{Reference Type}: Journal Article
{Title}: Prognostic value of preoperative inflammatory ratios in early glottic cancer treated with transoral laser surgery.
{Author}: Juesas Iglesias L;Sánchez-Canteli M;Pedregal Mallo D;Otero-Rosales M;López F;García-Pedrero JM;Rodrigo JP;
{Journal}: Head Neck
{Volume}: 46
{Issue}: 4
{Year}: 2024 04 9
{Factor}: 3.821
{DOI}: 10.1002/hed.27631
{Abstract}: There is growing evidence regarding the prognostic utility of ratios such as neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammatory index (SIII) in head and neck squamous cell carcinoma (HNSCC). However, most studies to date include heterogeneous series with different treatments or tumor subsites.<BR>We collected data from 201 patients with stage I-II glottic squamous cell carcinoma treated with transoral laser surgery. NLR, PLR, and SIII were calculated from preoperative cell blood count, cut-off points were obtained by ROC curve analysis, and survival rates were calculated.<BR>High NLR (p = 0.012) and SIII (p = 0.037), but not PLR (p = 0.48), were associated with worse disease-specific survival (DSS). A similar trend was observed with overall survival (OS), although it did not reach statistical significance. On multivariable analyses, both high NLR (HR = 3.8, 95% CI = 1.5-9.9, p = 0.006) and high SIII (HR = 2.77, 95% CI = 1.1-6.9, p = 0.03) were significantly associated with shortened DSS.<BR>Preoperative NLR and SIII emerge as independent prognostic biomarkers for early-stage surgically treated glottic tumors and could guide individualized follow-up.