PMID- 34672822 OWN - NLM STAT- MEDLINE DCOM- 20240509 LR - 20240509 IS - 1942-7522 (Electronic) IS - 0145-5613 (Linking) VI - 103 IP - 5 DP - 2024 May TI - Diagnostic and Prognostic Value of Fibrinogen, Fibrinogen Degradation Products, and Lymphocyte/Monocyte Ratio in Patients With Laryngeal Squamous Cell Carcinoma. PG - NP278-NP288 LID - 10.1177/01455613211048970 [doi] AB - OBJECTIVES: Laryngeal squamous cell carcinoma (LSCC) is a common squamous cell carcinoma of the head and neck with no reliable diagnostic biomarkers. However, recent studies have shown that inflammation plays an essential role in tumor development, and several inflammation-based biomarkers have been shown to have prognostic value. This study aimed to investigate the auxiliary value of fibrinogen (FIB), fibrinogen degradation products (FDP), and lymphocyte/monocyte ratio (LMR) in LSCC diagnosis and prognosis. METHODS: Clinical data from 218 patients recently diagnosed with LSCC and 207 diagnosed with benign laryngeal lesions (BLLs) were retrospectively reviewed. Potential diagnostic biomarkers were evaluated using univariate and multivariate analyses; receiver operating characteristic (ROC) curve analysis was used to identify cut-off values and diagnostic efficiency. Least absolute shrinkage and selection operator (LASSO) Logistic regression analysis was used to screen for independent risk factors to construct a diagnostic nomogram. The chi-squared test and Kaplan-Meier method were performed to investigate the correlation of clinicopathological characteristics and 3-year overall survival (OS) with FIB, FDP, and LMR in patients with LSCC. RESULTS: FIB, FDP, and LMR levels were significantly different between the LSCC and BLL groups (P < .001), and all were independent risk factors for LSCC. The area under the ROC curve of the diagnostic nomogram was .894. Additionally, FIB, FDP, and LMR were correlated with some invasive clinicopathological features, and LMR >/=4.29 was associated with reduced OS (P = .038). CONCLUSION: FIB, FDP, and LMR demonstrated potential as biomarkers for the diagnosis and prognosis of LSCC; however, further studies are needed to confirm their efficacy. FAU - Han, Yanxun AU - Han Y AD - Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China. RINGGOLD: 36639 FAU - Ren, Zhiyao AU - Ren Z AD - Department of Breast Surgery, Department of General Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China. RINGGOLD: 36639 FAU - Liu, Yuchen AU - Liu Y AD - Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China. RINGGOLD: 36639 FAU - Liu, Yehai AU - Liu Y AUID- ORCID: 0000-0003-3977-2481 AD - Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China. RINGGOLD: 36639 LA - eng PT - Journal Article DEP - 20211021 PL - United States TA - Ear Nose Throat J JT - Ear, nose, & throat journal JID - 7701817 RN - 9001-32-5 (Fibrinogen) RN - 0 (Biomarkers, Tumor) RN - 0 (Fibrin Fibrinogen Degradation Products) SB - IM MH - Humans MH - *Fibrinogen/analysis MH - *Laryngeal Neoplasms/blood/pathology/mortality/diagnosis MH - Male MH - Female MH - Middle Aged MH - Retrospective Studies MH - Prognosis MH - *Monocytes MH - *Lymphocytes MH - *Biomarkers, Tumor/blood MH - *ROC Curve MH - *Carcinoma, Squamous Cell/blood/diagnosis/pathology MH - Fibrin Fibrinogen Degradation Products/analysis MH - Aged MH - Nomograms MH - Risk Factors MH - Kaplan-Meier Estimate MH - Squamous Cell Carcinoma of Head and Neck/blood/mortality/pathology/diagnosis MH - Lymphocyte Count MH - Adult OTO - NOTNLM OT - biomarker OT - diagnosis OT - fibrinogen OT - laryngeal squamous cell carcinoma OT - prognosis COIS- Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2021/10/22 06:00 MHDA- 2024/05/09 14:26 CRDT- 2021/10/21 20:40 PHST- 2024/05/09 14:26 [medline] PHST- 2021/10/22 06:00 [pubmed] PHST- 2021/10/21 20:40 [entrez] AID - 10.1177/01455613211048970 [doi] PST - ppublish SO - Ear Nose Throat J. 2024 May;103(5):NP278-NP288. doi: 10.1177/01455613211048970. Epub 2021 Oct 21.