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Werutsky G, Villareal-Garza C, Moreno HG, Cartagena AA, Campos-Gomez S, Reyes RO, Lence JJ, Liedke P, Reinert T, Binotto M, Dybal V, Martinez-Mesa J, Freitas RD, Nunes Filho PR, Zaffaroni F, Barrios CH. Abstract P4-12-01: Not presented. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p4-12-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
This abstract was not presented at the conference.
Citation Format: Werutsky G, Villareal-Garza C, Moreno HG, Cartagena AA, Campos-Gomez S, Reyes RO, Lence JJ, Liedke P, Reinert T, Binotto M, Dybal V, Martinez-Mesa J, Freitas RD, Nunes Filho PR, Zaffaroni F, Barrios CH. Not presented [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P4-12-01.
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Affiliation(s)
- G Werutsky
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - C Villareal-Garza
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - HG Moreno
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - AA Cartagena
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - S Campos-Gomez
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - RO Reyes
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - JJ Lence
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - P Liedke
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - T Reinert
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - M Binotto
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - V Dybal
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - J Martinez-Mesa
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - RD Freitas
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - PR Nunes Filho
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - F Zaffaroni
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
| | - CH Barrios
- Latin American Cooperative Oncology Group, Porto Alegre, Brazil; Instituto Nacional de Cancerología, Mexico City, Mexico; Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru; Oncosalud, Lima, Peru; Centro Oncológico Estatal, Instituto de Seguridad Social del Estado de México y Municipios, Toluca, Mexico; Instituto Nacional de Oncología Y Radiobiología, Havana, Cuba; Breast Cancer Center, Tecnologico de Monterrey, Monterrey, Mexico; Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil; Centro de Pesquisa e Educação da Serra Gaúcha, Caxias do Sul, Brazil; Clínica Assitência Multidiscilinar em Oncologia, Salvador, Brazil; Centro de Pesquisas em Oncologia, Porto Alegre, Brazil
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Ku GADLC, Morante Z, Pinto J, Araujo J, Enriquez D, Eyzaguirre E, Saavedra A, Lujan M, Luque R, Rázuri C, Fuentes H, Neciosup S, Moreno HG. Abstract 588: Neutrophil to lymphocyte ratio as strongest predictor of early death in metastatic triple negative breast cancer. Cancer Res 2018. [DOI: 10.1158/1538-7445.am2018-588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: Metastatic triple-negative breast cancer (mTNBC) is a heterogeneous disease with poor prognosis where recent studies suggest that the immune system plays a critical role the mechanisms of disease progression and metastasis. In the other hand, a high Neutrophil to Lymphocyte Ratio (NLR) is associated with poor survival in patients diagnosed with several types of cancer. Our aim was to evaluate the prognostic value of NLR in mTNBC.
Methods: We retrospectively reviewed 130 patients diagnosed with mTNBC between 2000-2014 at “Instituto Nacional de Enfermedades Neoplasicas”. NLR group was divided in <2.5 and ≥2.5. Sites of metastasis were identified by TAC or magnetic resonance imaging. Survival rates were estimated by the Kaplan-Meier method and differences were calculated by Log-rank test. The Cox Regression was used for prognostic factors.
Results: The median age was 50 years (range: 23-92 years). From our study population, 41.2% were premenopausal, and just 10 patients (9.5%) had a breast-ovary cancer familiar background, 62.5% were diagnosed at clinical stage T3-T4 and 86.1% had lymph node involvement. From 130 patients, 41 and 64 had NLR <2.5 and ≥2.5, respectively, while there was no association between characteristics and NLR, only patients with malnutrition had NLR ≥2.5 (9.1% vs 40.8%, p=0.002) and solid organ involvement (62.4% vs 81.3%, p=0.04). Furthermore, lung and bone were the most frequent sites of metastasis. Those patients with lower ratio (<2.5) had better response to chemotherapy (p <0.001). With a median follow-up of 6.25 years, at 1-year OS was lower among patients with NLR ≥2.5 (59% vs 20%, HR: 2.77, 95%CI:1.77-4.33, p<0.001). In addition, at univariate analysis malnutrition also showed an impact on OS (HR: 1.79, 95%CI: 1.20-2.67, p=0.005). At multivariate analysis, between age, T stage, N stage, NLR and solid organ involvement, just NLR was the best and only predictor of worse OS (HR: 3.12, 95%CI:1.94-5.03, p<0.001).
Conclusion: In mTNBC, an NLR ≥2.5 was a strong and accessible biomarker of poor OS. Lower values of NLR could help us to predict chemotherapy response.
Citation Format: Gabriel A. De la Cruz Ku, Zaida Morante, Joseph Pinto, Jhajaira Araujo, Daniel Enriquez, Eduardo Eyzaguirre, Antonella Saavedra, Maria Lujan, Renato Luque, Cesar Rázuri, Hugo Fuentes, Silvia Neciosup, Henry Gómez Moreno. Neutrophil to lymphocyte ratio as strongest predictor of early death in metastatic triple negative breast cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2018; 2018 Apr 14-18; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2018;78(13 Suppl):Abstract nr 588.
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Affiliation(s)
| | - Zaida Morante
- 2Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru
| | | | | | | | | | | | | | | | | | - Hugo Fuentes
- 2Instituto Nacional de Enfermedades Neoplasicas, Lima, Peru
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