{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:46:59Z","timestamp":1786978019827,"version":"build-2736575974"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T00:00:00Z","timestamp":1620086400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Laboratory Analysis"],"published-print":{"date-parts":[[2021,6]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Lymph node metastasis in a variety of tumors is associated with systemic inflammatory markers. However, this association has not been reported in oral tongue squamous cell carcinoma (OTSCC). This study aimed to investigate how the preoperative neutrophil\u2010to\u2010lymphocyte ratio (NLR) and platelet\u2010to\u2010neutrophil ratio (PNR) in OTSCC patients correlated with the occurrence of OTSCC and lymph node metastasis.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n The data of 73 patients with primary OTSCC who underwent surgical resection were retrospectively analyzed. Patients with other malignant tumors, patients who had received radiotherapy or chemotherapy before surgery, and patients with active inflammation were excluded. The enrolled patients were divided into groups N\n 0<\/jats:sub>\n (no early\u2010stage lymph node metastasis) and N\n 1<\/jats:sub>\n (early\u2010stage lymph node metastasis). Venous blood samples were collected before surgery and at the third week after surgery and subjected to complete blood counting in a blood analyzer. Eighty\u2010seven healthy people were included as a control group. In addition, the NLR and PNR in OTSCC patients were compared with those in the controls, and the postoperative NLR and PNR of group N\n 0<\/jats:sub>\n were compared with those of group N\n 1<\/jats:sub>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The NLR was significantly higher in the OTSCC patients than the controls (\n p<\/jats:italic>\n \u00a0<\u00a00.05). The area under the receiver operating characteristic curve was 0.595. Further comparison of the NLR and PLR between group N\n 0<\/jats:sub>\n and group N\n 1<\/jats:sub>\n showed that when NLR was \u22641.622, and the probability of early\u2010stage lymph node metastasis in OTSCC patients was 73.3%, and when PNR was >60.889, the probability was 86.7%. In re\u2010examination 3\u00a0weeks postoperatively, the NLR and PNR were not significantly different between groups.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n The NLR has certain reference value for the diagnosis of OTSCC. The preoperative NLR and PNR can be used to predict early\u2010stage lymph node metastasis in patients with histopathologically confirmed OTSCC.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/jcla.23684","type":"journal-article","created":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T03:19:43Z","timestamp":1620098383000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Prediction of lymph node metastasis in oral tongue squamous cell carcinoma using the neutrophil\u2010to\u2010lymphocyte ratio and platelet\u2010to\u2010neutrophil ratio"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2693-0583","authenticated-orcid":false,"given":"Bo","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Clinical Laboratory Shanghai Ninth People's Hospital Shanghai JiaoTong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junwen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratorial The Children's Hospital of Fudan University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengrong","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Clinical Laboratory Shanghai Ninth People's Hospital Shanghai JiaoTong University School of Medicine Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1126\/sciadv.aay3324"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijms21176220"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2018.06.002"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2019.09.024"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-006-0128-5"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1158\/1078-0432.CCR-0533-3"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215114000267"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-018-01381-y"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.2217\/fon.10.155"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.7150\/jca.34469"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170605"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12282-019-00994-z"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/6036979"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-019-6062-x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-008-0767-9"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1189\/jlb.4RU0614-294R"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jop.12575"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.30019"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000015134"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.2147\/OTT.S140800"}],"container-title":["Journal 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