Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?

Yıl: 2020 Cilt: 7 Sayı: 4 Sayfa Aralığı: 271 - 275 Metin Dili: İngilizce DOI: 10.4274/jus.galenos.2020.3342 İndeks Tarihi: 30-04-2021

Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?

Öz:
Objective: Non-muscle invasive bladder cancer (NMIBC) accounts for 75% of all bladder cancer cases. Several models to predict relapses and progression have been developed. We aimed to determine the predictive value of the neutrophil-lymphocyte ratio (NLR) for recurrence and/or progression of the disease.Materials and Methods: Seventy patients with high-risk NMIBC according to the European Organization for Research and Treatment of Cancer (EORTC) risk classification who were receiving Bacillus Calmette-Guerin (BCG) treatment and were followed up at our clinic were included in the study.Results: The average score level and NLR values differed significantly on patient classification according to the EORTC Progression and Recurrence Risk score. The positive correlations among EORTC Recurrence score, EORTC Progression score, Club Urológico Espanol de Tratamiento Oncológico (CUETO) Recurrence score, and CUETO Progression score and NLR values were not statistically significant. The NLR values decreased significantly on follow-ups on BCG treatment.Conclusion: Patients with bladder cancer have a high NLR, which has predictive utility with regard to prognosis. A decrease in NLR with BCG treatment is indicative of the decreased likelihood of recurrence and progression.
Anahtar Kelime:

BCG Tedavisi ile Nötrofil-lenfosit Oranındaki Azalma NMIBC için Prognostik Bir Belirteç Olabilir Mi?

Öz:
Amaç: Kas invazif olmayan mesane kanserleri, tüm mesane kanserlerinin %75’ini oluşturmaktadır. Relaps and progresyonu tahmin etmek için bir çok model geliştirilmiştir. European Organization for Research and Treatment of Cancer (EORTC) risk sınıflandırmasına göre yüksek risk kategorisinde olup Bacillus Calmette-Guerin (BCG) tedavisi başlanmış ve 1 yıllık BCG tedavisinde nüks ve progresyon gözlenmemiş hastalar retrospektif olarak analiz edildi. Bu durumu tahmin edebilecek nötrofil/lenfosit oranları (NLR) araştırıldı. Gereç ve Yöntem: EORTC risk sınıflandırmasına göre yüksek risk grubunda BCG tedavisi başlatılan ve kliniğimizde takip edilen 70 hasta çalışmaya dahil edildi. Bulgular: EORTC Progresyon ve Rekürrens Risk Skoru Sınıflamasına göre skor seviyesi ve NLR değerlerinin ortalaması istatistiksel olarak farklı bulundu. EORTC Rekürrens skoru, EORTC İlerleme skoru, Club Urológico Espanol de Tratamiento Oncológico (CUETO) Rekürrens skoru ve CUETO Progresyon skoru artışı ve NLR değerleri arasında yapılan korelasyon analizinde istatistiksel olarak anlamlı bir sonuç saptanmadı. BCG tedavisi ile birlikte takiplerde NLR değerleri önemli ölçüde azaldı. Sonuç: NLR değeri mesane kanseri ile ilişkili olarak artmakta ve progresyon ve rekürrens tahmini için bir prognoz parametresi olarak kullanılabilir. BCG tedavisi ile birlikte değerinde düşme olması rekürrens ve progresyon olmamasının bir göstergesi olabilir
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA baser a (2020). Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. , 271 - 275. 10.4274/jus.galenos.2020.3342
Chicago baser aykut Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. (2020): 271 - 275. 10.4274/jus.galenos.2020.3342
MLA baser aykut Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. , 2020, ss.271 - 275. 10.4274/jus.galenos.2020.3342
AMA baser a Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. . 2020; 271 - 275. 10.4274/jus.galenos.2020.3342
Vancouver baser a Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. . 2020; 271 - 275. 10.4274/jus.galenos.2020.3342
IEEE baser a "Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?." , ss.271 - 275, 2020. 10.4274/jus.galenos.2020.3342
ISNAD baser, aykut. "Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?". (2020), 271-275. https://doi.org/10.4274/jus.galenos.2020.3342
APA baser a (2020). Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. Journal of Urological Surgery, 7(4), 271 - 275. 10.4274/jus.galenos.2020.3342
Chicago baser aykut Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. Journal of Urological Surgery 7, no.4 (2020): 271 - 275. 10.4274/jus.galenos.2020.3342
MLA baser aykut Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. Journal of Urological Surgery, vol.7, no.4, 2020, ss.271 - 275. 10.4274/jus.galenos.2020.3342
AMA baser a Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. Journal of Urological Surgery. 2020; 7(4): 271 - 275. 10.4274/jus.galenos.2020.3342
Vancouver baser a Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?. Journal of Urological Surgery. 2020; 7(4): 271 - 275. 10.4274/jus.galenos.2020.3342
IEEE baser a "Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?." Journal of Urological Surgery, 7, ss.271 - 275, 2020. 10.4274/jus.galenos.2020.3342
ISNAD baser, aykut. "Does the Decrease in Neutrophil-lymphocyte Ratio after BCG Treatment Be a Prognostic Marker for NMIBC?". Journal of Urological Surgery 7/4 (2020), 271-275. https://doi.org/10.4274/jus.galenos.2020.3342