Assessing the Prognostic Value of the Neutrophil-to-Lymphocyte Ratio in Stage I Non-Small-Cell Lung Cancer with Complete Resection.

IF 2.1 4区医学 Q3 RESPIRATORY SYSTEM

Canadian respiratory journal Pub Date : 2022-06-22 eCollection Date: 2022-01-01 DOI:10.1155/2022/6837872

Wei Liu, Tiantian Zhang, Li Li, Jue Zou, Chunhua Xu

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引用次数: 2

Abstract

Purpose: To explore the prognostic value of the neutrophil-to-lymphocyte ratio (NLR) in stage I non-small-cell lung cancer (NSCLC) undergoing surgery. Patients and Methods. Between 2014 and 2016, a total of 190 patients with postoperative pathology of stage I NSCLC who underwent radical surgery at Nanjing Chest Hospital were studied. Clinical data were analyzed and classified into low-risk, moderate-risk, and high-risk groups based on independent risk factors to assess the prognosis.

Results: NLR was associated with histological type and gender, and patients with an elevated NLR have poor overall survival (OS). Lymphovascular invasion, red blood cell distribution width-standard deviation (RDW-SD), and carcinoembryonic antigen (CEA) were independent prognostic factors for progression-free survival (PFS) in postoperative patients with stage I NSCLC, while NLR, RDW-SD, and CEA were independent risk factors for OS. Both PFS and OS were shorter in the low-risk group than in the medium-risk and high-risk groups.

Conclusions: NLR, RDW-SD, CEA, and lymphovascular invasion are independent risk factors for postoperative prognosis in patients with stage I NSCLC, and the combination has a predictive value.

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评估中性粒细胞与淋巴细胞比值对一期非小细胞肺癌完全切除的预后价值。

目的:探讨中性粒细胞与淋巴细胞比值(NLR)在一期非小细胞肺癌(NSCLC)手术中的预后价值。患者和方法。2014 - 2016年在南京胸科医院行根治性手术的I期非小细胞肺癌患者共190例。对临床资料进行分析，根据独立危险因素分为低危、中危、高危三组，评估预后。结果:NLR与组织学类型和性别相关，NLR升高的患者总生存期(OS)较差。淋巴血管侵袭、红细胞分布宽度标准偏差(RDW-SD)和癌胚抗原(CEA)是影响I期NSCLC术后无进展生存(PFS)的独立预后因素，NLR、RDW-SD和CEA是影响OS的独立危险因素。低危组的PFS和OS均短于中危和高危组。结论:NLR、RDW-SD、CEA、淋巴血管侵犯是影响I期NSCLC患者术后预后的独立危险因素，两者联合具有预测价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian respiratory journal 医学-呼吸系统

CiteScore

4.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Canadian Respiratory Journal is a peer-reviewed, Open Access journal that aims to provide a multidisciplinary forum for research in all areas of respiratory medicine. The journal publishes original research articles, review articles, and clinical studies related to asthma, allergy, COPD, non-invasive ventilation, therapeutic intervention, lung cancer, airway and lung infections, as well as any other respiratory diseases.