实用肿瘤学杂志 ›› 2023, Vol. 37 ›› Issue (4): 377-382.doi: 10.11904/j.issn.1002-3070.2023.04.013

• 综述 • 上一篇    下一篇

全身免疫炎症指数与结直肠癌预后的研究进展

向迪, 寇丽娜, 杜春玲, 欧小文 综述, 陈铁军 审校   

  1. 中国医科大学本溪中心医院肿瘤内科(本溪 117000)
  • 收稿日期:2023-03-05 修回日期:2023-08-07 出版日期:2023-08-28 发布日期:2023-12-12
  • 通讯作者: 陈铁军,E-mail:zxyyctj1975@163.com
  • 作者简介:向迪,女,(1995-),硕士研究生,住院医师,从事消化道肿瘤诊断与治疗相关的研究。
  • 基金资助:
    辽宁省自然基金资助计划(编号:2019-MS-177)

Research progress on the relationship between systemic immune inflammatory index and prognosis of colorectal cancer

XIANG Di, KOU Lina, DU Chunling, OU Xiaowen, CHEN Tiejun   

  1. Department of Oncology, Benxi Central Hospital, China Medical University, Benxi 117000, China
  • Received:2023-03-05 Revised:2023-08-07 Online:2023-08-28 Published:2023-12-12

摘要: 结直肠癌是全球常见的恶性肿瘤之一,居肿瘤相关死亡顺位第二位,治疗方式以手术、放疗和化疗为主。随着对结直肠癌增殖、侵袭和转移机制的不断探索和医疗技术的不断进步,结直肠癌的治疗方案及术后监测方法越来越多,但患者术后复发率和死亡率仍较高,预后不佳。目前,评估病情主要以影像检查和肿瘤标志物筛查为主,但在监测疾病复发方面存在一定的局限性和滞后性。因此,在不增加患者经济负担的基础上,寻找合适的临床指标来辅助监测疾病复发尤为重要。近年来,不断有研究提示慢性炎症与肿瘤相关,基于血小板、中性粒细胞、淋巴细胞的全身免疫炎症指数(Systemic immune-inflammation index,SII)展现出巨大的应用前景,可能成为评估结直肠癌预后的一个简便、经济、重复性强和无创的参考指标。本文将对近年来SII与结直肠癌预后相关研究成果进行综述。

关键词: 结直肠癌, 预后, 辅助放化疗, 全身免疫炎症指数

Abstract: Colorectal cancer is one of the common malignant tumors worldwide, and ranks second in tumor-related deaths. The treatment methods are mainly surgery, radiotherapy, and chemotherapy. With the continuous exploring mechanisms of proliferation, invasion, and metastasis in colorectal cancer cells and the advancement of medical technology, there are now more and more treatment options and postoperative monitoring methods for colorectal cancer. However, the postoperative recurrence rate and mortality rate of patients are still high, and the prognosis is poor. At present, the assessment of the condition mainly relies on imaging examination and tumor marker screening, but there are certain limitations and delays in monitoring disease recurrence. Therefore, it is particularly important to find suitable clinical indicators to assist in monitoring disease recurrence without increasing the economic burden on patients. In recent years, there have been continuous studies suggesting that chronic inflammation is related to tumors. The systemic immune-inflammation index(SII)based on platelets, neutrophils, and lymphocytes has shown great application prospects and may become a simple, economical, reproducible, and non-invasive reference index for the prognosis of colorectal cancer. This article will review the research results related to SII and prognosis of colorectal cancer in recent years.

Key words: Colorectal Cancer, Prognosis, Adjuvant chemoradiotherapy, Systemic immune-inflammation index

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