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KMID : 0361020230660100678
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Korean Journal of Otolaryngology - Head and Neck Surgery
2023 Volume.66 No. 10 p.678 ~ p.685
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Prognostic Value of Hematological Markers in Head and Neck Cancer Patients With a History of Hematological Malignancy
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Bang Joo-In
Hwang Ae-Rang
Kim Geun-Jeon
Kim Sang-Yeon
Sun Dong-Il
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Abstract
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Background and Objectives Head and neck cancer can occur as a second primary tumorin patients with a history of hematological malignancy, and the pathological features of thoseare more aggressive than de novo primary head and neck cancer. However, research related tothe prognostic value of hematological markers in the head and neck cancer patients with a his-tory of hematological malignancy is scarce, so we performed this study.
Subjects and Method We reviewed a total of 89 head and neck cancer patients with hemato-logical malignancy diagnosed at a single tertiary hospital between 1997 and 2021, and enrolled29. The analyzed hematological parameters included pre- and post-treatment hemoglobin, he-matocrit, lactate dehydrogenase, absolute neturophil count (ANC), absolute platelet count, ab-solute leukocyte count, neutrophil-to-lymphocyte ratio, and platelet-to-lymphocyte ratio.
Results Hematological malignancy was diagnosed almost 62.14±96.10 months before headand neck cancer. The most common hematological malignancy was acute myeloid leukemia.
The overall survival (OS) rate was lower in patients with second primary tumor than in thosewith de novo primary head and neck cancer. The cox-proportional hazard ratio analysis showedthat the post-treatment absolute neutrophil count was significantly correlated with disease-freesurvival but not with OS.
Conclusion The post-treatment hematological profile, particularly ANC, can be considereda useful prognostic marker in the head and neck cancer patients with a history of hematologi-cal malignancy.
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KEYWORD
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Head and neck neoplasms, Hematologic neoplasms, Leukocyte count, Prognosis, Second primary neoplasm
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