C‐reactive protein is an independent prognostic marker in patients with tongue carcinoma ‐ A retrospective study

Objectives Reliable prognostic markers are lacking for tongue carcinoma. C‐reactive protein (CRP) and a ratio from neutrophils/lymphocytes (NLR) are biomarkers, associated with prognosis in solid cancers. Aim of this work was to investigate the role of CRP and NLR in prognosis of patients with tongu...

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Bibliographic Details
Published in:Clinical otolaryngology 2018-08, Vol.43 (4), p.1050-1056
Main Authors: Graupp, M., Schaffer, K., Wolf, A., Vasicek, S., Weiland, T., Pondorfer, P., Holzmeister, C., Moser, U., Thurnher, D.
Format: Article
Language:English
Subjects:
Biomarkers
C‐reactive protein
Data processing
Head & neck cancer
head and neck squamous cell carcinoma
Leukocytes (neutrophilic)
Lymphocytes
Medical prognosis
Multivariate analysis
neutrophile/lymphocyte ratio
Neutrophils
Oral cancer
Patients
Prognosis
prognostic markers
Proteins
Squamous cell carcinoma
Survival
Tongue
tongue carcinoma
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Summary:Objectives Reliable prognostic markers are lacking for tongue carcinoma. C‐reactive protein (CRP) and a ratio from neutrophils/lymphocytes (NLR) are biomarkers, associated with prognosis in solid cancers. Aim of this work was to investigate the role of CRP and NLR in prognosis of patients with tongue carcinoma. Design Retrospective cohort study. Setting We retrospectively analysed data of patients treated for tongue carcinoma at our institution. Levels of CRP, Neutrophils and Lymphocytes were measured pretherapeutic. Participants 197 patients treated for squamous cell carcinoma of the tongue between 2002 and 2015. Main outcome measures Overall survival, disease‐free survival. Results Elevated CRP was significantly associated with shorter overall survival in our cohort in uni‐ and multivariate analysis. NLR was not associated with prognosis. Conclusion In the present study we could confirm the role of CRP as an independent prognostic marker in patients with tongue carcinoma. Incorporating this marker in prognostication could represent a valuable and moreover inexpensive tool for improved decisions making concerning therapy in the future.
ISSN:1749-4478
1749-4486
DOI:10.1111/coa.13102