Volume 61, Issue 2 pp. 175-179
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Baseline neutrophil/lymphocyte ratio (NLR) and red blood cell distribution width (RDW) correlate with advanced stages in cutaneous squamous cell carcinoma

Cosimo Di Raimondo MD

Corresponding Author

Cosimo Di Raimondo MD

Department of Dermatology, University of Roma Tor Vergata, Rome, Italy

Correspondence

Cosimo Di Raimondo, md

Department of Dermatology

University of Roma Tor Vergata

Viale Oxford 81

00133 Rome

Italy

E-mail: [email protected]

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Raffaele Dante Caposiena Caro MD

Raffaele Dante Caposiena Caro MD

Department of Dermatology, University of Roma Tor Vergata, Rome, Italy

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Diana Spallone MD

Diana Spallone MD

Department of Plastic Surgery, San Giovanni Hospital, Rome, Italy

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Dionisio Silvaggio MD

Dionisio Silvaggio MD

Department of Dermatology, University of Roma Tor Vergata, Rome, Italy

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Paolo Lombardo MD

Paolo Lombardo MD

Department of Dermatology, University of Roma Tor Vergata, Rome, Italy

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Ester Del Duca MD

Ester Del Duca MD

Department of Dermatology, University of Roma Tor Vergata, Rome, Italy

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Elena Campione MD, PhD

Elena Campione MD, PhD

Department of Dermatology, University of Roma Tor Vergata, Rome, Italy

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Giulia Spallone MD

Giulia Spallone MD

Department of Dermatology, University of Roma Tor Vergata, Rome, Italy

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Luca Bianchi MD

Luca Bianchi MD

Department of Dermatology, University of Roma Tor Vergata, Rome, Italy

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First published: 02 July 2021
Citations: 1

Conflict of interest: None.

Funding source: None.

Abstract

Background

The neutrophil/lymphocyte ratio (NLR) and red blood cell distribution width (RDW) at diagnosis have been shown to correlate with advanced disease and to be prognostic factors in many tumors. However, their role as a prognostic factor for cutaneous squamous cell carcinoma (cSCC) has not yet been studied.

Objective

Therefore, the aim of our study was to evaluate the correlation of NLR and RDW with stages of disease in patients with cSCC in order to define whether or not higher values of these two markers correlate with a more aggressive disease.

Methods

We retrospectively analyzed the NLR and RDW in a total of 51 newly diagnosed cSCC patients. NLR and RDW were calculated using data obtained from the complete blood count (CBC).

Results

Median NLR among patients with the non-advanced disease (in situ and stage I) was 2.2, whereas median NLR for patients with advanced disease was 4.87. Median RDW among patients with early stage disease was 13.7%, while median RDW in patients with advanced disease was 15.81%. Statistical analysis showed positive associations of advanced cSCC stages with NLR or RDW higher than 3.07 or 14.5%, respectively.

Conclusions

Therefore, our analysis demonstrated how both NLR and RDW represent cheap and easily available factors that could be used as markers for advanced cSCC. They could help to identify patients with advanced stages disease that requires a strict follow-up.

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