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血液学标志物在口腔潜在恶性疾病和口腔鳞状细胞癌中的作用

Role of Hematological Markers in Oral Potentially Malignant Disorders and Oral Squamous Cell Carcinoma.

作者信息

Ram Bhargav, Chalathadka Mahabaleshwara, Dengody Prasanna Kumar, Madala Gayathri, Madala Bhagiratha, Adagouda Jineshwar Patil

机构信息

Department of Oral and Maxillofacial Surgery, KVGDCH, Sullia, DK, Karnataka India.

Nellore, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2054-2062. doi: 10.1007/s12070-023-03803-4. Epub 2023 Apr 26.

Abstract

Various haematological markers have been shown to be diagnostic and prognostic in oral cancer. This study compares the values of the inflammatory metrics neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), ESR and HB in precancerous and cancerous lesions to see if one of them can be utilised to make an early diagnosis of oral squamous cell carcinoma. To compare haematological markers as a diagnostic marker to differentiate healthy individuals, oral potentially malignant disorders from oral squamous cell carcinoma patients. One hundred fifty patients were divided into three groups which includes 50 apparently healthy individuals (group A), 50 individuals with premalignant disorders (group B) and 50 individuals with oral squamous cell carcinoma (OSCC) (group C). The levels of various haematological parameters obtained from 5 ml of intravenous blood was drawn from each subject were compared between these three groups. Using Kruskal Wallis and the Mann Whitney post hoc U test, comparisons between the NLR values were examined. A total of number of 150 individuals were included in the current study. The mean age is 43.3 years out of which 49 (81.6%) were male and 11(18.3%) were female. The mean NLR in group 1, 2 and 3 were 2.16, 3.12 and 3.67 respectively and mean PLR were 91.1, 110.3 and 160.6 respectively. The mean Hb content was 14.8, 13.77 and 12.76 respectively. The mean ESR was 9.65, 17.2 and 27.4 respectively. These parameters can be used as valuable adjuvant in identifying and understanding the nature of disease of both potentially malignant diseases and oral cancer.

摘要

多种血液学标志物已被证明在口腔癌中具有诊断和预后价值。本研究比较了癌前病变和癌性病变中炎症指标中性粒细胞/淋巴细胞比值(NLR)、血小板/淋巴细胞比值(PLR)、红细胞沉降率(ESR)和血红蛋白(HB)的值,以确定其中之一是否可用于口腔鳞状细胞癌的早期诊断。为了比较血液学标志物作为诊断标志物来区分健康个体、口腔潜在恶性疾病和口腔鳞状细胞癌患者。150名患者分为三组,包括50名明显健康的个体(A组)、50名患有癌前疾病的个体(B组)和50名患有口腔鳞状细胞癌(OSCC)的个体(C组)。比较了从每组受试者采集的5毫升静脉血中获得的各种血液学参数水平。使用Kruskal Wallis检验和Mann Whitney事后U检验,检查了NLR值之间的比较。本研究共纳入150名个体。平均年龄为43.3岁,其中49名(81.6%)为男性,11名(18.3%)为女性。第1组、第2组和第3组的平均NLR分别为2.16、3.12和3.67,平均PLR分别为91.1、110.3和160.6。平均血红蛋白含量分别为14.8、13.77和12.76。平均红细胞沉降率分别为9.65、17.2和27.4。这些参数可作为有价值的辅助手段,用于识别和了解潜在恶性疾病和口腔癌的疾病性质。

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本文引用的文献

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Diagnostic efficacy of neutrophil to lymphocyte ratio (NLR) in oral potentially malignant disorders and oral cancer.
Indian J Pathol Microbiol. 2021 Apr-Jun;64(2):243-249. doi: 10.4103/IJPM.IJPM_114_20.
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Prognostic role of neutrophil-to-lymphocyte ratio in head and neck cancer: A meta-analysis.
Head Neck. 2018 Mar;40(3):647-655. doi: 10.1002/hed.24986. Epub 2017 Oct 27.

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