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Prognostic factors in neuroendocrine carcinoma: biological markers are more useful than histomorphological markers.


ABSTRACT: Gastroenteropancreatic neuroendocrine carcinomas (GEP-NEC) are a very aggressive type of cancer, for which prognostic factors are lacking. We analysed clinical and histomorphological prognostic markers of overall survival (OS), completed with a record of biological and haematological data of patients diagnosed between December 2002 and December 2015. The median OS was 16 months (95% CI 13.9-18.1). After univariate analysis, performance status (PS)???2 and stage IV were associated with a worse outcome (9 months and 14 months, respectively), as well as patients with lactate dehydrogenase (LDH) and aspartate aminotransferase (AST) levels???2 ULN (9 months and 8 months, respectively). After multivariate analysis, LDH and AST levels were the only factors that remained significantly associated with better survival: HR 0.36 (p?=?0.04) and 0.31 (p?=?0.03), respectively. When patients had elevated LDH and AST levels, OS was 20 months, when they had high LDH or AST levels, 13 months and 8 months in the group with low LDH and AST levels (p?

SUBMITTER: Freis P 

PROVIDER: S-EPMC5225444 | biostudies-literature | 2017 Jan

REPOSITORIES: biostudies-literature

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Prognostic factors in neuroendocrine carcinoma: biological markers are more useful than histomorphological markers.

Freis Patricia P   Graillot Emmanuelle E   Rousset Pascal P   Hervieu Valérie V   Chardon Laurence L   Lombard-Bohas Catherine C   Walter Thomas T  

Scientific reports 20170111


Gastroenteropancreatic neuroendocrine carcinomas (GEP-NEC) are a very aggressive type of cancer, for which prognostic factors are lacking. We analysed clinical and histomorphological prognostic markers of overall survival (OS), completed with a record of biological and haematological data of patients diagnosed between December 2002 and December 2015. The median OS was 16 months (95% CI 13.9-18.1). After univariate analysis, performance status (PS) ≥ 2 and stage IV were associated with a worse ou  ...[more]

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