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Systemic inflammatory markers as independent prognosticators of head and neck squamous cell carcinoma
Head & neck, 2015-01, Vol.37 (1), p.103-110
Rassouli, Alipasha
Saliba, Joe
Castano, Roberto
Hier, Michael
Zeitouni, Anthony G.
2015
Details
Autor(en) / Beteiligte
Rassouli, Alipasha
Saliba, Joe
Castano, Roberto
Hier, Michael
Zeitouni, Anthony G.
Titel
Systemic inflammatory markers as independent prognosticators of head and neck squamous cell carcinoma
Ist Teil von
Head & neck, 2015-01, Vol.37 (1), p.103-110
Ort / Verlag
United States: Blackwell Publishing Ltd
Erscheinungsjahr
2015
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Background The purpose of this study was to investigate the prognostic value of the pretreatment inflammatory markers platelet‐to‐lymphocyte ratio (PLR) and the neutrophil‐to‐lymphocyte ratio (NLR) in patients with head and neck squamous cell carcinoma (HNSCC). Methods We conducted a retrospective analysis of patients diagnosed with HNSCC at McGill University Health Center from 2000 to 2011 (273 patients were retained). Hematologic parameters were recorded within 4 weeks of diagnosis. Mortality and recurrence rates were compared according to various PLR and NLR thresholds. Results Of the total patients, 20.5% died and 11.0% had disease recurrence. PLR >170 was associated with higher mortality (p = .008). The subgroup with a combination of PLR >170 and NLR ≤3.0 was associated with higher T classification and highest mortality (43%). NLR above 4.2 predicted higher rates of recurrence (p < .0001). The NLR/PLR combination was at least as good as TNM staging in predicting survival. Conclusion PLR is an independent predictor of mortality; NLR is an independent predictor of recurrence in HNSCC. These parameters might be used to identify advanced stages rapidly and economically. © 2014 Wiley Periodicals, Inc. Head Neck 37: 103–110, 2015
Sprache
Englisch
Identifikatoren
ISSN: 1043-3074
eISSN: 1097-0347
DOI: 10.1002/hed.23567
Titel-ID: cdi_proquest_miscellaneous_1637551182
Format
–
Schlagworte
Aged
,
Aged, 80 and over
,
Biomarkers - blood
,
Carcinoma, Squamous Cell - blood
,
Carcinoma, Squamous Cell - diagnosis
,
Carcinoma, Squamous Cell - mortality
,
Clinical outcomes
,
Disease-Free Survival
,
Female
,
head and neck
,
Head and Neck Neoplasms - blood
,
Head and Neck Neoplasms - diagnosis
,
Head and Neck Neoplasms - mortality
,
Humans
,
inflammation
,
Lymphocyte Count
,
Male
,
Middle Aged
,
Mortality
,
Neoplasm Recurrence, Local - blood
,
Neoplasm Recurrence, Local - diagnosis
,
Neoplasm Recurrence, Local - epidemiology
,
neutrophil-to-lymphocyte ratio
,
Neutrophils
,
Platelet Count
,
platelet-to-lymphocyte ratio
,
Predictive Value of Tests
,
recurrence
,
Retrospective Studies
,
squamous cell cancer
,
Squamous Cell Carcinoma of Head and Neck
,
Survival Rate
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