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10 August 2022: Clinical Research

A Retrospective Study from a Single Center to Identify Hematological Factors that Distinguish Between Patients with Colorectal Carcinoma and Colorectal Adenoma

Jun Huang 12AE , Pingping Xu 3BCD , Youxiang Chen 4AE*

DOI: 10.12659/MSM.936745

Med Sci Monit 2022; 28:e936745

Table 2 Comparison of characteristics between colorectal adenoma and CRC in the training set.

CharacteristicTotal (n=600)GroupsStatisticsP
Colorectal adenoma (n=229)CRC (n=371)
Gender, n (%)χ=1.0990.295
 Male356 (59.33)142 (62.01)214 (57.68)
 Female244 (40.67)87 (37.99)157 (42.32)
Age, years, Mean±SD56.16±12.4356.78±11.7055.78±12.86t=0.9600.338
BMI, kg/m, Mean±SD22.40±3.4222.93±3.7122.08±3.19t=2.9000.004
Diabetes, n (%)χ=0.0370.847
 No575 (95.83)219 (95.63)356 (95.96)
 Yes25 (4.17)10 (4.37)15 (4.04)
Inflammatory disease, n (%)χ=1.2160.270
 No498 (83.00)195 (85.15)303 (81.67)
 Yes102 (17.00)34 (14.85)68 (18.33)
Hb, g/L, Mean±SD125.48±24.67137.79±19.88117.88±24.30t=10.930
RBC, 10/L, Mean±SD4.24±0.634.49±0.554.09±0.63t=8.150
WBC, 10/L, M (Q, Q)5.91 (4.82, 7.22)5.84 (4.81, 6.68)6.04 (4.82, 7.67)Z=−2.0760.038
NEUT, 10/L, M (Q, Q)3.69 (2.89, 5.01)3.54 (2.82, 4.50)3.92 (2.92, 5.56)Z=−2.8790.004
LYM, 10/L, M (Q, Q)1.43 (1.09, 1.79)1.54 (1.24, 1.87)1.33 (1.03, 1.72)Z=4.050
MONO, 10/L, M (Q, Q)0.35 (0.26, 0.47)0.34 (0.27, 0.44)0.35 (0.25, 0.49)Z=−1.1210.262
PLT, 10/L, M (Q, Q)229.00 (181.00, 284.00)212.00 (173.00, 253.00)243.00 (187.00, 305.00)Z=−4.912
MPV, fL, Mean±SD10.20±1.4910.55±1.449.98±1.48t=4.650
PCT, %, M (Q, Q)0.23 (0.19, 0.28)0.22 (0.18, 0.26)0.24 (0.20, 0.29)Z=−3.786
RDW, %, Mean±SD13.59±2.5213.12±1.6113.87±2.91t=−4.080
PT, s, Mean±SD11.25±0.9810.80±0.9011.52±0.93t=−9.220
APTT, s, Mean±SD26.83±4.1826.28±3.4027.16±4.57t=−2.6900.007
TT, s, Mean±SD18.27±1.7217.82±1.7118.54±1.67t=−5.110
FIB, g/L, Mean±SD3.06±0.842.79±0.713.23±0.87t=−6.840
D-dimer, mg/L, M (Q, Q)0.31 (0.17, 0.62)0.26 (0.16, 0.50)0.36 (0.19, 0.71)Z=−3.344
CEA, ng/mL, M (Q, Q)1.82 (0.90, 3.80)1.37 (0.74, 2.35)2.33 (1.09, 5.31)Z=−5.931
Carbohydrate antigen 199, U/mL, M (Q, Q)10.84 (6.89, 20.45)10.34 (6.50, 17.06)11.30 (6.99, 22.43)Z=−2.2800.023
Carbohydrate antigen 125, U/mL, M (Q, Q)8.60 (6.30, 12.50)8.60 (6.20, 11.80)8.50 (6.30, 13.00)Z=−0.9610.336
GPT, U/L, M (Q, Q)16.00 (11.00, 24.00)18.90 (14.00, 26.00)14.00 (10.00, 22.00)Z=5.241
GOT, U/L, M (Q, Q)21.00 (17.00, 26.00)23.00 (19.00, 27.00)20.00 (16.00, 25.00)Z=4.688
TBil, μmol/L, M (Q, Q)13.00 (9.30, 17.80)15.30 (11.40, 19.70)11.70 (8.40, 16.10)Z=6.389
ALB+GLB, g/L, Mean±SD66.72±7.4769.57±6.8664.96±7.29t=7.700
ALB, g/L, Mean±SD41.70±4.7842.38±4.2141.28±5.07t=2.8800.004
GLB, g/L, Mean±SD25.02±4.6027.19±4.8023.68±3.92t=9.310
A/G, Mean±SD1.71±0.321.60±0.311.78±0.31t=−6.740
BUN, mmol/L, M (Q, Q)4.80 (3.75, 5.80)5.20 (4.30, 6.20)4.50 (3.30, 5.60)Z=6.065
Cr, μmol/L, M (Q, Q)71.00 (61.00, 84.00)73.00 (62.00, 86.00)70.00 (60.00, 84.00)Z=1.6600.097
UA, μmol/L, M (Q, Q)286.00 (220.00, 360.00)325.00 (258.00, 391.00)260.00 (207.00, 333.00)Z=6.864
NLR, M (Q, Q)2.55 (1.81, 3.95)2.22 (1.72, 3.08)2.85 (1.93, 4.50)Z=−4.693
PLR, M (Q, Q)156.44 (116.62, 229.85)136.30 (106.14, 174.32)176.36 (126.70, 264.58)Z=−6.442
MLR, M (Q, Q)0.24 (0.18, 0.35)0.21 (0.18, 0.30)0.26 (0.18, 0.38)Z=−3.1320.002
MPV/PLT, M (Q, Q)0.04 (0.03, 0.06)0.05 (0.04, 0.06)0.04 (0.03, 0.06)Z=5.243
FAR, M (Q, Q)0.07 (0.06, 0.09)0.06 (0.05, 0.07)0.07 (0.06, 0.09)Z=−7.222
PNI, Mean±SD417.01±47.83423.84±42.09412.80±50.66t=2.8800.004
SII, M (Q, Q)581.29 (377.24, 1034.25)472.22 (339.95, 698.73)675.76 (417.75, 1325.62)Z=−5.985
dNLR, M (Q, Q)1.84 (1.38, 2.61)1.73 (1.35, 2.15)1.99 (1.42, 2.96)Z=−4.042
HPR, M (Q, Q)0.57 (0.42, 0.75)0.67 (0.53, 0.81)0.50 (0.34, 0.70)Z=7.778
SD – standard deviation; M (Q, Q) – median (interquartile range); BMI – body mass index; Hb – hemoglobin; RBC – red blood cell; WBC – white blood cell; NEUT – neutrophil; LYM – lymphocyte; MONO – monocyte; PLT – platelet; MPV – mean platelet volume; PCT – plateletcrit (the product of PLT and MPV); RDW – red blood cell distribution width; PT – prothrombin time; APTT – activated partial thromboplastin time; TT – thrombin time; FIB – fibrinogen; CEA – carcinoembryonic antigen; GPT – glutamic pyruvic transaminase; GOT – glutamic oxaloacetic transaminase; TBil – total bilirubin; ALB – albumin; GLB – globulin; A/G – ALB-to-GLB ratio; BUN – blood urea nitrogen; Cr – creatinine; UA – uric acid; NLR – NEUT-to-LYM ratio; PLR – PLT-to-LYM ratio; MLR – MONO-to-LYM ratio; FAR – FIB-to-ALB ratio; PNI – 10×ALB+0.005×LYM; SII – systemic immune-inflammatory index; dNLR – NEUT/(WBC-NEUT); HPR – Hb-to-PLT ratio; CRC – colorectal cancer.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750