1. C-reactive protein and assessment of chemotherapy response in advanced non-small cell lung cancer
- Author
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Sabrine Mejdoub El Fehri, Sonia Habibech, Saoussen Bacha, Abdellatif Chabbou, Sana Cheikhrouhou, Naouel Chaouch, and Hager Racil
- Subjects
Chemotherapy ,medicine.medical_specialty ,biology ,medicine.drug_class ,business.industry ,medicine.medical_treatment ,Antibiotics ,C-reactive protein ,Cancer ,Retrospective cohort study ,medicine.disease ,Gastroenterology ,Internal medicine ,medicine ,biology.protein ,Non small cell ,business ,Lung cancer ,Chemotherapy response - Abstract
Introduction: C-reactive protein (CRP) is an inflammatory mediator that could be elevated in malignant conditions. The aim of our study is to assess the relationship between CRP and response to chemotherapy in patients with advanced non-small cell lung cancer (NSCLC). Methods: This is a retrospective study including 142 patients with advanced NSCLC (stage IIIB and IV) diagnosed between January 2005 and January 2013. Prior to chemotherapy, a CRP level higher than 10mg/l is related to cancer if a decrease of 50% is noted after two cycles of chemotherapy. An initial CRP level that decreases by 50% after antibiotics is related to an infection. Results: The average age was 60 years. The median level of CRP was 47.9 mg/l. Only 16.9% of patients had a CRP level lower than 10mg/l. Correlations between CRP level and BMI (r=-0.34, p=0.0001), tumor size (r=0.25, p=0.039), smoking (r=0.17, p=0.04) and serum albumin level (r=-0.66; p Conclusion: CRP could be taken into account with RECIST criteria to evaluate the response to chemotherapy in advanced NSCLC.
- Published
- 2017
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