1. CD3+、CD8+ 调节性 T 细胞与结肠癌术后复发的关系 及列线图预测模型构建.
- Author
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杜雪梅, 吕宏, 周文婷, 邹晓红, and 何晓凤
- Abstract
Objective: To explore the correlation between CD3+ and CD8+ regulatory T cells with postoperative recurrence in colon cancer patients and construct the nomogram model to analyze predictive value. Methods: A total of 170 patients with colon cancer in our hospital from December 2018 to November 2020 were selected, and divided into recurrence group (n=22) and no recurrence group (n=148) according to the recurrence situation in 3 years after surgery. Multivariate Logistic regression was used to analyze the influencing factors, a nomogram prediction model was constructed and receiver operating characteristic (ROC) curve was used to evaluate the prediction efficiency. Results: The proportion of CD3+ in the relapse group was lower than that in the no relapse group, and the proportion of CD8+ was higher than that in no relapse group (P<0.05). TNM staging, tumor focus location, lymph node metastasis, preoperative carcinoembryonic antigen (CEA) and CD8+ were independent risk factors for recurrence of colon cancer, and CD3+ was protective factor (P<0.05). The area under the curve (AUC) predicted by the nomogram model for postoperative recurrence risk of colon cancer patients was 0.892 (95% CI: 0.808~0.975). Conclusions: CD3+, CD8+ regulatory T cells level in patients with recurrent colon cancer after surgery is abnormal. TNM staging, tumor focus location, lymph node metastasis, preoperative CEA, CD8+, and CD3+ were the influencing factors for recurrence in patients with colon cancer. The nomogram prediction model constructed according to the influencing factors has high predictive value for the prognostic recurrence of colon cancer patients, and helps clinicians to better evaluate the risk of postoperative recurrence and develop personalized treatment plan. [ABSTRACT FROM AUTHOR]
- Published
- 2025
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