PMID- 32186231 OWN - NLM STAT- MEDLINE DCOM- 20210428 LR - 20210428 IS - 1651-2251 (Electronic) IS - 0001-6489 (Linking) VI - 140 IP - 7 DP - 2020 Jul TI - EGFR cut-off point for prognostic impact in laryngeal squamous cell carcinoma. PG - 610-614 LID - 10.1080/00016489.2020.1738548 [doi] AB - Background: Various molecular biomarkers, including epidermal growth factor receptor (EGFR), have gained importance as predictors of head and neck cancer disease progression.Aims: This study aimed to investigate the ability of EGFR expression as a prognostic marker for laryngeal squamous cell carcinoma (LSCC).Materials and methods: A total of 31 patients with LSCC with immunohistochemistry (IHC) staining for EGFR were examined. Digital image processing was applied to analyze EGFR staining intensity and percent distribution, which were calculated as the H-score. We used a receiver operating characteristic (ROC) curve to identify the best cut-off point of EGFR expression, with H-score separated into high- and low-grade for cancer recurrence prediction.Results: The cut-off point of EGFR expression for high- and low-grades was an H-score of 170 with a sensitivity of 75% and a specificity of 66.7%. Using this cut-off, 14 (45.16%) and 17 (54.84%) patients were categorized as having high- and low-grades EGFR, respectively. The analysis showed a significant reverse correlation between the EGFR grade and LSCC recurrence (RR, 0.4; 95% CI, 0.17-0.98; p = .02).Conclusions: Our study demonstrated that EGFR grading using H-score with the generated cut-off point by the ROC curve might be further applied as a potential marker for LSCC prognostic prediction. FAU - Leesutipornchai, Thiratest AU - Leesutipornchai T AUID- ORCID: 0000-0001-8436-1142 AD - Department of Physiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Ratchataswan, Thanaporn AU - Ratchataswan T AUID- ORCID: 0000-0002-9085-7272 AD - Department of Physiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Vivatvakin, Sarocha AU - Vivatvakin S AUID- ORCID: 0000-0003-4453-2327 AD - Department of Physiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Ruangritchankul, Komkrit AU - Ruangritchankul K AUID- ORCID: 0000-0003-2945-7760 AD - Department of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Keelawat, Somboon AU - Keelawat S AUID- ORCID: 0000-0002-4180-7914 AD - Department of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Kerekhanjanarong, Virachai AU - Kerekhanjanarong V AUID- ORCID: 0000-0003-0728-3595 AD - Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Bongsebandhu-Phubhakdi, Saknan AU - Bongsebandhu-Phubhakdi S AUID- ORCID: 0000-0003-2357-3568 AD - Department of Physiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. FAU - Mahattanasakul, Patnarin AU - Mahattanasakul P AUID- ORCID: 0000-0001-6552-5463 AD - Department of Otolaryngology, Head and Neck Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. AD - Department of Otolaryngology, Head and Neck Surgery, King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. LA - eng PT - Journal Article DEP - 20200318 PL - England TA - Acta Otolaryngol JT - Acta oto-laryngologica JID - 0370354 RN - 0 (Biomarkers) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) SB - IM MH - Analysis of Variance MH - Biomarkers/analysis MH - ErbB Receptors/analysis/metabolism MH - Humans MH - Immunohistochemistry MH - Laryngeal Neoplasms/*metabolism MH - Prognosis MH - ROC Curve MH - Sensitivity and Specificity MH - Squamous Cell Carcinoma of Head and Neck/*metabolism OTO - NOTNLM OT - EGFR OT - H-score OT - immunohistochemistry OT - laryngeal squamous cell carcinoma OT - prognostic factor OT - receiver operating characteristic curve EDAT- 2020/03/19 06:00 MHDA- 2021/04/29 06:00 CRDT- 2020/03/19 06:00 PHST- 2020/03/19 06:00 [pubmed] PHST- 2021/04/29 06:00 [medline] PHST- 2020/03/19 06:00 [entrez] AID - 10.1080/00016489.2020.1738548 [doi] PST - ppublish SO - Acta Otolaryngol. 2020 Jul;140(7):610-614. doi: 10.1080/00016489.2020.1738548. Epub 2020 Mar 18.