Characterization of clear cell - Renal cell carcinoma using neutrophil - Lymphocyte ratio
Santhosh S., Poulose Chally, Abdul Azeez, Shrikant Patel, Arifa Bakerywala, Heena Shaikh

TL;DR
This study shows that the neutrophil-lymphocyte ratio can predict tumor size and vein invasion in kidney cancer patients.
Contribution
The study identifies the neutrophil-lymphocyte ratio as a novel prognostic marker for clear cell renal cell carcinoma.
Findings
Elevated neutrophil-lymphocyte ratio was significantly linked to larger tumor size.
High neutrophil-lymphocyte ratio correlated with increased renal vein invasion.
A cut-off of 2.7 effectively distinguished normal from elevated ratios.
Abstract
The features of tumour in clear cell - renal cell carcinoma are evaluated using neutrophil - lymphocyte ratio for its prognosis. Hence, 186 clear cell-renal cell carcinoma patients with documented neutrophil lymphocyte ratio were obtained. Depending on the features of the lesion, patients underwent either a partial or radical nephrectomy and characteristics were studied in relation to normal or high neutrophil - lymphocyte ratio with a cut-off of 2.7. Of the 186 patients studied, 131 had a normal neutrophil lymphocyte ratio (<2.7), while 55 presented with an elevated neutrophil lymphocyte ratio (≥2.7). Elevated neutrophil lymphocyte ratio was significantly associated with both tumor size and renal vein invasion, with a p-value of less than 0.001. Thus, the neutrophil lymphocyte ratio is a valuable metric for assessing renal vein extension and predicting tumour size.
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Taxonomy
TopicsInflammatory Biomarkers in Disease Prognosis · Cancer Immunotherapy and Biomarkers · Renal cell carcinoma treatment
