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Suppression of the phytohemagglutinin response to lymphocytes is an independent prognosticator in patients with squamous cell carcinoma of the esophagus
Ist Teil von
The Annals of thoracic surgery, 2003-07, Vol.76 (1), p.260-265
Ort / Verlag
New York, NY: Elsevier Inc
Erscheinungsjahr
2003
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
The preoperative immunological condition of patients with malignant tumors should be considered in determining the prognosis.
A lymphoblastic transformation test in which lymphocytes were stimulated with phytohemagglutinin (PHA) was performed for 155 patients with esophageal squamous cell carcinoma (SCC).
Multivariate analysis demonstrated that a lower preoperative PHA response (
p = 0.028), as well as the depth of the tumor (
p = 0.011), lymph node metastasis (
p = 0.0003), lymphatic permeation (
p = 0.002), and the incidence of postoperative complication (
p = 0.016) were independent factors associated with a poor prognosis for patients with SCC of the esophagus.
A suppressed PHA response is an additional significant prognosticator for SCC of the esophagus.