Prognostic significance of neutrophil‐to‐lymphocyte ratio in HPV status era for oropharyngeal cancer

BackgroundMeningiomas are the most common benign intracranial tumors. However, even WHO grade I meningiomas occasionally show local tumor recurrence. Prognostic factors for meningiomas have not been fully established. Neutrophil-to-lymphocyte ratio (NLR) has been reported as a prognostic factor for several solid tumors. The prognostic value of NLR in meningiomas has been analyzed in few studies.Materials and MethodsThis retrospective study included 160 patients who underwent surgery for meningiomas between October 2010 and September 2017. We analyzed the associations between patients’ clinical data (sex, age, primary/recurrent, WHO grade, extent of removal, tumor location, peritumoral brain edema, and preoperative laboratory data) and clinical outcomes, including recurrence and progression-free survival (PFS).ResultsForty-four meningiomas recurred within the follow-up period of 3.8 years. WHO grade II, III, subtotal removal, history of recurrence, Ki-67 labeling index ≥3.0, and preoperative NLR value ≥2.6 were significantly associated with shorter PFS (P < 0.001, < 0.001, 0.002, < 0.001, and 0.015, respectively). Furthermore, NLR ≥ 2.6 was also significantly associated with shorter PFS in a subgroup analysis of WHO grade I meningiomas (P = 0.003). In univariate and multivariate analyses, NLR ≥2.6 remained as a significant predictive factor for shorter PFS in patients with meningioma (P = 0.014).ConclusionsNLR may be a cost-effective and novel preoperatively usable biomarker in patients with meningiomas.

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Comparison of Selected Immune and Hematological Parameters and Their Impact on Survival in Patients with HPV-Related and HPV-Unrelated Oropharyngeal Cancer

Cancers ◽

10.3390/cancers13133256 ◽

2021 ◽

Vol 13 (13) ◽

pp. 3256

Author(s):

Adam Brewczyński ◽

Beata Jabłońska ◽

Agnieszka Maria Mazurek ◽

Jolanta Mrochem-Kwarciak ◽

Sławomir Mrowiec ◽

...

Keyword(s):

Prognostic Factors ◽

Oropharyngeal Cancer ◽

Hematological Parameters ◽

White Blood Cells ◽

Post Treatment ◽

Neutrophil Lymphocyte Ratio ◽

Lymphocyte Ratio ◽

Hpv Status ◽

Pre Treatment ◽

The Impact

Several immune and hematological parameters are associated with survival in patients with oropharyngeal cancer (OPC). The aim of the study was to analyze selected immune and hematological parameters of patients with HPV-related (HPV+) and HPV-unrelated (HPV-) OPC, before and after radiotherapy/chemoradiotherapy (RT/CRT) and to assess the impact of these parameters on survival. One hundred twenty seven patients with HPV+ and HPV− OPC, treated with RT alone or concurrent chemoradiotherapy (CRT), were included. Patients were divided according to HPV status. Confirmation of HPV etiology was obtained from FFPE (Formalin-Fixed, Paraffin-Embedded) tissue samples and/or extracellular circulating HPV DNA was determined. The pre-treatment and post-treatment laboratory blood parameters were compared in both groups. The neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), monocyte/lymphocyte ratio (MLR), and systemic immune inflammation (SII) index were calculated. The impact of these parameters on overall (OS) and disease-free (DFS) survival was analyzed. In HPV+ patients, a high pre-treatment white blood cells (WBC) count (>8.33 /mm3), NLR (>2.13), SII (>448.60) significantly correlated with reduced OS, whereas high NLR (>2.29), SII (>462.58) significantly correlated with reduced DFS. A higher pre-treatment NLR and SII were significant poor prognostic factors for both OS and DFS in the HPV+ group. These associations were not apparent in HPV− patients. There are different pre-treatment and post-treatment immune and hematological prognostic factors for OS and DFS in HPV+ and HPV− patients. The immune ratios could be considered valuable biomarkers for risk stratification and differentiation for HPV− and HPV+ OPC patients.

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Prognostic Significance of the Postoperative Neutrophil-to-lymphocyte Ratio in Solid Tumors: A Systematic Review and Meta-analysis

HPB ◽

10.1016/j.hpb.2020.11.421 ◽

2021 ◽

Vol 23 ◽

pp. S171

Author(s):

M. Wu ◽

S. Yang ◽

X. Feng ◽

F. Yu ◽

J. Dong

Keyword(s):

Systematic Review ◽

Solid Tumors ◽

Meta Analysis ◽

Prognostic Significance ◽

Neutrophil To Lymphocyte Ratio ◽

Lymphocyte Ratio

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Prognostic Significance of Neutrophil to Lymphocyte Ratio Dynamics in Patients with Hepatocellular Carcinoma Treated with Radioembolization Using Glass Microspheres

European Journal of Nuclear Medicine and Molecular Imaging ◽

10.1007/s00259-020-05186-y ◽

2021 ◽

Author(s):

Xi Li ◽

S. Ali Montazeri ◽

Ricardo Paz-Fumagalli ◽

Carlos A. Padula ◽

Weiping Wang ◽

...

Keyword(s):

Hepatocellular Carcinoma ◽

Prognostic Significance ◽

Neutrophil To Lymphocyte Ratio ◽

Glass Microspheres ◽

Lymphocyte Ratio

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Prognostic and clinicopathological significance of neutrophil-to-lymphocyte ratio in patients with oral cancer

Bioscience Reports ◽

10.1042/bsr20181550 ◽

2018 ◽

Vol 38 (6) ◽

Cited By ~ 6

Author(s):

Yun Yang ◽

Rongxun Liu ◽

Feng Ren ◽

Rui Guo ◽

Pengfei Zhang

Keyword(s):

Oral Cancer ◽

Meta Analysis ◽

Prognostic Significance ◽

Tumor Stage ◽

Neutrophil To Lymphocyte Ratio ◽

Advanced Tumor Stage ◽

Lymphocyte Ratio ◽

Advanced Tumor ◽

Oral Cancer Patients ◽

Clinicopathological Significance

Objectives: Many studies have examined the prognostic significance of the neutrophil-to-lymphocyte ratio (NLR) in oral cancer; however, the results are contradictory. We, therefore, conducted a meta-analysis aiming to clarify the prognostic value of the NLR in oral cancer patients. Methods: A literature search was conducted in the PubMed, Web of Science, and Embase databases. Stata version 12.0 was used for statistical analysis. Results: A total of 14 studies with 3216 patients were finally included. The results indicated that a high NLR was significantly associated with worse DFS (n=10, HR = 1.73, 95% confidence interval [CI] = 1.44–2.07, P<0.001). Similar results were observed for overall survival (OS) (n=9, HR = 1.61, 95% CI = 1.39–1.86, P<0.001). Moreover, a high NLR was also correlated with lymph node metastasis (n=7, odds ratio [OR] = 1.62, 95% CI = 1.32–1.98, P<0.001), advanced tumor stage (n=7, OR = 2.63, 95% CI = 2.12–3.25, P<0.001), T stage (n=6, OR = 3.22, 95% CI = 2.59–4.01, P<0.001), tumor differentiation (n=5, OR = 1.48, 95% CI = 1.03–2.11, P=0.033), and perineural invasion (n=4, OR = 1.83, 95% CI = 1.4–2.39, P<0.001). However, an elevated NLR was not correlated with gender. Conclusion: This meta-analysis showed that the NLR might be a potential independent prognostic factor in patients with oral cancer.

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