PMID- 30596765 OWN - NLM STAT- MEDLINE DCOM- 20190520 LR - 20200309 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 13 IP - 12 DP - 2018 TI - May the change of platelet to lymphocyte ratio be a prognostic factor for T3-T4 laryngeal squamous cell carcinoma: A retrospective study. PG - e0210033 LID - 10.1371/journal.pone.0210033 [doi] LID - e0210033 AB - BACKGROUND: Many blood markers have been shown to predict the recurrence and survival of various malignancies, but the effects of surgery on the body's inflammatory levels may cause changes in these inflammatory markers. Therefore, in this study, we assessed the relationship between changes in platelet to lymphocyte ratio (PLR) and survival and recurrence in patients with T3-T4 laryngeal squamous cell carcinoma (LSCC). METHODS: Data of patients with T3-T4 HSCC were reviewed. Continuous variables were expressed as mean +/- SD and were compared using t test or Mann-Whitney U test. The covariate distributions were compared by Chi-square test. Survival curve was estimated by Kaplan-Meier analysis, and Log-Rank test were performed to estimate the survival curve and significance of the difference in survival distribution between groups, respectively. The prognostic value was uncovered by univariate and multivariate Cox hazards analysis. RESULTS: The 413 consecutive patients with LSCC were reviewed. Of these, 362 patients who met the criteria were selected, multi-factor analysis found that pathological T classification(hazard ratio [HR] = 1.878; 95% confidence interval [CI] = 1.342-3.023; P<0.001), pathological N classification (HR = 1.212; 95% CI = 0.867-2.125; P< 0.001) and change of PLR (HR = 2.158; 95% CI = 1.332-2.889; P = 0.004) associated with postoperative recurrence of T3-T4 LSCC. In addition, the pathological T classification (HR = 1.901; 95% CI = 1.255-2.999; P<0.001), pathological N classification (HR = 1.244; 95% CI = 0.810-2.212; P<0.001) and change of PLR (HR = 2.011; 95% CI = 1.354-2.753; P = 0.001) associated with postoperative survival in patients with T3-T4 LSCC. CONCLUSIONS: Results demonstrate that change in PLR may serve as a useful prognostic predictor for patients with T3-T4 LSCC. FAU - Zhong, Bing AU - Zhong B AUID- ORCID: 0000-0002-1783-0591 AD - Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan province, China. FAU - Gu, De-Ying AU - Gu DY AD - Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan province, China. FAU - Du, Jin-Tao AU - Du JT AD - Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan province, China. FAU - Chen, Fei AU - Chen F AD - Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan province, China. FAU - Liu, Ya-Feng AU - Liu YF AUID- ORCID: 0000-0002-6593-0589 AD - Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan province, China. FAU - Liu, Shi-Xi AU - Liu SX AD - Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan province, China. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20181231 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM EIN - PLoS One. 2019 Dec 5;14(12):e0226383. PMID: 31805159 MH - Adult MH - Carcinoma, Squamous Cell/*blood/*mortality MH - Disease-Free Survival MH - Female MH - Follow-Up Studies MH - Humans MH - Laryngeal Neoplasms/*blood/*mortality MH - Lymphocyte Count MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Platelet Count MH - Retrospective Studies MH - Survival Rate PMC - PMC6312301 COIS- The authors have declared that no competing interests exist. EDAT- 2019/01/01 06:00 MHDA- 2019/05/21 06:00 PMCR- 2018/12/31 CRDT- 2019/01/01 06:00 PHST- 2018/09/17 00:00 [received] PHST- 2018/12/14 00:00 [accepted] PHST- 2019/01/01 06:00 [entrez] PHST- 2019/01/01 06:00 [pubmed] PHST- 2019/05/21 06:00 [medline] PHST- 2018/12/31 00:00 [pmc-release] AID - PONE-D-18-26291 [pii] AID - 10.1371/journal.pone.0210033 [doi] PST - epublish SO - PLoS One. 2018 Dec 31;13(12):e0210033. doi: 10.1371/journal.pone.0210033. eCollection 2018.