Abstract
Purpose
Thrombocytosis associated with poorer prognoses seems to be a frequent preoperative finding in different kind of cancers. The aim of the present study was to evaluate whether thrombocytosis can be used as a prognostic marker for oral squamous cell carcinoma (SCC).
Methods
Altogether, 288 patients with oral SCC were considered, as well as all platelet counts between 1 and 5 days prior to surgical treatment, recurrence rate, and lymph node metastasis. The minimum follow-up time was 12 months.
Results
The mean preoperative thrombocyte score of the patients who received surgery was 259.55 ± 83.8 Tsd/μl; 273 out of 288 patients were in the normal thrombocyte range, and 12 had a thrombocytosis. From 51 patients with recurrence, three were in the thrombocytosis group, and 45 patients with recurrence were in the normal thrombocyte range.
Conclusion
The present results do not confirm that thrombocytosis can be seen as marker for poor tumor prognosis.
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References
Woolgar JA (2006) Histopathological prognosticators in oral and oropharyngeal squamous cell carcinoma. Oral Oncol 42(3):229–239
Kruse AL, Luebbers HT, Gratz KW (2010) C-reactive protein levels: a prognostic marker for patients with head and neck cancer? Head Neck Oncol 2:21
Becker A et al (2000) Severe anemia is associated with poor tumor oxygenation in head and neck squamous cell carcinomas. Int J Radiat Oncol Biol Phys 46(2):459–466
Riess L (1872) Pathology of the blood [authors translation]. Arch Anat Physiol Wissensch Med 39:237–249
Erdemir F et al (2007) Clinical significance of platelet count in patients with renal cell carcinoma. Urol Int 79(2):111–116
Nyasavajjala SM et al (2010) Is there a role for pre-operative thrombocytosis in the management of colorectal cancer? Int J Surg 8(6):436–438
Gorelick C et al (2009) Prognostic significance of preoperative thrombocytosis in patients with endometrial carcinoma in an inner-city population. Int J Gynecol Cancer 19(8):1384–1389
Taucher S et al (2003) Impact of pretreatment thrombocytosis on survival in primary breast cancer. Thromb Haemost 89(6):1098–1106
Ikeda M et al (2002) Poor prognosis associated with thrombocytosis in patients with gastric cancer. Ann Surg Oncol 9(3):287–291
Tomita M et al (2008) Prognostic impact of thrombocytosis in resectable non-small cell lung cancer. Interact Cardiovasc Thorac Surg 7(4):613–615
Shimada H et al (2004) Thrombocytosis associated with poor prognosis in patients with esophageal carcinoma. J Am Coll Surg 198(5):737–741
Lu CC et al (2007) Association of pretreatment thrombocytosis with disease progression and survival in oral squamous cell carcinoma. Oral Oncol 43(3):283–288
Gucer F et al (1998) Thrombocytosis as a prognostic factor in endometrial carcinoma. Gynecol Oncol 70(2):210–214
Menczer J et al (1998) Ovarian carcinoma associated thrombocytosis. Correlation with prognostic factors and with survival. Eur J Gynaecol Oncol 19(1):82–84
Mehta P (1984) Potential role of platelets in the pathogenesis of tumor metastasis. Blood 63(1):55–63
Karpatkin S, Pearlstein E (1981) Role of platelets in tumor cell metastases. Ann Intern Med 95(5):636–641
Tomita M et al (2010) Prognostic significance of the combined use of preoperative platelet count and serum carcinoembryonic antigen level in non-small-cell lung cancer. Gen Thorac Cardiovasc Surg 58(11):573–576
Suppiah R et al (2006) Thrombocytosis as a prognostic factor for survival in patients with metastatic renal cell carcinoma. Cancer 107(8):1793–1800
Tranum BL, Haut A (1974) Thrombocytosis: platelet kinetics in neoplasia. J Lab Clin Med 84(5):615–619
Sierko E, Wojtukiewicz MZ (2004) Platelets and angiogenesis in malignancy. Semin Thromb Hemost 30(1):95–108
Kaser A et al (2001) Interleukin-6 stimulates thrombopoiesis through thrombopoietin: role in inflammatory thrombocytosis. Blood 98(9):2720–2725
Vaupel P, Mayer A, Hockel M (2006) Impact of hemoglobin levels on tumor oxygenation: the higher, the better? Strahlenther Onkol 182(2):63–71
Verheul HM et al (1997) Platelet: transporter of vascular endothelial growth factor. Clin Cancer Res 3(12 Pt 1):2187–2190
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Kargus, S., Weber, F.E., Luebbers, H.T. et al. Pretreatment thrombocytosis. Oral Maxillofac Surg 16, 197–200 (2012). https://doi.org/10.1007/s10006-011-0305-6
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DOI: https://doi.org/10.1007/s10006-011-0305-6