Predictive Value of Preoperative Neutrophil Lymphocyte Ratio in Determining the Stage of Gastric Tumor

BACKGROUND Neutrophil-lymphocyte ratio (NLR) is an indicator of the inflammatory state, and its increase has been shown to be a negative prognostic factor for many malignancies. The aim of this study was to determine whether there was a relationship between NLR and tumor aggressiveness in gastric ca...

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Bibliographic Details
Published in:Medical science monitor 2017-04, Vol.23, p.1973-1979
Main Authors: Sahin, Azad Gazi, Aydin, Cengiz, Unver, Mutlu, Pehlivanoglu, Kamil
Format: Article
Language:English
Subjects:
Adult
Aged
Biomarkers, Tumor
Clinical Research
Female
Humans
Kaplan-Meier Estimate
Lymphocyte Count
Lymphocytes - metabolism
Lymphocytes - pathology
Male
Middle Aged
Neoplasm Staging - methods
Neutrophils - metabolism
Neutrophils - pathology
Prognosis
Retrospective Studies
Risk Factors
ROC Curve
Stomach Neoplasms - diagnosis
Stomach Neoplasms - pathology
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Summary:BACKGROUND Neutrophil-lymphocyte ratio (NLR) is an indicator of the inflammatory state, and its increase has been shown to be a negative prognostic factor for many malignancies. The aim of this study was to determine whether there was a relationship between NLR and tumor aggressiveness in gastric cancer patients and to investigate the prognostic significance of NLR. MATERIAL AND METHODS The medical records of 189 patients with gastric cancer between January 2009 and January 2014 were examined for the presence of metastasis, tumor staging, tumor differentiation grade, and preoperative NLR value. RESULTS Of the 189 patients, 61 were female (32.2%) and 128 were male (67.7%). Eight-eight patients had NLR values of four or higher. A comparison of the high NLR value group and the low NLR value group found no statistically significant difference for clinicopathological features of age, gender, type of operation, of degree of differentiation; differences ranged from 20.7% to 46.2%, p
ISSN:1643-3750
1234-1010
1643-3750
DOI:10.12659/MSM.900681