Anemia and neutrophil-to-lymphocyte ratio in laryngeal cancer treated with induction chemotherapy.


Journal

The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378

Informations de publication

Date de publication:
04 2020
Historique:
received: 10 01 2019
revised: 21 03 2019
accepted: 03 04 2019
pubmed: 23 4 2019
medline: 25 8 2020
entrez: 23 4 2019
Statut: ppublish

Résumé

We studied the influence of the neutrophil-to-lymphocyte ratio (NLR) and anemia on the response to induction chemotherapy (IC) and survival outcomes in laryngeal cancer patients treated with a preservation protocol. Retrospective single-center case series. We analyzed patients with T3 laryngeal cancer treated with IC using a preservation protocol. The NLR and hemoglobin levels were assessed before treatment and after IC. The response to chemotherapy was assessed using Response Evaluation Criteria in Solid Tumours 1.1 and World Heath Organization standards. The oncological endpoints were overall survival (OS) and disease-free survival (DFS). Sixty-eight patients were analyzed. The median NLR and hemoglobin levels before and after IC were 2.76 and 14.5 g/dL, and 2.01 and 11.6 g/dL, respectively. The NLR and anemia before treatment were not correlated, and they were not associated with the response to chemotherapy. However, an NLR > 5 and anemia before treatment were both associated with shorter OS and DFS. Notably, they were the only factors found to be significantly associated with survival outcomes. In laryngeal cancer, patients treated with a preservation protocol, a high NLR ratio, and anemia before IC were associated with shorter survival, independently of the response to chemotherapy. 4 Laryngoscope, 130:E144-E150, 2020.

Identifiants

pubmed: 31006874
doi: 10.1002/lary.28021
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

E144-E150

Informations de copyright

© 2019 The American Laryngological, Rhinological and Otological Society, Inc.

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Auteurs

Philippe Gorphe (P)

Department of Head and Neck Oncology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

Samia Bouhir (S)

Department of Head and Neck Oncology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

Gabriel C T E Garcia (GCTE)

Department of Radiology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

Abeer Alali (A)

Department of Head and Neck Oncology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

Caroline Even (C)

Department of Head and Neck Oncology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

Ingrid Breuskin (I)

Department of Head and Neck Oncology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

Yungan Tao (Y)

Department of Radiotherapy, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

François Janot (F)

Department of Head and Neck Oncology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

François Bidault (F)

Department of Radiology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

Stéphane Temam (S)

Department of Head and Neck Oncology, Gustave Roussy Institute, University of Paris-Saclay, Villejuif, France.

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