PMID- 31210172 OWN - NLM STAT- MEDLINE DCOM- 20200116 LR - 20200225 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 25 DP - 2019 Jun 18 TI - A Retrospective Study of The Prognostic Significance of Preoperative Plasma Fibrinogen, Mean Platelet Volume, and the Neutrophil-to-Lymphocyte Ratio in Patients with Laryngeal Squamous Cell Carcinoma. PG - 4527-4534 LID - 10.12659/MSM.914426 [doi] AB - BACKGROUND This study aimed to evaluate the prognostic significance of plasma fibrinogen, serum albumin, the mean platelet volume (MPV), and the neutrophil-to-lymphocyte ratio (NLR) in patients with laryngeal squamous cell carcinoma (LSCC) who underwent surgical resection. MATERIAL AND METHODS A retrospective study included 110 patients with LSCC who underwent surgical resection between January 2008 to June 2015. Clinicopathologic and demographic data were recorded. Preoperative levels of plasma fibrinogen, serum albumin, MPV, and NLR were measured, and all patients underwent postoperative follow-up. The Kaplan-Meier method was used to determine the impact of these factors on overall survival (OS) and disease-free survival (DFS). RESULTS Preoperative hyperfibrinogenemia was significantly correlated with clinical stage, T stage, and tumor location in patients with LSCC (P<0.05). Serum albumin, MPV, and NLR were significantly correlated with the clinical stage and the T stage (P<0.05). The OS and DFS were significantly reduced in patients with hyperfibrinogenemia compared with patients with plasma fibrinogen <4 g/dL (P<0.05). Serum albumin of 35 g/L was not significantly correlated with OS (P>0.05). Patients with an MPV <9.5 fL had a significantly longer OS compared with patients with an MPV >/=9.5 fL (P=0.026). The DFS of patients with an NLR <2.22 was significantly longer than for those with an NLR >/=2.22. CONCLUSIONS Preoperative hyperfibrinogenemia, increased MPV and NLR were associated with reduced prognosis in patients with LSCC. FAU - Sheng, Xiaoli AU - Sheng X AD - Department of Otorhinolaryngology, Guangdong Provincial Peoples' Hospital and Guangdong Acadamy of Medical Sciences, Guangzhou, Guangdong, China (mainland). AD - Southern Medical University, Guangzhou, Guangdong, China (mainland). FAU - Zhang, Heng AU - Zhang H AD - State Key Laboratory of Respiratory Disease, Department of Pathology, First Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China (mainland). FAU - Ge, Pingjiang AU - Ge P AD - Department of Otorhinolaryngology, Guangdong Provincial Peoples' Hospital and Guangdong Acadamy of Medical Sciences, Guangzhou, Guangdong, China (mainland). AD - Southern Medical University, Guangzhou, Guangdong, China (mainland). FAU - Chen, Liangsi AU - Chen L AD - Department of Otorhinolaryngology, Guangdong Provincial Peoples' Hospital and Guangdong Acadamy of Medical Sciences, Guangzhou, Guangdong, China (mainland). AD - Southern Medical University, Guangzhou, Guangdong, China (mainland). FAU - Zhang, Siyi AU - Zhang S AD - Department of Otorhinolaryngology, Guangdong Provincial Peoples' Hospital and Guangdong Acadamy of Medical Sciences, Guangzhou, Guangdong, China (mainland). AD - Southern Medical University, Guangzhou, Guangdong, China (mainland). LA - eng PT - Journal Article DEP - 20190618 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (Biomarkers) RN - 0 (Hemostatics) RN - 9001-32-5 (Fibrinogen) SB - IM MH - Adult MH - Aged MH - Biomarkers/blood MH - Carcinoma, Squamous Cell/mortality/*pathology MH - Disease-Free Survival MH - Female MH - Fibrinogen/analysis MH - Hemostatics MH - Humans MH - Kaplan-Meier Estimate MH - Laryngeal Neoplasms/*mortality/*pathology MH - Lymphocytes/pathology MH - Male MH - Mean Platelet Volume MH - Middle Aged MH - Neutrophils/pathology MH - Preoperative Period MH - Prognosis MH - Retrospective Studies PMC - PMC6597139 EDAT- 2019/06/19 06:00 MHDA- 2020/01/17 06:00 PMCR- 2019/06/18 CRDT- 2019/06/19 06:00 PHST- 2019/06/19 06:00 [entrez] PHST- 2019/06/19 06:00 [pubmed] PHST- 2020/01/17 06:00 [medline] PHST- 2019/06/18 00:00 [pmc-release] AID - 914426 [pii] AID - 10.12659/MSM.914426 [doi] PST - epublish SO - Med Sci Monit. 2019 Jun 18;25:4527-4534. doi: 10.12659/MSM.914426.