Journals / Yeni Üroloji Dergisi / 2026 / Volume: 13 Issue: 2

Emphasis of neutrophil to lymphocyte for prediction of Gleason groups in patient who underwent prostate biopsy

Prostat biyopsisi yapılan hastalarda Gleason gruplarının tahmininde nötrofil/ lenfosit oranının önemi

Sema Nur Ayyıldız(Ordu Üniversitesi Tıp Fakültesi Biyokimya Anabilim Dalı)
Ömer Gökhan Doluoğlu(Ankara Eğitim ve Araştırma Hastanesi Üroloji Anabilim Dalı)
Pages
—
Publication Date
2018-06-01
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Prospective studies with large patient populations are needed to determine whether N / L ratio is a prognostic factor in localized PCa patients or not.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim : In this study we aimed to determine the status of the neutrophil lymphocyte ratios of the new ISUP Gleason groups.
📊
Key Findings & Data:Patients were assigned to 5 Gleason groups according to ISUP 2014 definition.
💡
Conclusion & Impact:Prospective studies with large patient populations are needed to determine whether N / L ratio is a prognostic factor in localized PCa patients or not.
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:Gleason score · neutrophil to lymphocyte ratio · prostate cancer

Abstract

Aim : In this study we aimed to determine the status of the neutrophil lymphocyte ratios of the new ISUP Gleason groups. Material and Methods: Patients who underwent transrectal ultrasound-guided prostate biopsy and who had pathologically proven prostate cancer were evaluated retrospectively. Neutrophil / lymphocyte ratios of all patients were determined. Their age, PSA values and body mass index (BMI) were recorded. Patients were assigned to 5 Gleason groups according to ISUP 2014 definition. N / L ratios and other demographic data of the groups were compared with each other. Results : Data from 86 patients meeting the study criteria were recorded. N/L ratios were found as 2.13 (0.27-9.28) in group 1, 2.22 (0.27-1.52) in group 2, 2.40 (1.41-6.30) in group 3, 1.90 (0.91-2.99) in group 4 and 2.11 (0.27-3.62) in group 5 (p=0.74). Conclusion : N / L ratio was found to be similar in all Gleason groups according to present study. Prospective studies with large patient populations are needed to determine whether N / L ratio is a prognostic factor in localized PCa patients or not.

Özet

Amaç : Biz bu çalışmada lokalize prostat kanserlerinde Gleason gruplarına göre, N/L oranları arasında önemli bir fark olup olmadığını araştırmayı amaçladık. Gereç ve Yöntemler: Transrektal ultrason eşliğinde prostat biyopsisi yapılan ve patoloji sonucu prostat kanseri gelen hastalar retrospektif olarak incelendi. Tüm hastaların nötrofil/lenfosit oranları belirlendi. Yaşları, PSA değerleri ve vücut kitle indeksleri (BMI) kaydedildi. Hastalar ISUP 2014 tanımlamasına göre 5 gleason grubuna ayrıldı. Grupların N/L oranları ve diğer demografik verileri birbirleri ile karşılaştırıldı. Bulgular : Çalışma kriterlerine uyan 86 hastanın verileri kaydedildi. Grupların N/L oranları birbirleri ile karşılaştırıldığında Grup 1’de 2.13 (0.27-9.28), grup 2’de 2.22 (0.27-1.52), grup 3’de 2.40 (1.41-6.30), grup 4’de 1.90 (0.91-2.99) ve grup 5’de 2.11 (0.27- 3.62) olarak saptandı (p=0.74). Sonuç : Çalışmamıza göre N/L oranının tüm Gleason gruplarında benzer olduğu saptanmıştır. N/L oranının lokalize PCa hastalarında prognostik bir faktör olup olmadığını saptamak için geniş hasta serili prospektif çalışmalara ihtiyaç vardır.

🔖

Cite This Article

Ayyıldız, S. N., Doluoğlu, Ö. G. (2018). Emphasis of neutrophil to lymphocyte for prediction of Gleason groups in patient who underwent prostate biopsy. Yeni Üroloji Dergisi, Volume: 13 Issue: 2. https://ajindex.com/articles/1315315

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (33)

  1. Ferlay J, Soerjomataram I, Dikshit R et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 2015;136: E359-86.
  2. Etzioni R, Gulati R, Cooperberg MR, Penson DM, Weiss NS, Thompson IM. Limitations of basing screening policies on screening trials: The US Preventive Services Task Force and Prostate Cancer Screening. Med Care 2013; 51: 295-300.
  3. Stamey TA, Yang N, Hay AR, Mc Neal JE, Freiha FS, Redwine E. Prostate-specific antigen as a serum marker foradenocarcinoma of the prostate. N Engl J Med 1987; 317: 909-916.
  4. Carter HB, Pearson JD, Metter EJ et al. Longitudinal evaluation of prostate-specific antigen levels in men with and without prostate disease. JAMA 1992; 267: 2215-20.
  5. Catalona WJ, Partin AW, Slawin KM et al. Use of the percentage of free prostate-specific antigen to enhance differentiation of prostate cancer from benign prostatic disease: a prospective multicenter clinical trial. JAMA 1998; 279:1542-7.
  6. Stephan C, Lein M, Junk K et al. The influence of prostate volume on the ratio of free to total prostate specific antigen in serum of patients with prostate carcinoma and benign prostate hyperplasia. Cancer 1997;79:104-9.
  7. Bryant RJ, Sjoberg DD, Vickers AJ et al. Predicting highgrade cancer at ten-core prostate biopsy using four kallikrein markers measured in blood in the ProtecT study. J Natl Cancer Inst 2015;107. pii: djv095.
  8. Loeb S, Catalona WJ. The Prostate Health Index: a new test for the detection of prostate cancer. Ther Adv Urol 2014;6:74-7.
  9. Hessels D, Klein Gunnewiek JMT, van Oort I et al.DD3(PCA3)-based molecular urine analysis for the diagnosis of prostate cancer. Eur Urol 2003; 44:8-16.
  10. Partin AW, Mongold LA, Lamm DM et al. Contemporary update of prostate cancer staging nomograms (Partin tables) for the new millennium. Urology 2001;58:843-8.
  11. Kattan MW, Eastham JA, Stapleton AM, Wheeler TM,Scardino PT. A preoperative nomogram for disease recurrence following radical prostatectomy for prostate cancer. J Natl Cancer Inst 1998;90:766-71.
  12. Templeton AJ, McNamara MG, Seruga B et al. Prognostic role of neutrophil to lymphocyte ratio in solid tumours:A systematic review and meta-analysis. J Natl Cancer Inst 2014;106:dju124. doi: 10.1093/jnci/dju124.
  13. Ozcan C, Telli O, Ozturk E et al. The prognostic significance of preoperative leukocytosis and neutrophil-to-lymphocyte ratio in patients who underwent radical cystectomy for bladder cancer. Can Urol Assoc J 2015;9 (11-12):E789-94.
  14. Epstein JI, Egevad L, Amin MB, Delahunt B, Srigley JR, Humphrey PA. GradingCommittee. The 2014 International Society of Urological Pathology (ISUP)Consensus Conference on Gleason Grading of Prostatic Carcinoma: Definition of Grading Patterns and Proposal for a New Grading System. Am J Surg Pathol. 2016;40:244-52. doi: 10.1097/PAS.0000000000000530.
  15. Ilic D, Neuberger MM, Djulbegovic M, Dahm P. Screening for prostate cancer. Cochrane Database Syst Rev. 2013 Jan 31;CD004720.doi:10.1002/14651858.CD004720.pub3.
  16. Hayes JH, Barry MJ. Screening for prostate cancer with the prostate-specifi cantigen test: a review of current evidence. JAMA 2014 Mar 19;311:1143-9.doi: 10.1001/jama.2014.2085. Review. PubMed PMID: 24643604.
  17. D’Amico AV, Whittington R, Malkowicz SB et al. Biochemical outcome after radical prostatectomy, external beam radiation therapy, or interstitial radiation therapy for clinically localized prostate cancer. JAMA 1998;280:969-74.
  18. Hu K, Lou L, Ye J, Zhang S. Prognostic role of the neutrophil-lymphocyte ratio in renal cell carcinoma: a meta-analysis. Br Med J Open 2015;5:e006404.
  19. Ceylan C, Camtosun A, Doluoglu OG et al. Emphasis of neutrophil-to-lymphocyte ratio in non-metastatic renal cell carcinoma. Urologia. 2014 Jan-Mar;81:51-6. doi: 10.5301/ urologia.5000032.
  20. Templeton AJ, Pezaro C, Omlin A et al. Simple prognostic score for metastatic castration –resistant prostate cancer with incorporation of neutrophil-to-lymphocyte ratio. Cancer 2014;120:3346-52.
  21. Boegemann M, Schlack K, Thomes S et al. The role of neutrophil to lymphocyte ratio for survival outcomes in patients with metastatic castration-resistant prostate cancer treated with abiraterone. Int J Mol Sci 2017;18.
  22. Pei XQ, He DL, Tian G et al. Prognostic factors of first-line docetaxel treatment in castration-resistant prostate cancer:roles of neutrophil-lymphocyte ratio in patients from Northwestern China. Int Urol Nephrol 2017;49:629-35.
  23. Minardi D, Scartozzi M, Montesi L et al. Neuyrophil-tolymphocyte ratio may be associated with the outcome in patient with prostate cancer. Springerplus 2015;4:255.
  24. Linton A, Pond G, Clarke S, Vardy J, Galsky M, Sonpavde G. Glaskow prognostic score as a prognostic factor in metastatic castration-resistant prostate cancer treated with docetaxel-based chemotherapy. Clin Genitourin Cancer 2013;11:423-30.
  25. Uemura K, Kawahara T, Yamashita D et al. Neutrophil-toLymphocyte ratio predicts prognosis in castration-resistant prostate cancer patients who received cabazitaxel chemotherapy. Biomed Res Int 2017;2017:7538647.
  26. Naito H, Sugimoto M, Taketa S, Kakehi Y. Clinical significance of neutrophil-to-lymphocyte ratio in patients with prostate cancer. Hinyokika Kiyo 2017;63:63-67.
  27. Vesely MD, Schreiber RD. Cancer immunoediting: antigens, mechanisms, and implications to cancer immunotherapy Ann N Y Acad Sci 2013;1284:1-5.
  28. Nind AP, Nairn RC, Rolland JM. Lymphocyte anergy in patients with carcinoma. Br J Cancer 1973;28:108-117.
  29. Xiang YZ, Xiong H, Cui ZL et al.The association between metabolic syndrome and the risk of prostate cancer, highgrade prostate cancer, advanced prostate cancer, prostate cancer-specific mortality and biochemical recurrence. J Exp Clin Cancer Res 2013;32:9.
  30. Bebe-Dimmer JL, Dunn RL, Sarma AV, Montie JE, Cooney KA. Features of the metabolic syndrome and prostate cancer in African-American men. Cancer 2007;109:875-81.
  31. Tande AJ, Platz EA, Folsom AR. The metabolic syndrome is associated with reduced risk of prostate cancer. Am J Epidemiol 2006;164:1094-1102.
  32. Gokce MI, Tangal S, Hamidi N, Suer E, Ibis MA, Beduk Y. Role of neutrophil-to-lymphocyte ratio in prediction of Gleason score upgrading and disease upstaging in low-risk prostate cancer patients eligible for active surveillance. Can Urol Assoc J 2016;10:383-387.
  33. Ceylan Y, Günlüsoy B, Degirmenci T et al. Neutrophil-tolymphocyte and neutrophil-to-monocyte rates in the decision for a prostate re-biopsy in patients with a previous benign pathology and consistently 2.5-10 ng/ml PSA value. Arch Esp Urol 2016;69:627-635.