloantigen in the mixed leukocyte culture (MLC) as measured by the relative proliferation index (RPI) were associated with a significantly shorter disease‐free interval. In this group of patients, the immunologic responses predicted subsequent clinical course better than the TNM classification or the his‐tological type of the tumor, and therefore this procedure appears promising for improved staging of patients with early stages of lung cancer (stage I lung cancer and T~1~N~0~M~0~). The depressed response to alloantigen was a more sensitive discriminator of disease recurrence than PHA alone or even combined with PHA.


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