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JIN Long, FU Shenbo, YU Jiao. Effect of NLR and PLR from Pre-treatment on Prognosis of Nasopharyngeal Carcinoma Patients[J]. Cancer Research on Prevention and Treatment, 2017, 44(7): 476-480. DOI: 10.3971/j.issn.1000-8578.2017.16.1536
Citation: JIN Long, FU Shenbo, YU Jiao. Effect of NLR and PLR from Pre-treatment on Prognosis of Nasopharyngeal Carcinoma Patients[J]. Cancer Research on Prevention and Treatment, 2017, 44(7): 476-480. DOI: 10.3971/j.issn.1000-8578.2017.16.1536

Effect of NLR and PLR from Pre-treatment on Prognosis of Nasopharyngeal Carcinoma Patients

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  • Received Date: December 11, 2016
  • Revised Date: March 23, 2017
  • Available Online: January 12, 2024
  • Objective 

    To investigate the correlation of platelet-to-lymphocyte ratio (PLR), neutrophil-to-lymphocyte ratio (NLR) in the peripheral blood of nasopharyngeal carcinoma patients before treatment with their overall survival (OS), progression-free survival (PFS).

    Methods 

    We retrospectively analyzed the clinical data of 91 nasopharyngeal carcinoma patients who received initial treatment in the First Affiliated Hospital of Xi'an Jiao Tong University and Shaanxi Provincial People's Hospital from January 2009 to September 2013. The patients were grouped on the basis of cutoff value of PLR and NLR according to ROC curve. Kaplan-Meier method and Log rank test were used to compare overall survival rates and progression free survival rates between different groups; meanwhile Cox proportional hazard model was used to analyze single factor and multiple factors.

    Results 

    When PLR=143.3 and NLR=2.6, the predictive value of patient's prognosis was the highest. Cox multivariate analysis showed that OS was shorter when PLR≥143.3 (RR=2.491, 95%CI=1.139-5.451, P=0.022) and NLR≥2.6(RR=2.186, 95%CI=1.021-4.682, P=0.044), and PFS was shorter when PLR≥143.3 (RR=2.461, 95%CI=1.242-4.874, P=0.01).

    Conclusion 

    PLR and NLR before treatment may be the independent risk factors for the prognosis of nasopharyngeal carcinoma patients.

  • [1]
    Chen W. Cancer statistics: updated cancer burden in China[J]. Chin J Cancer Res, 2015, 27(1): 1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4329178/
    [2]
    Xu T, Zhu G, He X, et al. A phase Ⅲ randomized study comparing neoadjuvant chemotherapy with concurrent chemotherapy combined with radiotherapy for locoregionally advanced nasopharyngeal carcinoma: updated long-term survival outcomes[J]. Oral Oncol, 2014, 50(2): 71-6. doi: 10.1016/j.oraloncology.2013.11.002
    [3]
    Wang HY, Sun BY, Zhu ZH, et al. Eight-signature classifier for prediction of nasopharyngeal [corrected] carcinoma survival[J]. J Clin Oncol, 2011, 29(34): 4516-25. doi: 10.1200/JCO.2010.33.7741
    [4]
    Lin JC, Wang WY, Chen KY, et al. Quantification of plasma Epstein-Barr virus DNA in patients with advanced nasopharyngeal carcinoma[J]. N Engl J Med, 2004, 350(24): 2461-70. doi: 10.1056/NEJMoa032260
    [5]
    Liu N, Chen NY, Cui RX, et al. Prognostic value of a microRNA signature in nasopharyngeal carcinoma: a microRNA expression analysis[J]. Lancet Oncol, 2012, 13(6): 633-41. doi: 10.1016/S1470-2045(12)70102-X
    [6]
    Sun W, Long G, Wang J, et al. Prognostic role of epidermal growth factor receptor in nasopharyngeal carcinoma: a meta-analysis[J]. Head Neck, 2014, 36(10): 1508-16. http://onlinelibrary.wiley.com/resolve/doi?DOI=10.1002/hed.23481
    [7]
    Grivennikov SI, Greten FR, Karin M. Immunity, Inflammation, and cancer[J]. Cell, 2010, 140(6): 883-99. doi: 10.1016/j.cell.2010.01.025
    [8]
    Pei D, Zhu F, Chen X, et al. Pre-adjuvant chemotherapy leukocyte count may predict the outcome for advanced gastric cancer after radical resection[J]. Biomed Pharmacother, 2014, 68(2): 213-7. doi: 10.1016/j.biopha.2014.01.008
    [9]
    Ishizuka M, Nagata H, Takagi K, et al. Combination of platelet count and neutrophil to lymphocyte ratio is a useful predictor of postoperative survival in patients with colorectal cancer[J]. Br J Cancer, 2013, 109(2): 401-7. doi: 10.1038/bjc.2013.350
    [10]
    Rachidi S. Lower circulating platelet counts and antiplatelet therapy independently predict better outcomes in patients with head and neck squamous cell carcinoma[J]. J Hematol Oncol, 2014, 7: 65. doi: 10.1186/s13045-014-0065-5
    [11]
    Absenger G, Szkandera J, Pichler M, et al. A derived neutrophil to lymphocyte ratio predicts clinical outcome in stage Ⅱ and Ⅲ colon cancer patients[J]. Br J Cancer, 2013, 109(2): 395-400. doi: 10.1038/bjc.2013.346
    [12]
    Pinato DJ, Shiner RJ, Seckl MJ, et al. Prognostic performance of inflammation-based prognostic indices in primary operable non-small cell lung cancer[J]. Br J Cancer, 2014, 110(8): 1930-5. doi: 10.1038/bjc.2014.145
    [13]
    Krenn-Pilko S, Langsenlehner U, Thurner EM, et al. The elevated preoperative platelet-to-lymphocyte ratio predicts poor prognosis in breast cancer patients[J]. Br J Cancer, 2014, 110(10): 2524-30. doi: 10.1038/bjc.2014.163
    [14]
    Racz JM, Cleghorn MC, Jimenez MC, et al. Predictive Ability of Blood Neutrophil-to-Lymphocyte and Platelet-to-Lymphocyte Ratios in Gastrointestinal Stromal Tumors[J]. Ann Surg Oncol, 2015, 22(7): 2343-50. doi: 10.1245/s10434-014-4265-6
    [15]
    Sharma D, Brummel-Ziedins KE, Bouchard BA, et al. Platelets in tumor progression: a host factor that offers multiple potential targets in the treatment of cancer[J]. J Cell Physiol, 2014, 229(8): 1005-15. doi: 10.1002/jcp.v229.8
    [16]
    Gakis G, Fritsche HM, Hassan F, et al. Prognostic relevance of postoperative platelet count in upper tract urothelial carcinoma after radical nephroureterectomy[J]. Eur J Cancer, 2014, 50(15): 2583-91. doi: 10.1016/j.ejca.2014.07.003
    [17]
    Strieter RM, Burdick MD, Mestas J, et al. Cancer CXC chemokine networks and tumour angiogenesis[J]. Eur J Cancer, 2006, 42(6): 768-78. doi: 10.1016/j.ejca.2006.01.006
    [18]
    郭煦, 谢洪哲, 柯尊富.治疗前NLR和PLR对宫颈鳞癌患者预后的影响[J].分子诊断与治疗杂志, 2015, 7(6): 372-82. http://www.cnki.com.cn/Article/CJFDTOTAL-YXYQ201506005.htm

    Guo X, Xie HZ, Ke ZF. Effect of NLR and PLR from pre-treatment on the prognosis of patients with cervical squamous cell carcinoma[J]. Fen Zi Zhen Duan Yu Zhi Liao Za Zhi, 2015, 7(6): 372-82. http://www.cnki.com.cn/Article/CJFDTOTAL-YXYQ201506005.htm
    [19]
    朴美慈, 金仁顺.术前NLR、PLR与乳腺癌预后的相关性[J].中国肿瘤临床, 2015, 42(23): 1128-31. doi: 10.3969/j.issn.1000-8179.2015.23.936

    Piao MC, Jin RS. Correlation of preoperative neutrophil to lymphocyte ratio and platelet to lymphocyte ratio with prognosis of breast cancer[J]. Zhongguo Zhong Liu Lin Chuang, 2015, 42(23): 1128-31. doi: 10.3969/j.issn.1000-8179.2015.23.936
    [20]
    李小兵, 熊勇, 邹瑜斌, 等.术前血小板与淋巴细胞比值对结直肠癌预后的影响[J].中国医学创新, 2014, 33(28): 7-10. http://www.cnki.com.cn/Article/CJFDTOTAL-DYJD201301015.htm

    Li XB, Xiong Y, Zou YB, et al. The Effect of Platelet and Lymphocyte Ratio on the Prognosis of Colorectal Cancer[J]. Zhongguo Yi Xue Chuang Xin, 2014, 33(28): 7-10. http://www.cnki.com.cn/Article/CJFDTOTAL-DYJD201301015.htm
    [21]
    Sun M, Zhang L, Luo M, et al. Pretreatment hematologic markers as prognostic factors in patients with nasopharyngeal carcinoma: Neutrophil-lymphocyte ratio and platelet-lymphocyte ratio[J]. Head Neck, 2016, 38(Suppl 1): E1332-40. doi: 10.1002/hed.24224/abstract

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