» Articles » PMID: 37860198

The Neutrophil-to-lymphocyte Ratio As a New Prognostic Factor in Cancers: a Narrative Review

Overview
Journal Front Oncol
Specialty Oncology
Date 2023 Oct 20
PMID 37860198
Authors
Affiliations
Soon will be listed here.
Abstract

The increasing incidence of cancer globally has highlighted the significance of early diagnosis and improvement of treatment strategies. In the 19th century, a connection was made between inflammation and cancer, with inflammation recognized as a malignancy hallmark. The neutrophil-to-lymphocyte ratio (NLR), calculated from a complete blood count, is a simple and accessible biomarker of inflammation status. NLR has also been proven to be a prognostic factor for various medical conditions, including mortality classification in cardiac patients, infectious diseases, postoperative complications, and inflammatory states. In this narrative review, we aim to assess the prognostic potential of NLR in cancer. We will review recent studies that have evaluated the association between NLR and various malignancies. The results of this review will help to further understand the role of NLR in cancer prognosis and inform future research directions. With the increasing incidence of cancer, it is important to identify reliable and accessible prognostic markers to improve patient outcomes. The study of NLR in cancer may provide valuable insights into the development and progression of cancer and inform clinical decision-making.

Citing Articles

Prognostic Value of Preoperative Albumin-to-Alkaline Phosphatase Ratio for Survival in Colorectal Cancer Patients Undergoing Surgery.

Arak H, Gumusburun E, Seyyar M, Yesil Cinkir H J Clin Med. 2025; 14(3).

PMID: 39941572 PMC: 11818163. DOI: 10.3390/jcm14030901.


Prognostic significance of neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and monocyte-to-lymphocyte ratio in uterine carcinosarcoma.

Sakurai A, Yamaguchi K, Ishida K, Horikawa N, Kawai E, Kotani Y Int J Clin Oncol. 2025; 30(3):570-583.

PMID: 39779654 DOI: 10.1007/s10147-024-02687-w.


A Machine Learning-Based Model for Preoperative Assessment and Malignancy Prediction in Patients with Atypia of Undetermined Significance Thyroid Nodules.

Moon G, Park J, Lee T, Yoon J J Clin Med. 2025; 13(24.

PMID: 39768693 PMC: 11727776. DOI: 10.3390/jcm13247769.


Evaluating the Role of CBC-Derived Indices in Children with Hashimoto's Thyroiditis.

Munteanu A, Juganaru I, Nicoara D, Mang N, Vasilescu R, Brad G Diagnostics (Basel). 2025; 14(24.

PMID: 39767195 PMC: 11675751. DOI: 10.3390/diagnostics14242834.


Prognostic value of neutrophil-to-lymphocyte ratios pre- and post-surgery in stage III CRC: a study of 2,742 patients.

Lee Y, Cheng K, Lin Y, Lu C, Lee K Int J Colorectal Dis. 2024; 39(1):206.

PMID: 39702682 PMC: 11659361. DOI: 10.1007/s00384-024-04789-3.


References
1.
Guo W, Lu X, Liu Q, Zhang T, Li P, Qiao W . Prognostic value of neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio for breast cancer patients: An updated meta-analysis of 17079 individuals. Cancer Med. 2019; 8(9):4135-4148. PMC: 6675722. DOI: 10.1002/cam4.2281. View

2.
Siegel R, Miller K, Fedewa S, Ahnen D, Meester R, Barzi A . Colorectal cancer statistics, 2017. CA Cancer J Clin. 2017; 67(3):177-193. DOI: 10.3322/caac.21395. View

3.
Sagiv J, Michaeli J, Assi S, Mishalian I, Kisos H, Levy L . Phenotypic diversity and plasticity in circulating neutrophil subpopulations in cancer. Cell Rep. 2015; 10(4):562-73. DOI: 10.1016/j.celrep.2014.12.039. View

4.
Huang W, Wang S, Zhang H, Zhang B, Wang C . Prognostic significance of combined fibrinogen concentration and neutrophil-to-lymphocyte ratio in patients with resectable non-small cell lung cancer. Cancer Biol Med. 2018; 15(1):88-96. PMC: 5842339. DOI: 10.20892/j.issn.2095-3941.2017.0124. View

5.
Feng J, Wang Y, Shan G, Gao L . Clinical and prognostic value of neutrophil-lymphocyte ratio for patients with thyroid cancer: A meta-analysis. Medicine (Baltimore). 2020; 99(20):e19686. PMC: 7253848. DOI: 10.1097/MD.0000000000019686. View