Evaluation and validation of the prognostic value of platelet indices in patients with leukemia

Clin Exp Med. 2023 Oct;23(6):1835-1844. doi: 10.1007/s10238-022-00985-z. Epub 2023 Jan 9.

Abstract

Platelets (PLTs) are believed to play a role in the process by which tumors can accelerate their growth rate, as well as offer the physical and mechanical support necessary to evade the immunological system and metastasis. There is, however, no literature available if PLTs have a role in leukemia. It is significant for PLTs to play a part in hematological malignancies from a therapeutic standpoint and to have the capacity to serve as a prognostic marker in the evolution of leukemia. This is because PLTs play a crucial role in the development of cancer and tumors. In this study, it will be shown that PLT count can be used to predict long-term prognosis after chemotherapy especially in the case of acute myeloid leukemia patients. Furthermore, low PLT-to-lymphocyte ratio and mean PLT volume, as well as high PLT distribution width, are associated with poor prognosis and may represent a novel independent prognostic factor.

Keywords: Leukemia; Platelet; Prognosis; Thrombocytopenia; Thrombocytosis.

Publication types

  • Review

MeSH terms

  • Blood Platelets
  • Humans
  • Leukemia* / diagnosis
  • Neoplasms*
  • Platelet Count
  • Prognosis