Preoperative neutrophil to lymphocyte ratio as a prognostic predictor after curative resection for non-small cell lung cancer.

Abstract:

BACKGROUND:The prognostic impact of neutrophil to lymphocyte ratio (NLR) in non-small cell lung cancer (NSCLC) was examined using patients with a follow-up period more than 5 years. PATIENTS AND METHODS:Two hundred and eighty four consecutive resected NSCLC patients were reviewed retrospectively. In this study, patients who were treated with a follow-up period less than 5 years were omitted, RESULTS:The mean value of NLR was 2.44±2.22 (range: 0.56-29.44). The 5-year survival of the patients with a high NLR (≥2.5) was significantly worse than that of the patients with a low NLR (47.06% vs. 67.84%, p<0.0001). Univariate analysis of the clinicopathological factors affecting survival revealed that age, gender, histology, pT status, pN status, high serum CEA level, positive findings of pleural lavage cytology and high NLR were significant risk factors for reduced survival. On multivariate analysis, a high NLR was an independent risk factor for reduced survival. CONCLUSION:A high preoperative NLR may be a convenient biomarker to identify patients with a poor prognosis after resection for NSCLC.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Tomita M,Shimizu T,Ayabe T,Yonei A,Onitsuka T

subject

Has Abstract

pub_date

2011-09-01 00:00:00

pages

2995-8

issue

9

eissn

0250-7005

issn

1791-7530

pii

31/9/2995

journal_volume

31

pub_type

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