The role of tumour-associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinoma

Abstract Background Eosinophils are bone marrow-derived granulocytes known to have an imperative role in tissue inflammation. The mechanism of tumour-associated tissue eosinophilia (TATE) in head and neck cancers is however not well understood, and its role as a prognosticator is under evaluation. T...

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Main Authors: Naveen Sharma, Neha Salaria, Surender Kumar, Nimmy Thomas, Nidhi Beniwal, Ranvir Singh
Format: Article
Language:English
Published: SpringerOpen 2021-08-01
Series:The Egyptian Journal of Otolaryngology
Subjects:
Online Access:https://doi.org/10.1186/s43163-021-00150-5
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author Naveen Sharma
Neha Salaria
Surender Kumar
Nimmy Thomas
Nidhi Beniwal
Ranvir Singh
author_facet Naveen Sharma
Neha Salaria
Surender Kumar
Nimmy Thomas
Nidhi Beniwal
Ranvir Singh
author_sort Naveen Sharma
collection DOAJ
description Abstract Background Eosinophils are bone marrow-derived granulocytes known to have an imperative role in tissue inflammation. The mechanism of tumour-associated tissue eosinophilia (TATE) in head and neck cancers is however not well understood, and its role as a prognosticator is under evaluation. The aim of this study was to evaluate the association of TATE with factors associated with head and neck cancer and to assess its role as a prognostic marker in such patients. Results 102 males and 24 females comprised the study population, and 34.9% of which were in the age group of 41 to 50 years. Amongst these 126 patients, most (37.3%) presented in stage III followed by stage IV (28.6%). 29.4% had well-differentiated SCC, 55.6% had moderately differentiated SCC, and 15% were diagnosed with poorly differentiated SCC. 42.8% had TATE grade II, followed by grade III (29.4%) and grade I (27.8%). Correlation studies showed that factors significantly associated with TATE were age, site and tumour differentiation. While 45.7% poorly differentiated tumours showed grade I eosinophilia, 51.4% of well-differentiated tumours had grade III TATE. Conclusions TATE showed a highly significant association with tumour differentiation, suggestive of eosinophils partaking a tumouricidal role. This association may be utilised as a convenient early prognosticator for head and neck cancers and should be made a regular feature of biopsy reports. Furthermore, it may be utilised in planning and adopting appropriate treatment modalities in malignancies predicted to have an aggressive course.
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spelling doaj.art-9a720744dc954b1b84222a1cb0f140522024-04-17T00:13:39ZengSpringerOpenThe Egyptian Journal of Otolaryngology1012-55742090-85392021-08-013711810.1186/s43163-021-00150-5The role of tumour-associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinomaNaveen Sharma0Neha Salaria1Surender Kumar2Nimmy Thomas3Nidhi Beniwal4Ranvir Singh5Department of ENT, BPS Government Medical College for Women Khanpur KalanDepartment of ENT, BPS Government Medical College for Women Khanpur KalanDepartment of ENT, BPS Government Medical College for Women Khanpur KalanDepartment of ENT, BPS Government Medical College for Women Khanpur KalanDepartment of ENT, BPS Government Medical College for Women Khanpur KalanDepartment of ENT, BPS Government Medical College for Women Khanpur KalanAbstract Background Eosinophils are bone marrow-derived granulocytes known to have an imperative role in tissue inflammation. The mechanism of tumour-associated tissue eosinophilia (TATE) in head and neck cancers is however not well understood, and its role as a prognosticator is under evaluation. The aim of this study was to evaluate the association of TATE with factors associated with head and neck cancer and to assess its role as a prognostic marker in such patients. Results 102 males and 24 females comprised the study population, and 34.9% of which were in the age group of 41 to 50 years. Amongst these 126 patients, most (37.3%) presented in stage III followed by stage IV (28.6%). 29.4% had well-differentiated SCC, 55.6% had moderately differentiated SCC, and 15% were diagnosed with poorly differentiated SCC. 42.8% had TATE grade II, followed by grade III (29.4%) and grade I (27.8%). Correlation studies showed that factors significantly associated with TATE were age, site and tumour differentiation. While 45.7% poorly differentiated tumours showed grade I eosinophilia, 51.4% of well-differentiated tumours had grade III TATE. Conclusions TATE showed a highly significant association with tumour differentiation, suggestive of eosinophils partaking a tumouricidal role. This association may be utilised as a convenient early prognosticator for head and neck cancers and should be made a regular feature of biopsy reports. Furthermore, it may be utilised in planning and adopting appropriate treatment modalities in malignancies predicted to have an aggressive course.https://doi.org/10.1186/s43163-021-00150-5EosinophiliaHead and neck cancerTumourTissue
spellingShingle Naveen Sharma
Neha Salaria
Surender Kumar
Nimmy Thomas
Nidhi Beniwal
Ranvir Singh
The role of tumour-associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinoma
The Egyptian Journal of Otolaryngology
Eosinophilia
Head and neck cancer
Tumour
Tissue
title The role of tumour-associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinoma
title_full The role of tumour-associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinoma
title_fullStr The role of tumour-associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinoma
title_full_unstemmed The role of tumour-associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinoma
title_short The role of tumour-associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinoma
title_sort role of tumour associated tissue eosinophilia as a prognostic indicator in head and neck squamous cell carcinoma
topic Eosinophilia
Head and neck cancer
Tumour
Tissue
url https://doi.org/10.1186/s43163-021-00150-5
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