The prognosis of patients with stage 111 nonsmall cell lung cancer was studied, with special attention to their biologic status prior to lung resection. The biologic status was estimated from the neutrophil /lymphocyte ratio in the peripheral blood, serum albumin level, and erythrocyte sedimentation
Association of depressed postoperative lymphoproliferative responses to alloantigens with poor prognosis in patients with stage I lung cancer
β 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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β¦ Synopsis
Abstract
Thirtyβfive patients with Stage I carcinoma of the lung were tested postoperatively to assess lymphoβproliferative 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 diseaseβfree interval. In this group of patients, the immunologic responses predicted subsequent clinical course better than the TNM classification or the hisβtological 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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