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Neutrophil-lymphocyte ratio as a prognostic factor in colorectal cancer

✍ Scribed by S.R. Walsh; E.J. Cook; F. Goulder; T.A. Justin; N.J. Keeling


Publisher
John Wiley and Sons
Year
2005
Tongue
English
Weight
72 KB
Volume
91
Category
Article
ISSN
0022-4790

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✦ Synopsis


Background and Objectives: Simple methods to identify colorectal cancer patients at risk of recurrence are needed. This study aimed to determine if neutrophil-tolymphocyte ratio (NLR) predicts survival in colorectal cancer patients. Methods: Two-hundred thirty patients diagnosed with colorectal cancer over a twoyear period were identified from a prospectively maintained colorectal cancer database. NLR was calculated from pre-operative full blood counts. In the case of patients who did not undergo surgery, the full blood count from their out-patient visit was used. Known prognostic factors were recorded. Overall and cancer-specific survival were calculated. Results: Pre-operative NLR greater than 5 correlated with overall and cancer-specific survival in univariate analyses. NLR was not independent of Dukes stage. Conclusions: Pre-operative NLR may represent a simple method of identifying colorectal cancer patients with a poor prognosis pre-operatively.


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