Can platelet distribution width lymphocyte ratio be a novel biomarker for predicting survival in metastatic renal cell cancer?

Öz

Aim: The prognostic value of platelet distribution width to lymphocyte ratio (PDWLR) in patients with metastatic renal cell cancer using tyrosine kinase inhibitors is not clearly known. Our aim in this study is to evaluate the prognostic importance of PDWLR in patients with metastatic renal cancer. Meterial and results: This retrospective study included 66 patients with metastatic renal cell cancer who were currently receiving Tyrosine kinase inhibitor treatment between January 2010 and December 2020. The cut off value was determined by ROC curve analysis. The best cut-off value for RDWLR was determined as 9.33. Sensitivity and specificity for RDWLR were 55.3% and 57.9%, respectively. Chi-square and Fisher exact tests were used to evaluate the relationship between PDWLR and clinicopathological variables. Cox proportional hazards model was used for multivariate analysis. Conclusion: It has been determined that PDWLR measured during treatment in metastatic RCC patients using TKIs has no significant effect on Pfs, which is an important prognostic factor in predicting OS. In patients with metastatic renal cell cancer, PDWLR level can be used as a prognostic marker, but studies with a larger number of patients are needed.

Anahtar Kelimeler

• metastatic renal cell cancer
• PDWLR
• OS

Trombosit dağılım genişliği lenfosit oranı, metastatik böbrek hücreli kanserde sağkalımı öngörmede yeni bir biyobelirteç olabilir mi?

Öz

Amaç: Tirozin kinaz inhibitörü kullanan metastatik böbrek hücreli kanserli hastalarda trombosit dağılım genişliğinin lenfosit oranı (PDWLR)’nın prognostik değeri net olarak bilinmemektedir. Bu çalışmada amacımız PDWLR ‘nin metastatik renal kanserli hastalarda prognostik önemini değerlendirmektir. Gereç ve Yöntemler: Bu retrospektif çalışmaya Ocak 2010-Aralık 2020 tarihleri arasında halen Tirozin kinaz inhibitörü tedavisi alan 66 metastatik renal hücreli kanserli hasta dahil edildi .Cut off değeri ROC curve analizi ile tesbit edildi. RDWLR için en iyi cut off değeri 9.33 olarak tesbit edildi.RDWLR için sensivite ve spesivite sırasıyla %55.3, %57.9 idi. PDWLR ve klinikopatolojik değişkenler arasındaki ilişkiyi değerlendirmek için ki kare ve Fisher exact testleri kullanıldı. Multivariate analiz için Cox oransal hazards modeli kullanıldı. Sonuç: TKİ kullanan metastaik rcc hastalarında tedavi esnasında bakılan PDWLR ‘nin OS tahmin etmede önemli prognostik faktör olduğu Pfs üzerine anlamlı etkisinin olmadığı tespit edilmiştir.Metastatik renal hücreli kanserli hastalarda , PDWLR düzeyi prognostik bir marker olarak kullanılabilir, ancak daha fazla hasta sayısı ile yapılacak çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• metastatik renal hücreli kanser
• PDWLR
• OS

Kaynakça

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