ABSTRACT
AIM: To investigate the prognostic value of preoperative fibrinogen concentration (FIB) and D-dimer-fibrinogen ratio (DFR) in gastrointestinal stromal tumors (GISTs). METHODS: The purpose of this study was to retrospectively analyze 170 patients with GISTs who were admitted to our hospital from January 2010 to December 2015. The optimal cutoff values of related parameters were estimated by receiver operating characteristic (ROC) curve analysis. The recurrence free survival (RFS) rate was evaluated using Kaplan-Meier curves. Univariate analysis and multivariate Cox regression models were used to analyze the prognostic factors of GISTs. The relationship between the FIB, D-dimer, DFR, platelet count (PLT), and the clinicopathological features of GISTs was described by the chi-square test or nonparametric rank sum test (Mann-Whitney test). RESULTS: In ROC analysis, the optimal cutoff values of FIB, D-dimer, DFR, and PLT were 3.24 g/L, 1.24 mg/L, 0.354, and 197.5 (× 109/L), respectively. Univariate analysis and the Kaplan-Meier survival curve showed that FIB, D-dimer, DFR, PLT, National Institutes of Health (NIH) risk category, tumor size, tumor location, and mitotic index were significantly relevant to the 3-year and 5-year survival rate of patients (P < 0.05). Cox multivariate regression analysis illustrated that FIB (RR: 0.108, 95%CI: 0.031-0.373), DFR (RR: 0.319, 95%CI: 0.131-0.777), and NIH risk category (RR: 0.166, 95%CI: 0.047-0.589) were independent prognostic factors of the RFS rate (P < 0. 05). Moreover, FIB, D-dimer, DFR, and PLT were correlated with the clinical features of GISTs. CONCLUSION: FIB, D-dimer, DFR, and PLT are all related to the prognosis of GISTs. Moreover, FIB and DFR may be independent risk factors for predicting the prognosis of resectable GISTs.
Subject(s)
Biomarkers, Tumor/blood , Fibrin Fibrinogen Degradation Products/analysis , Fibrinogen/analysis , Gastrointestinal Stromal Tumors/blood , Neoplasm Recurrence, Local/diagnosis , Adult , Aged , Disease-Free Survival , Female , Follow-Up Studies , Gastrointestinal Stromal Tumors/mortality , Gastrointestinal Stromal Tumors/pathology , Gastrointestinal Stromal Tumors/surgery , Humans , Kaplan-Meier Estimate , Male , Middle Aged , Neoplasm Recurrence, Local/epidemiology , Preoperative Period , Prognosis , Retrospective Studies , United States , Young AdultABSTRACT
The influence of inorganic additives (NaCl, Na2CO3 and CaCO3) on the distribution of polycyclic aromatic hydrocarbons (PAHs) in the smoke and ash from mosquito coils burning was studied, GC-MS technique was applied to analyze the contents of 16 priority-controlled PAHs recommended by US EPA. The results show that 16 priority-controlled PAHs are detected in the smoke of mosquito coil without additives, characterized by the predominance of 2- to 3-ring PAHs, which are ranked as NaP (3.109 microg x g(-1)) > Phe (1.230 microg x g(-1)) > AcP (0.495 microg x g(-1)) > FluA (0.311 microg x g(-1)); the emission factors in the ash are also predominated by 2- to 3-ring PAHs, but the total PAHs emission factors in the ash are only 4.7% of those in the smoke. NaCl and Na2CO3 additives can not decrease the emission of PAHs but promote total emission factors and TEQ of PAHs in the smoke of mosquito coils increase remarkably. The best additive in this study is CaCO3. With the increase of the addition of CaCO3, the proportion for 2- to 3-ring PAHs in the smoke increases remarkably than that in the ash, while the status reverse for 5- to 6-ring PAHs. CaCO3 with mole fraction of 2.0% has the most excellent property to decrease total emission factors and TEQ of PAHs in the smoke of mosquito coils, and the total emission factors and TEQ of PAHs decrease 1.8% and 86.6% respectively compared with the control.
