Comparative Prospective and Longitudinal Analysis on the Platelet-to-Lymphocyte, Neutrophil-to-Lymphocyte, and Albumin-to-Globulin Ratio in Patients with Non-Metastatic and Metastatic Prostate Cancer

被引：8

作者：

Salciccia, Stefano ^{[1
]}

Frisenda, Marco ^{[1
]}

Bevilacqua, Giulio ^{[1
]}

Viscuso, Pietro ^{[1
]}

Casale, Paolo ^{[2
]}

De Berardinis, Ettore ^{[1
]}

Di Pierro, Giovanni Battista ^{[1
]}

Cattarino, Susanna ^{[1
]}

Giorgino, Gloria ^{[1
]}

Rosati, Davide ^{[1
]}

Del Giudice, Francesco ^{[1
]}

Carbone, Antonio ^{[3
]}

Pastore, Antonio ^{[3
]}

Chung, Benjamin I. I. ^{[4
]}

Eisenberg, Michael L. L. ^{[4
]}

Autorino, Riccardo ^{[5
]}

Crivellaro, Simone ^{[6
]}

Forte, Flavio ^{[7
]}

Sciarra, Alessandro ^{[1
]}

Mariotti, Gianna ^{[1
]}

Gentilucci, Alessandro ^{[1
]}

机构：

[1] Sapienza Univ Rome, Policlin Umberto Hosp 1, Dept Materno Infantile & Sci Urolog, I-00161 Rome, Italy

[2] Humanitas, Dept Urol, I-20089 Milan, Italy

[3] Sapienza Univ, ICOT Hosp Latina, Unit Urol, I-04100 Latina, Italy

[4] Stanford Univ, Sch Med, Dept Urol, Stanford, CA 94305 USA

[5] Rush Univ, Med Ctr, Dept Urol, Chicago, IL 60612 USA

[6] Univ Illinois, Hosp Camp, Dept Urol, Hlth Sci Syst, Chicago, IL 60612 USA

[7] MG Vannini Hosp, Urol Dept, I-00177 Rome, Italy

来源：

CURRENT ONCOLOGY | 2022年 / 29卷 / 12期

关键词：

albumin-to-globulin ratio; neutrophil-to-lymphocyte ratio; metastatic; platelet-to-lymphocyte ratio; prostatic neoplasm; radical prostatectomy; PRETREATMENT ALBUMIN; PROGNOSTIC VALUE; NODE DISSECTION;

D O I：

10.3390/curroncol29120745

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose: To prospectively evaluate the albumin/globulin ratio (AGR), neutrophil/lymphocyte ratio (NLR), and platelet/lymphocyte ratio (PLR) diagnostic and prognostic predictive value in a stratified population of prostate cancer (PC) cases. Methods: Population was divided based on the clinical and histologic diagnosis in: Group A: benign prostatic hyperplasia (BPH) cases (494 cases); Group B: all PC cases (525 cases); Group B1: clinically significant PC (426 cases); Group B2: non-metastatic PC (416 cases); Group B3: metastatic PC (109 cases). NLR, PLR, and AGR were obtained at the time of the diagnosis, and only in cases with PC considered for radical prostatectomy, determinations were also repeated 90 days after surgery. For each ratio, cut-off values were determined by receiver operating characteristics curve (ROC) analysis and fixed at 2.5, 120.0, and 1.4, respectively, for NLR, PLR, and AGR. Results: Accuracy in predictive value for an initial diagnosis of clinically significant PC (csPC) was higher using PLR (0.718) when compared to NLR (0.220) and AGR (0.247), but, despite high sensitivity (0.849), very low specificity (0.256) was present. The risk of csPC significantly increased only according to PLR with an OR = 1.646. The percentage of cases with metastatic PC significantly increased according to high NLR and high PLR. Accuracy was 0.916 and 0.813, respectively, for NLR and PLR cut-off, with higher specificity than sensitivity. The risk of a metastatic disease increased 3.2 times for an NLR > 2.5 and 5.2 times for a PLR > 120 and at the multivariate analysis. Conclusion: PLR and NLR have a significant predictive value towards the development of metastatic disease but not in relation to variations in aggressiveness or T staging inside the non-metastatic PC. Our results suggest an unlikely introduction of these analyses into clinical practice in support of validated PC risk predictors.

引用

页码：9474 / 9500

页数：27