Journals / Erciyes Medical Journal / 2017 / Cilt: 39 - Sayı: 3

Neutrophil-to-Lymphocyte Ratio, Platelet- to-Lymphocyte Ratio, and Red Blood Cell Distribution Width as New Biomarkers in Patients with Colorectal Cancer

Pages
131–136
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Therefore, it is recommended that these additional biomarkers can be used for early diagnosis and screening of colorectal cancer.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: The incidence of colorectal cancer in developed countries has been found to increase with age.
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Key Findings & Data:Early diagnosis and screening decrease the mortality rates in colorectal cancer.
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Conclusion & Impact:Therefore, it is recommended that these additional biomarkers can be used for early diagnosis and screening of colorectal cancer.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The incidence of colorectal cancer in developed countries has been found to increase with age. Early diagnosis and screening decrease the mortality rates in colorectal cancer. This study aimed to use inflammatory markers neutrophil-tolymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and red blood cell distribution width (RDW) as new biomarkers for early diagnosis and screening in patients with colorectal cancer.Materials and Methods: A total of 59 patients with colorectal cancer and 59 age- and sex-matched healthy participants were included in the study. Localization, tumor node metastasis (TNM) stage, and preoperative hemoglobin levels, neutrophil counts, lymphocyte counts, platelet counts, and RDW values were obtained from medical records. Using the receiver operating characteristic (ROC) curve, the optimal cutoff levels of the biomarkers were determined.Results: NLR, PLR, and RDW were significantly higher in patients with colorectal cancer than in healthy participants (p<0.001). According to ROC analysis, the cutoff value for NLR was 2.05 [area under the curve (AUC): 0.740, sensitivity: 78%, specificity: 66%]; the cutoff value for PLR was 130 (AUC: 0.702, sensitivity: 65%, specificity: 72%); and the cutoff value for RDW was 14 (AUC: 0.774, sensitivity: 68%, specificity: 73%). Conclusions: NLR, PLR, and RDW were found to be significantly higher in patients with colorectal cancer than in healthy participants. Therefore, it is recommended that these additional biomarkers can be used for early diagnosis and screening of colorectal cancer.

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Cite This Article

ÇAKMAK, E., SOYLU, S., YÖNEM, N. Ö. S., YILMAZ, A. (2017). Neutrophil-to-Lymphocyte Ratio, Platelet- to-Lymphocyte Ratio, and Red Blood Cell Distribution Width as New Biomarkers in Patients with Colorectal Cancer. Erciyes Medical Journal, Cilt: 39 - Sayı: 3, 131–136. https://ajindex.com/articles/199717

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References (15)

  1. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer 2015
  2. 136(5): 359-86. [CrossRef] 2. Siegel R, DeSantis C, Virgo K, et al. Cancer treatment and survivorship statistics, 2012. CA Cancer J Clin 2012
  3. [CrossRef] 3. Pox CP. Controversies in colorectal cancer screening. Digestion. 2014
  4. 89(4): 274-81. [CrossRef] 4. Lansdorp-Vogelaar I, Knudsen AB, Brenner H. Cost-effectiveness of colorectal cancer screening an overview. Best Pract Res Clin Gastroenterol 2010
  5. 24(4): 439-49. [CrossRef] 5. Janakirama NB, Rao CV, Inflammation and Cancer. Adv Exp Med Biol 2014
  6. 52 [CrossRef] 6. Kilincalp S, Çoban Ş, Akinci H, Hamamc M, Karaahmet F, Coşkun Y, et al. Neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, and mean platelet volume as potential biomarkers for early detection and monitoring of colorectal adenocarcinoma. Eur J Cancer Prev 2015
  7. 24(4): 328-33. [CrossRef] 7. Yildirim MA, Seckin KD, Togrul C, Baser E, Karsli MF, Gungor T, Gulerman HC. Roles of neutrophil/lymphocyte and platelet/lymphocyte ratios in the early diagnosis of malignant ovarian masses. Asian Pac J Cancer Prev 2014
  8. 15(16): 6881-5. [CrossRef] 8. Spell DW, Jones DV Jr, Harper WF, David Bessman J. The value of a complete blood count in predicting cancer of the colon. Cancer Detect Prev 2004
  9. 28(1): 37-42. [CrossRef] 9. Khusun H, Yip R, Schultink W, Dillon DH. World Health Organization hemoglobin cut-off points for the detection of anemia are valid for an Indonesian population. J Nutr 1999
  10. 129(9): 1669-74. 10. Brenner H, Kloor M, Pox CP. Colorectal cancer. Lancet 2014
  11. 26(383): 1490-502. [CrossRef] 11. Grivennikov SI. Inflammation and colorectal cancer: colitis-associated neoplasia. Semin Immunopathol 2013 Mar
  12. 35(2): 229-44. [CrossRef] 12. Galizia G, Lieto E, Zamboli A, De Vita F, Castellano P, Romano C, et al. Neutrophil to lymphocyte ratio is a strong predictor of tumor recurrence in early colon cancers: A propensity score-matched analysis. Surgery 2015
  13. 158(1): 112-20. [CrossRef] 13. Ay S, Eryilmaz MA, Aksoy N, Okus A, Unlu Y, Sevinc B. Is early detection of colon cancer possible with red blood cell distribution width? Asian Pac J Cancer Prev 2015
  14. 16(2): 753-6. [CrossRef] 14. Vendramini-Costa DB, Carvalho JE. Molecular link mechanisms between inflammation and cancer. Curr Pharm Des 2012
  15. 18(26): 3831-52. [CrossRef] 15. Ross JA, Potter JD, S