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Table 1 Clinical studies in which predictive and prognostic roles of NLR, PLR, and LMR/MLR were evaluated in patients with LSCC

From: Role and research progress of hematological markers in laryngeal squamous cell carcinoma

Year

Author

Case

Object

Inflammatory markers

Cut-off value

Conclusion

2014

Kum et al. [32]

209

BLL, PLL, LSCC

NLR

-

NLR could be a useful inflammatory marker to differentiate LSCC from BLL and PLL

2015

Tu et al. [33]

141

LSCC

NLR

NLR: 2.17

Elevated preoperative NLR was an independent predictor of poor prognosis for patients with LSCC after surgical resection

2016

Rachidi et al. [34]

543

HNSCC

NLR

-

NLR is a robust predictor of OS in oral, pharyngeal, and LSCC

2016

Wong et al. [35]

140

LSCC

NLR

-

Pre-treatment NLR may serve as a useful prognostic marker in LSCC

2016

Fu et al. [36]

420

LSCC undergoing total laryngectomy

NLR

NLR: 2.59

The NLR may be an independent prognostic marker for CSS and OS in patients with advanced LSCC undergoing total laryngectomy

2016

Zeng et al. [37]

125

patients with locoregionally advanced LC (cT3–4 N0–3 M0) treated with chemoradiotherapy

NLR

NLR: 3.0

Pre-treatment NLR is a useful prognostic marker in patients with locoregionally advanced LC treated with chemoradiotherapy

2016

Zhao et al. [38]

202

LC

NLR

NLR: 2.85

Preoperative NLR level influences the recurrence and cervical lymph node metastasis of LC and can be considered a prognosis factor of LC

2016

Wang et al. [39]

120

undergone post-operativeradiotherapy for LSCC

NLR, PLR

NLR: 2.79

PLR: 112

Markers of systemic and local inflammation, especially PLR was reliable prognostic factor in patients with LSCC

2017

Sumner et al. [40]

196

definitive treatment for cancers of the oropharynx or larynx

NLR

-

Higher pre-treatment NLR is prognostic of poor OS

2017

Kara et al. [31]

81

underwent surgery for LSCC

NLR, PLR

NLR: 2.04

PLR: 120.32

Pre-treatment high PLR is predictive factors of a survival rates in patients with LSCC. The high PLR increases mortality in patients with LSCC. A high NLR may predict local recurrence and decrease PFS in patients with LSCC

2017

Wu et al. [41]

405

laryngeal lesions diagnosed by pathology

NLR, LMR

-

LMR and NLR as a systemic inflammatory index have a certain reference value to differentiate LSCC from PLL and BLL

2017

Hsueh et al. [42]

979

LSCC

NLR, PLR, LMR

NLR: 2.40

PLR: 111.00

LMR: 3.50

Preoperative lymphocytes, NLR, PLR and LMR were significantly associated with cancer progression, DFS and CSS, and these hematological parameters could be considered independent prognostic values for patients with LSCC

2018

Du et al. [43]

654

LSCC

NLR

NLR: 3.18

Pre-treatment NLR was associated with the prognostic outcomes for patients with laryngeal cancer, and may assist to establish prognostic factors for these patients

2018

Cho et al. [44]

621

definitive radiotherapy for nasopharyngeal, oropharyngeal, hypopharyngeal, and LC

NLR

NLR: 2.7

Head and neck cancer tends to be more aggressive in patients with a high NLR, leading to a poorer outcome after radiotherapy

2018

Yilmaz et al. [45]

144

LC

NLR

-

NLR is a cheap and easily accessible marker which can be used as a prognostic faxtor in laryngeal cancer

2018

Zhong et al. [46]

413

T3-T4 LSCC

PLR

-

Change in PLR may serve as a useful prognostic predictor for patients with T3-T4 LSCC

2018

Mao et al. [47]

899

underwent laryngectomy for LSCC

PLR

PLR: 193.55

Patients with PLR > 193.55 experience poor outcomes and represent malnutrition, more advanced cancer stage

2018

Chen et al. [48]

361

LSCC

NLR, PLR, MLR

NLR: 2.45

PLR: 114

MLR: 0.21

The elevated preoperative NLR, PLR, MLR were significantly associated with worse survival and cancer progression. The preoperative NLR and postoperative MLR might be independent prognostic markers of OS and PFS in LSCC patients undergoing surgical resection

2019

Eskiizmir et al. [49]

229

Patients with benign, premalignant and malignant laryngeal neoplasms

NLR

NLR: 4

Pre-treatment NLR is a useful and reliable predictive and prognostic biomarker for patients with laryngeal carcinoma

2019

Gorphe et al. [50]

68

T3 LC treated with induction chemotherapy using a preservation protocol

NLR

NLR: 5

Patients treated with a preservation protocol, a high NLR, and anemia before induction chemotherapy were associated with shorter survival, independently of the response to chemotherapy

2019

Sheng et al. [51]

110

underwent surgical resection for LSCC

NLR

NLR: 2.22

Preoperative increased NLR was associated with reduced prognosis in patients with LSCC

2019

Marchi et al. [52]

113

LSCC, CG

NLR, PLR

-

NLR and PLR are significantly increased in LSCC

2019

kucuk et al. [53]

116

previously operated LSCC

NLR, PLR

NLR: 2.79

PLR: 112

No correlation was found between local and systemic inflammatory response

2020

Ye et al. [54]

197

oropharyngeal, hypopharyngeal and LC receiving multimodality treatment

NLR

NLR: 2.77

Pre-treatment NLR elevation is promising predictor of prognosis in patients with operable HNSCC

2020

Cai et al. [55]

203

underwent surgery for LSCC

NLR, PLR

NLR: 2.41

PLR: 110.94

NLR was valuable markers in predicting survival in patients with LSCC and may be used to inform clinicians in designing individual treatment strategies

2020

Chuang et al. [56]

141

hypopharyngeal cancer/LC

NLR, LMR

NLR: 2.95

LMR: 2.99

Pretreatment NLR is superior to LMR in predicting treatment response and clinical outcomes among patients with laryngeal/hypopharyngeal cancer treated by chemoradiation/radiation

2020

Xun et al. [57]

151

undergone surgery for LSCC

NLR, PLR, MLR

NLR: 2.2

PLR: 106

MLR: 0.18

Preoperative high NLR, PLR, and MLR were associated with poor prognosis

2021

Franz et al. [58]

60

treated with primary surgery for LSCC

NLR

NLR: 2.68

NLR was shown to be significant in predicting DFS and recurrence risk

2021

Zhou et al. [59]

180

male LHSCC

PLR

PLR: 112.5

Patients with LHSCC have abnormal high PLR, and a high pre-treatment PLR portends adverse survival

2021

Li et al. [60]

147

LSCC

NLR, PLR

NLR: 1.88

PLR: 117.36

Preoperative NLR, PLR are promising prognostic predictors for patients with LSCC

2021

Akkas et al. [61]

118

LC

NLR, PLR

NLR: 3.8

PLR: 158

High NLR, PRL have been identified as poor prognostic factors in DFS

2021

Sizer et al. [62]

452

BLL, PLL,MLL,CG

NLR, PLR

-

NLR, PLR were low in the CG and BLL groups and high in the MLL group

2022

Murad et al. [63]

168

LSCC

NLR

NLR: 2.02

Pretreatment NLR ≥ 2.02 was an independent prognostic factor for poor OS. BMI can change the prognostic capacity of NLR in patients with LSCC