# Characterization of clear cell - Renal cell carcinoma using neutrophil - Lymphocyte ratio

**Authors:** Santhosh S., Poulose Chally, Abdul Azeez, Shrikant Patel, Arifa Bakerywala, Heena Shaikh

PMC · DOI: 10.6026/973206300210499 · 2025-03-31

## 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.

## Key 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.

## Linked entities

- **Diseases:** clear cell-renal cell carcinoma (MONDO:0005005)

## Full-text entities

- **Diseases:** renal vein invasion (MESH:D059228), tumor (MESH:D009369), clear cell - Renal cell carcinoma (MESH:D002292)
- **Species:** Homo sapiens (human, species) [taxon 9606]

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Source: https://tomesphere.com/paper/PMC12208224