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血小板淋巴细胞比率作为口腔癌患者的预后指标

Platelet Lymphocyte Ratio as a Prognosticator in Oral Cancer Patients.

作者信息

Hamad Bahiya Elrashid Khalid, Eltohami Yousif I, Suleiman Ahmed Mohamed

机构信息

Khartoum Teaching Dental Hospital, Khartoum, Sudan.

Faculty of Dentistry, University of Khartoum, Khartoum, Sudan.

出版信息

J Maxillofac Oral Surg. 2025 Feb;24(1):233-240. doi: 10.1007/s12663-023-01959-8. Epub 2023 Jul 12.

DOI:10.1007/s12663-023-01959-8
PMID:39902412
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11787137/
Abstract

OBJECTIVE

To study the prognostic predictive value of the platelet lymphocyte ratio as a clinical parameter of the outcome of the Sudanese OSCC patients.

METHOD

Forty two oral cancer patients were selected for the study. The patients surgically managed in the period December 2018 to June 2020. The PLR was recorded and correlated with :the status of surgical margins, the lymphovascular invasion, the extranodal extension, the microscopic depth and the patient's survival (dead/ alive).

RESULT

A ratio of 170 was considered to be a cut off point of the PLR; as patients with a ratio higher than 170 were found to have a bad prognosis. Twenty-four patients (59.5%) had a PLR higher than 170. Patients with PLR equal to 170 or less have 45% decrease in the odds of survival and 57% decrease in the odds of having positive lymph nodes. Thirty-three percent passed away.

CONCLUSION

The PLR is an affordable, practical and efficient way to predict an OSCC patient's overall survival.

摘要

目的

研究血小板淋巴细胞比率作为苏丹口腔鳞状细胞癌患者预后临床参数的预测价值。

方法

选取42例口腔癌患者进行研究。这些患者于2018年12月至2020年6月期间接受手术治疗。记录血小板淋巴细胞比率,并将其与手术切缘状态、淋巴管浸润、结外扩展、显微镜下浸润深度以及患者生存情况(死亡/存活)进行关联分析。

结果

血小板淋巴细胞比率170被视为一个分界点;比率高于170的患者预后较差。24例患者(59.5%)的血小板淋巴细胞比率高于170。血小板淋巴细胞比率等于或低于170的患者生存几率降低45%,出现阳性淋巴结的几率降低57%。33%的患者死亡。

结论

血小板淋巴细胞比率是预测口腔鳞状细胞癌患者总体生存情况的一种经济、实用且有效的方法。

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本文引用的文献

1
Relationship between PLR and Clinicopathological Characteristics of Patients with Advanced NSCLC and Its Predictive Value for the Efficacy of Chemotherapy and Prognosis.晚期非小细胞肺癌患者血小板淋巴细胞比值与临床病理特征的关系及其对化疗疗效和预后的预测价值
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Cancers (Basel). 2021 Sep 5;13(17):4475. doi: 10.3390/cancers13174475.
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Preoperative Platelet-to-Lymphocyte Ratio (PLR) for Predicting the Survival of Stage I-III Gastric Cancer Patients with a MGC Component.术前血小板与淋巴细胞比值(PLR)预测具有 MGC 成分的 I-III 期胃癌患者的生存。
Biomed Res Int. 2021 May 3;2021:9678363. doi: 10.1155/2021/9678363. eCollection 2021.
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Comparative prognostic value of different preoperative complete blood count cell ratios in patients with oral cavity cancer treated with surgery and postoperative radiotherapy.不同术前全血细胞计数细胞比率在接受手术及术后放疗的口腔癌患者中的比较预后价值
Cancer Med. 2021 Mar;10(6):1975-1988. doi: 10.1002/cam4.3738. Epub 2021 Feb 23.
5
Inflammatory Marker Predicts Outcome of Oral Squamous Cell Carcinoma Receiving Chemo-Radiotherapy.炎症标志物可预测接受放化疗的口腔鳞状细胞癌的预后。
Cancer Manag Res. 2020 Dec 1;12:12329-12335. doi: 10.2147/CMAR.S277927. eCollection 2020.
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Prognostic value of systemic inflammatory markers for oral cancer patients based on the 8th edition of AJCC staging system.基于第 8 版 AJCC 分期系统的全身性炎症标志物对口腔癌患者预后的价值。
Sci Rep. 2020 Jul 21;10(1):12111. doi: 10.1038/s41598-020-68991-3.
7
Assessment of Pretreatment Neutrophil/Lymphocyte Ratio and Platelet/Lymphocyte Ratio in Prognosis of Oral Squamous Cell Carcinoma.口腔鳞状细胞癌预后中治疗前中性粒细胞/淋巴细胞比值和血小板/淋巴细胞比值的评估
J Oral Maxillofac Surg. 2020 Jun;78(6):949-960. doi: 10.1016/j.joms.2020.01.001. Epub 2020 Jan 9.
8
Tumor Microenvironment.肿瘤微环境。
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