PMID- 26482899 OWN - NLM STAT- MEDLINE DCOM- 20160421 LR - 20181113 IS - 1471-2407 (Electronic) IS - 1471-2407 (Linking) VI - 15 DP - 2015 Oct 20 TI - Preoperative neutrophil-to-lymphocyte ratio is an independent prognostic marker in patients with laryngeal squamous cell carcinoma. PG - 743 LID - 10.1186/s12885-015-1727-6 [doi] LID - 743 AB - BACKGROUND: Neutrophil-lymphocyte ratio (NLR) has been shown to be associated with prognosis in various solid tumors. This study aimed to evaluate the prognostic role of NLR in patients with laryngeal squamous cell carcinoma (LSCC). METHODS: A total of 141 LSCC patients were retrospectively reviewed. Patients' demographics were analyzed along with clinical and pathologic data. The optimal cutoff value of NLR was determined using receiver operating characteristic (ROC) curve analysis. The impact of the NLR and other potential prognostic factors on disease-free survival (DFS) and overall survival (OS) was assessed using the Kaplan-Meier method and multivariate Cox regression analysis. RESULTS: The optimal cutoff value of the NLR was 2.17. In the NLR 2.17 group, the DFS rates were 83.0, 54.6 and 49.2 %, respectively. Correspondingly, the 1-, 3-, and 5-year OS rates were 98.9, 85.1 and 77.4 % in the NLR 2.17 group, respectively. The multivariate Cox proportional hazard model analysis showed that NLR > 2.17 was a prognostic factor for both DFS [hazard ratio (HR) = 1.869; 95 % confidence interval (CI) 1.078-3.243; P = 0.026] and OS (HR =2.177; 95 % CI 1.208-3.924; P = 0.010). CONCLUSION: Our results showed that elevated preoperative NLR was an independent predictor of poor prognosis for patients with LSCC after surgical resection. FAU - Tu, Xiu-Ping AU - Tu XP AD - Department of Otorhinolaryngology, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, P. R. China. tuxiuping105@163.com. FAU - Qiu, Qian-Hui AU - Qiu QH AD - Department of Otorhinolaryngology, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, P. R. China. qiuqianhui@hotmail.com. FAU - Chen, Liang-Si AU - Chen LS AD - Department of Otorhinolaryngology, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, P. R. China. lancer_chen@hotmail.com. FAU - Luo, Xiao-Ning AU - Luo XN AD - Department of Otorhinolaryngology, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, P. R. China. luoxn_ent@126.com. FAU - Lu, Zhong-Ming AU - Lu ZM AD - Department of Otorhinolaryngology, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, P. R. China. entlu@126.com. FAU - Zhang, Si-Yi AU - Zhang SY AD - Department of Otorhinolaryngology, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, P. R. China. szhang555@hotmail.com. FAU - Chen, Shao-Hua AU - Chen SH AD - Department of Otorhinolaryngology, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, 510080, P. R. China. chenshaohua1168@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20151020 PL - England TA - BMC Cancer JT - BMC cancer JID - 100967800 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/mortality/*pathology/surgery MH - China/epidemiology MH - Female MH - Humans MH - Laryngeal Neoplasms/mortality/*pathology/surgery MH - Lymphocytes/*pathology MH - Male MH - Middle Aged MH - Neutrophils/*pathology MH - Preoperative Period MH - Prognosis MH - ROC Curve MH - Retrospective Studies MH - Survival Rate/trends PMC - PMC4615885 EDAT- 2015/10/21 06:00 MHDA- 2016/04/22 06:00 PMCR- 2015/10/20 CRDT- 2015/10/21 06:00 PHST- 2015/01/21 00:00 [received] PHST- 2015/10/08 00:00 [accepted] PHST- 2015/10/21 06:00 [entrez] PHST- 2015/10/21 06:00 [pubmed] PHST- 2016/04/22 06:00 [medline] PHST- 2015/10/20 00:00 [pmc-release] AID - 10.1186/s12885-015-1727-6 [pii] AID - 1727 [pii] AID - 10.1186/s12885-015-1727-6 [doi] PST - epublish SO - BMC Cancer. 2015 Oct 20;15:743. doi: 10.1186/s12885-015-1727-6.