The role of red cell distribution width in the locoregional recurrence of laryngeal cancer

dc.contributor.authorBozkurt, Gulpembe
dc.contributor.authorKorkut, Arzu Yasemin
dc.contributor.authorSoytas, Pinar
dc.contributor.authorDizdar, Senem Kurt
dc.contributor.authorErol, Zeynep Nur
dc.date.accessioned2023-02-21T12:35:41Z
dc.date.available2023-02-21T12:35:41Z
dc.date.issued2019-01-01
dc.description.abstractIntroduction: Although the red cell distribution width has been reported as a reliable predictor of prognosis in several types of cancer, to our knowledge few reports have focused on the prognostic value of red cell distribution width in laryngeal carcinoma. Objective: We aimed to explore whether the pretreatment red cell distribution width predicted recurrence in laryngeal cancer patients is a simple, reproducible, and inexpensive prognostic biomarker. Methods: All laryngeal cancer patients who underwent curative surgery (n= 132) over a 7 year study period were evaluated. Data on demographics, primary tumor site, T-stage, N-stage, histological features (differentiation
dc.description.abstractthe presence of perineural/perivascular invasion), treatment group (total laryngectomy or partial laryngectomy) or adjuvant therapy (chemotherapy/radiotherapy)
dc.description.abstractlaboratory parameters (complete blood count, including the pre-operative red cell distribution width), and disease-free survival rates were retrospectively reviewed. All cases were divided into three groups by the red cell distribution width tertile {[}<13\% (25th percentile) (n=31), 13-14.4\% (50th percentile) (n=72), and >14.4\% (75th percentile) (n=29)]. Results: High-red cell distribution width group included more patients of advanced age, and more of those with recurrent and metastatic tumors (p= 0.005, 0.048, and 0.043, respectively). Individuals with red cell distribution width >14.4\% (75th percentile) had lower disease free survival rates than did those with red cell distribution width <13\% (25th percentile) (p = 0.014). Patients with red cell distribution width >14.4\% at diagnosis were at a higher risk of locoregional recurrence (hazard ratio =5.818, 95\% confidence interval (95\% CI) 1.25-26.97
dc.description.abstractp= 0.024) than patients with a normal red cell distribution width (<13\%). Conclusion: We found that the pretreatment red cell distribution width was independently prognostic of disease free survival rate in patients with laryngeal cancer and may serve as a new, accurate, and reproducible means of identifying early-stage laryngeal cancer patients with poorer prognoses. (C) 2018 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda.
dc.description.issue3
dc.description.issueMAY-JUN
dc.description.pages357-364
dc.description.volume85
dc.identifier.doi10.1016/j.bjorl.2018.03.004
dc.identifier.urihttps://hdl.handle.net/11443/1977
dc.identifier.urihttp://dx.doi.org/10.1016/j.bjorl.2018.03.004
dc.identifier.wosWOS:000470087100014
dc.publisherASSOC BRASILEIRA OTORRINOLARINGOLOGIA \& CIRURGIA CERVICOFACIAL
dc.relation.ispartofBRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY
dc.subjectRed cell distribution width
dc.subjectLarynx cancer
dc.subjectDisease free survival
dc.titleThe role of red cell distribution width in the locoregional recurrence of laryngeal cancer
dc.typeArticle

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