IL-6联合NLR对三阴性乳腺癌术后患者预后的预测价值

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Abstract Objective To investigate the predictive value of interleukin-6（IL-6） combined with neutrophil/lymphocyte ratio (NLR) on the prognosis of patients with triple negative breast cancer after surgery. Methods A total of 540 patients with triple negative breast cancer who underwent radical mastectomy in Liaoyang City Central Hospital of Liaoning Province from January 2015 to December 2017 were selected as subjects. Serum IL-6 level of the patients was detected by enzyme-linked immunosorbent assay, and the number of neutrophils and lymphocytes were detected by hematology analyzer, and the NLR value was calculated. Logistic regression was used to analyze the risk factors of poor prognosis of triple negative breast cancer. Receiver operating curve (ROC) was used to evaluate the predictive value of serum IL-6 and NLR to the prognosis of patients. The prognosis of the patients was followed up after discharge. Results By the end of follow-up, 141 patients had poor prognosis, the incidence was 26.11%. The poor prognosis of triple negative breast cancer was correlated with TNM stage, NLR and IL-6 levels (P ＜ 0.05). Logistic regression analysis showed that NLR (OR = 3.652, 95%CI：1.804-7.918, P = 0.000) and IL-6 levels (OR = 2.361, 95%CI：2.169-2.770, P = 0.006) were risk factors for poor prognosis of triple negative breast cancer (P ＜ 0.05). ROC curve showed that the cutoff value of IL-6 was 128.06 ng/mL, the sensitivity was 71.67% and the specificity was 70.83%, the cutoff value of NLR was 2.61, the sensitivity was 75.31% and the specificity was 79.65%. Conclusion Increased levels of NLR and serum IL-6 are risk factors for poor prognosis in triple negative breast cancer. Combined testing for NLR and serum IL-6 can improve sensitivity and specificity and predict poor prognosis in patients.

Key words： Interleukin-6 Neutrophil/lymphocyte ratio Triple negative breast cancer Prognosis

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	LIU Junling1 ZHOU Ge2 GUO Hongbin2

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LIU Junling1 ZHOU Ge2 GUO Hongbin2. Predictive value of IL-6 combined with NLR on the prognosis of patients with triple negative breast cancer after sugery[J]. 中国医药导报, 2020, 17(8): 113-116.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I8/113

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