PMID- 27520567 OWN - NLM STAT- MEDLINE DCOM- 20170222 LR - 20220410 IS - 1434-4726 (Electronic) IS - 0937-4477 (Linking) VI - 274 IP - 1 DP - 2017 Jan TI - The pre-treatment neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and red cell distribution width predict prognosis in patients with laryngeal carcinoma. PG - 535-542 LID - 10.1007/s00405-016-4250-8 [doi] AB - The aim of this study was to identify the potential prognostic roles of the preoperative neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and red cell distribution width (RDW) in patients with laryngeal squamous cell carcinoma (LSCC). 81 patients who underwent surgery for the larynx carcinoma were enrolled in the study. NLR, PLR and RDW were used as outcome measures. Local recurrence was detected in 30 (37.0 %) patients and neck lymph node metastasis was detected 6 (7.4 %) patients during follow-up period. Mortality was seen in 7 (8.6 %) patients. The mean PLR in the T1 and T2 stage tumors were significantly lower than the T4 stage. The mean RDW and PLR were significantly higher in the exitus group than the survivor group. The mean NLR in the patients with local recurrence was significantly higher than the non-recurrent patients. Progression-free survival (PFS) was lower in patients with high NLR. When analyzed by the Cox regression analysis of factors affecting the local recurrence, NLR was found to significantly affect the recurrence. According to ROC analysis for mortality, NLR was not found to be a prognostic factor, although the PLR and RDW were significant prognostic factors. According to Cox regression analysis, a high PLR increases mortality 4.2 times and a high RDW 4.6 times. Although in univariate analysis MCV, RDW and tumor grade were predictors of mortality, RDW and tumor grade independent predictors were found. Further studies involving large patient groups are required. FAU - Kara, Medine AU - Kara M AD - Department of Otorhinolaryngology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey. medinekara@gmail.com. FAU - Uysal, Sema AU - Uysal S AD - Department of Biochemistry, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey. FAU - Altinisik, Ugur AU - Altinisik U AD - Department of Anesthesiology and Reanimation, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey. FAU - Cevizci, Sibel AU - Cevizci S AD - Department of Public Health, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey. FAU - Guclu, Oguz AU - Guclu O AD - Department of Otorhinolaryngology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey. FAU - Derekoy, Fevzi Sefa AU - Derekoy FS AD - Department of Otorhinolaryngology, Faculty of Medicine, Canakkale Onsekiz Mart University, Canakkale, Turkey. LA - eng PT - Journal Article DEP - 20160812 PL - Germany TA - Eur Arch Otorhinolaryngol JT - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JID - 9002937 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/*blood/pathology/surgery MH - Disease-Free Survival MH - *Erythrocyte Indices MH - Female MH - Humans MH - Laryngeal Neoplasms/*blood/pathology/surgery MH - *Leukocyte Count MH - Lymphatic Metastasis MH - Lymphocytes/*pathology MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/pathology MH - Neutrophils/*pathology MH - *Platelet Count MH - Prognosis MH - ROC Curve MH - Retrospective Studies OTO - NOTNLM OT - Larynx carcinoma OT - Neutrophil-to-lymphocyte ratio OT - Platelet-to-lymphocyte ratio OT - Prognosis OT - Red cell distribution width EDAT- 2016/08/16 06:00 MHDA- 2017/02/23 06:00 CRDT- 2016/08/14 06:00 PHST- 2016/07/20 00:00 [received] PHST- 2016/08/05 00:00 [accepted] PHST- 2016/08/16 06:00 [pubmed] PHST- 2017/02/23 06:00 [medline] PHST- 2016/08/14 06:00 [entrez] AID - 10.1007/s00405-016-4250-8 [pii] AID - 10.1007/s00405-016-4250-8 [doi] PST - ppublish SO - Eur Arch Otorhinolaryngol. 2017 Jan;274(1):535-542. doi: 10.1007/s00405-016-4250-8. Epub 2016 Aug 12.