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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.
Salciccia, Stefano; Frisenda, Marco; Bevilacqua, Giulio; Viscuso, Pietro; Casale, Paolo; De Berardinis, Ettore; Di Pierro, Giovanni Battista; Cattarino, Susanna; Giorgino, Gloria; Rosati, Davide; Del Giudice, Francesco; Carbone, Antonio; Pastore, Antonio; Chung, Benjamin I; Eisenberg, Michael L; Autorino, Riccardo; Crivellaro, Simone; Forte, Flavio; Sciarra, Alessandro; Mariotti, Gianna; Gentilucci, Alessandro.
Affiliation
  • Salciccia S; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Frisenda M; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Bevilacqua G; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Viscuso P; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Casale P; Department of Urology, Humanitas, 20089 Milan, Italy.
  • De Berardinis E; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Di Pierro GB; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Cattarino S; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Giorgino G; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Rosati D; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Del Giudice F; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Carbone A; Unit of Urology, ICOT Hospital Latina, Sapienza University, 04100 Latina, Italy.
  • Pastore A; Unit of Urology, ICOT Hospital Latina, Sapienza University, 04100 Latina, Italy.
  • Chung BI; Department of Urology, Stanford University School of Medicine, Stanford, CA 94305, USA.
  • Eisenberg ML; Department of Urology, Stanford University School of Medicine, Stanford, CA 94305, USA.
  • Autorino R; Department of Urology, Rush University Medical Center, Chicago, IL 60612, USA.
  • Crivellaro S; Department of Urology, University of Illinois Hospital e Camp, Health Sciences System, Chicago, IL 60612, USA.
  • Forte F; Urology Department, M.G. Vannini Hospital, 00177 Rome, Italy.
  • Sciarra A; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Mariotti G; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
  • Gentilucci A; Department of "Materno Infantile e Scienze Urologiche, 'Sapienza' University of Rome, Policlinico Umberto I Hospital, 00161 Rome, Italy.
Curr Oncol ; 29(12): 9474-9500, 2022 12 03.
Article de En | MEDLINE | ID: mdl-36547159
ABSTRACT

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.
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Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Tumeurs de la prostate / Globulines Type d'étude: Observational_studies / Prognostic_studies / Risk_factors_studies Limites: Humans / Male Langue: En Journal: Curr Oncol Année: 2022 Type de document: Article Pays d'affiliation: Italie
Texte intégral
Ajouter à My VHL
Imprimer
XML
PubMed Links
Recherche sur Google

Texte intégral: 1 Collection: 01-internacional Base de données: MEDLINE Sujet principal: Tumeurs de la prostate / Globulines Type d'étude: Observational_studies / Prognostic_studies / Risk_factors_studies Limites: Humans / Male Langue: En Journal: Curr Oncol Année: 2022 Type de document: Article Pays d'affiliation: Italie