Preoperative lymphocyte count, neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions—retrospective study

Backgrounds This study explored the contribution of peripheral blood markers in diagnosis and prognosis estimation of different stages of laryngeal dysplasia and early glottic cancer. Methods Retrospective analysis of clinical, histopathological and laboratory data of 220 patients including hemoglob...

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Main Authors: Anna Rzepakowska, Wioletta Pietruszewska, Michał Żurek, Maria Molga-Magusiak, Michał Leszczyński, Kazimierz Niemczyk
Format: Article
Language:English
Published: PeerJ Inc. 2023-09-01
Series:PeerJ
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Online Access:https://peerj.com/articles/15642.pdf
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author Anna Rzepakowska
Wioletta Pietruszewska
Michał Żurek
Maria Molga-Magusiak
Michał Leszczyński
Kazimierz Niemczyk
author_facet Anna Rzepakowska
Wioletta Pietruszewska
Michał Żurek
Maria Molga-Magusiak
Michał Leszczyński
Kazimierz Niemczyk
author_sort Anna Rzepakowska
collection DOAJ
description Backgrounds This study explored the contribution of peripheral blood markers in diagnosis and prognosis estimation of different stages of laryngeal dysplasia and early glottic cancer. Methods Retrospective analysis of clinical, histopathological and laboratory data of 220 patients including hemoglobin, neutrophil, lymphocyte, monocyte and platelet counts, neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR). Results The mean hemoglobin level and platelets count showed differences between histopathological stages of lesions (p = 0.041 and 0.046, respectively). In patients with recurrent lesions mean level of lymphocyte count, NLR and PLR were significant in assessing progression and cancerization (p = 0.005, 0.028 and 0.023, respectively). The univariate analysis recognized level of PLR ≥ 141.74 as significant risk factor of the recurrence of vocal fold hypertrophic lesions (OR = 1.963). Conclusions The levels of blood cells and their ratios seem to be effective in predicting the recurrence of lesion and even more their potential role in indicating malignant progression.
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spelling doaj.art-af00f49fec4547fa943f5cbed975ea872023-12-02T23:40:55ZengPeerJ Inc.PeerJ2167-83592023-09-0111e1564210.7717/peerj.15642Preoperative lymphocyte count, neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions—retrospective studyAnna Rzepakowska0Wioletta Pietruszewska1Michał Żurek2Maria Molga-Magusiak3Michał Leszczyński4Kazimierz Niemczyk5Department of Otorhinolaryngology Head and Neck Surgery, Medical University of Warsaw, Warsaw, PolandDepartment of Otiatrics, Laryngology and Laryngological Oncology, Medical University of Łódź, Łódź, PolandDepartment of Otorhinolaryngology Head and Neck Surgery, Medical University of Warsaw, Warsaw, PolandDepartment of Otorhinolaryngology Head and Neck Surgery, Medical University of Warsaw, Warsaw, PolandDepartment of Otorhinolaryngology Head and Neck Surgery, Medical University of Warsaw, Warsaw, PolandDepartment of Otorhinolaryngology Head and Neck Surgery, Medical University of Warsaw, Warsaw, PolandBackgrounds This study explored the contribution of peripheral blood markers in diagnosis and prognosis estimation of different stages of laryngeal dysplasia and early glottic cancer. Methods Retrospective analysis of clinical, histopathological and laboratory data of 220 patients including hemoglobin, neutrophil, lymphocyte, monocyte and platelet counts, neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR). Results The mean hemoglobin level and platelets count showed differences between histopathological stages of lesions (p = 0.041 and 0.046, respectively). In patients with recurrent lesions mean level of lymphocyte count, NLR and PLR were significant in assessing progression and cancerization (p = 0.005, 0.028 and 0.023, respectively). The univariate analysis recognized level of PLR ≥ 141.74 as significant risk factor of the recurrence of vocal fold hypertrophic lesions (OR = 1.963). Conclusions The levels of blood cells and their ratios seem to be effective in predicting the recurrence of lesion and even more their potential role in indicating malignant progression.https://peerj.com/articles/15642.pdfLaryngeal cancerLaryngeal dysplasiaLymphocyte countNeutrophil countNeutrophil to lymphocyte ratioBlood markers
spellingShingle Anna Rzepakowska
Wioletta Pietruszewska
Michał Żurek
Maria Molga-Magusiak
Michał Leszczyński
Kazimierz Niemczyk
Preoperative lymphocyte count, neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions—retrospective study
PeerJ
Laryngeal cancer
Laryngeal dysplasia
Lymphocyte count
Neutrophil count
Neutrophil to lymphocyte ratio
Blood markers
title Preoperative lymphocyte count, neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions—retrospective study
title_full Preoperative lymphocyte count, neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions—retrospective study
title_fullStr Preoperative lymphocyte count, neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions—retrospective study
title_full_unstemmed Preoperative lymphocyte count, neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions—retrospective study
title_short Preoperative lymphocyte count, neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions—retrospective study
title_sort preoperative lymphocyte count neutrophil to lymphocyte and platelet to lymphocyte ratio predict the recurrence with progression and cancerization in vocal fold lesions retrospective study
topic Laryngeal cancer
Laryngeal dysplasia
Lymphocyte count
Neutrophil count
Neutrophil to lymphocyte ratio
Blood markers
url https://peerj.com/articles/15642.pdf
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