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血小板平均体积能否用于检测头颈癌?

Can Head and Neck Cancers Be Detected with Mean Platelet Volume?

作者信息

Eryilmaz Aylin, Basal Yesim, Omurlu Imran Kurt

机构信息

Otorhinolaryngology, Medical School, Adnan Menderes University School of Medicine, Aydin, Turkey E-mail :

出版信息

Asian Pac J Cancer Prev. 2015;16(16):7045-7. doi: 10.7314/apjcp.2015.16.16.7045.

Abstract

BACKGROUND

Mean platelet volume (MPV) is a marker which has been investigated in many cancers but data for head and neck lesions are limited. We aimed to study the MPV levels in head and neck cancers as a diagnostic marker.

MATERIALS AND METHODS

A total of 96 head and neck cancer patients and 31 control patients who did not meet exclusion criteria were enrolled in the study. The cancer locations, the platelet and MPV levels at the first diagnosis time were collected.

RESULTS

The head and neck cancer location distribution between these patients was 2 (2.1%) buccal, 9 (9.4%) tongue, 6 (6.3) lip, 1 (1%) gingiva, 1 (1%) hypopharynx, 1 (1%) ear, 58 (60.4%) larynx, 2 (2.1%) maxilla, 2 (2.1%) nasal, 1 (1%) nasopharynx, 2 (2.1%) palatal, 3 (3.1%) primary unknown, 1 (1%) retromolar, 1 (1%) thyroid, 2 (2.1%) tonsil, and 4 (4.2%) salivary gland. MPV levels were significantly different between cancer and control group (p=0.002). The cut-off point for MPV predicting head and neck cancer is >10 fL (sensitivity=55.21, specificity=87.10).

CONCLUSIONS

MPV level increase, a readily assessable parameter which does not bring extra costs can warn us regarding head and neck cancer risk.

摘要

背景

平均血小板体积(MPV)是一种已在多种癌症中进行研究的标志物,但头颈部病变的数据有限。我们旨在研究头颈部癌症患者的MPV水平,将其作为一种诊断标志物。

材料与方法

本研究共纳入96名头颈部癌症患者和31名不符合排除标准的对照患者。收集了癌症发生部位、首次诊断时的血小板和MPV水平。

结果

这些患者的头颈部癌症发生部位分布为:颊部2例(2.1%)、舌部9例(9.4%)、唇部6例(6.3%)、牙龈1例(1%)、下咽1例(1%)、耳部1例(1%)、喉部58例(60.4%)、上颌骨2例(2.1%)、鼻腔2例(2.1%)、鼻咽1例(1%)、腭部2例(2.1%)、原发灶不明3例(3.1%)、磨牙后区1例(1%)、甲状腺1例(1%)、扁桃体2例(2.1%)、唾液腺4例(4.2%)。癌症组和对照组的MPV水平存在显著差异(p = 0.002)。MPV预测头颈部癌症的截断点>10 fL(敏感性=55.21,特异性=87.10)。

结论

MPV水平升高是一个易于评估的参数,不会带来额外费用,可警示我们头颈部癌症风险。

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