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The preoperative lymphocyte to monocyte ratio predicts clinical outcome in patients with stage III colon cancer

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Stotz, M, Pichler, M, Absenger, G, Szkandera, J, Arminger, F, Schaberl-Moser, R, Samonigg, H, Stojakovic, T, Gerger, A·2014·British Journal of Cancer

Abstract

BACKGROUND: Inflammation has a critical role in the pathogenesis and progression of cancer. The lymphocyte to monocyte ratio (LMR) could be shown to be prognostic in haematologic neoplasia. In this study, we analysed the LMR with clinical outcome in stage II and III colon cancer patients. METHODS: Three hundred and seventy-two patients with stage II and III colon cancer were included in this retrospective study. Kaplan-Meier curves and multivariate Cox-regression analyses were calculated for time to recurrence (TTR) and overall survival (OS). RESULTS: Including all patients, the elevated preoperative LMR was significantly associated with increased TTR and OS in multivariate analysis (HR: 0.47, 95%CI: 0.29-0.76, P=0.002; HR: 0.51, 95%CI: 0.31-0.83, P=0.007; respectively). In subanalyses, the association was limited to patients with stage III (HR: 0.40, 95%CI: 0.22-0.72, P=0.002), in contrast to patients with stage II (HR: 0.40, 95%CI: 0.28-1.66, P=0.397). When the subgroup of patients with 'high-risk' LMR≤2.83 was analysed, no benefit of adjuvant 5-FU-based chemotherapy could be found (HR: 0.99; 95%CI: 0.60-1.63; P=0.953). CONCLUSION: The LMR might be an independent prognostic marker for TTR in stage III colon cancer patients. Our results further suggest that high-risk patients based on the LMR do not benefit from adjuvant chemotherapy. Independent validation of our findings is warranted.

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Metadata

Authors
Stotz, M., Pichler, M., Absenger, G., Szkandera, J., Arminger, F., Schaberl-Moser, R., Samonigg, H., Stojakovic, T., & Gerger, A.
Venue
British Journal of Cancer
Published
2013-12-19
Volume
110
Issue
2
Pages
435-440
ISSN
  • 0007-0920 (ISSN-L)
  • 1532-1827
OpenAlex
W2084222857
Cited by
310
References
38
FWCI
11.22
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: The preoperative lymphocyte to monocyte ratio predicts clinical outcome in patients with stage III colon cancer. https://app.cochat.ai/papers/10.1038/bjc.2013.785
The paper
Stotz, M., Pichler, M., Absenger, G., Szkandera, J., Arminger, F., Schaberl-Moser, R., Samonigg, H., Stojakovic, T., & Gerger, A. (2014). The preoperative lymphocyte to monocyte ratio predicts clinical outcome in patients with stage III colon cancer. British Journal of Cancer. https://doi.org/10.1038/bjc.2013.785

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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