Thrombocytosis and anaemia in women with recurrent ovarian cancer prior to a second-line chemotherapy

Anticancer Res. 2003 May-Jun;23(3C):2991-4.

Abstract

Background: To investigate the incidence and the prognostic value of platelet count and serum haemoglobin (Hb) in patients with recurrent ovarian cancer prior to second-line chemotherapy.

Materials and methods: Clinical records were reviewed for 31 patients with recurrent ovarian cancer. Survival analysis was evaluated by univariate (Kaplan-Meier product limit method and log-rank test) analysis. We analysed the results for the overall survival. Anaemia and thrombocytosis were defined as a serum Hb level < 12 g/dl and as platelet count > 300,000/microL, respectively.

Results: Thrombocytosis and tumour anaemia were present in 55% and 42% of the patients, respectively. Tumour anaemia was of no prognostic value with respect to overall survival in our series. In patients with thrombocytosis, the median survival rate was reduced (p = 0.05).

Conclusion: Our data suggest that a platelet count > 300,000/microL appears to be an adverse prognostic parameter in patients with recurrent ovarian cancer prior to a second-line chemotherapy.

MeSH terms

  • Adult
  • Aged
  • Anemia / etiology*
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Recurrence, Local / blood
  • Neoplasm Recurrence, Local / complications*
  • Neoplasm Recurrence, Local / drug therapy
  • Ovarian Neoplasms / blood
  • Ovarian Neoplasms / complications*
  • Ovarian Neoplasms / drug therapy
  • Platelet Count
  • Prognosis
  • Thrombocytosis / etiology*