Evidence map›Paper›PMID 41676301›Full record

ArticleAmerican journal of translational research2026

Elevated preoperative inflammatory ratios (NLR/PLR) predict adverse pathology and poor surgical outcomes in metastatic renal cell carcinoma: a retrospective analysis.

Gang Shan, Liming Yang, Shuaijie Li, Kai Yin, Tan Zhang, Tengda Wang

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Article in American journal of translational research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Gang ShanDepartment of Urology, Guizhou Provincial People's Hospital Guiyang 550000, Guizhou, China.
Liming YangDepartment of Radiology, Affiliated Hospital of Guizhou Medical University Guiyang 550000, Guizhou, China.
Shuaijie LiDepartment of Urology, Guizhou Provincial People's Hospital Guiyang 550000, Guizhou, China.
Kai YinDepartment of Urology, Guizhou Provincial People's Hospital Guiyang 550000, Guizhou, China.
Tan ZhangDepartment of Urology, Guizhou Provincial People's Hospital Guiyang 550000, Guizhou, China.
Tengda WangDepartment of Urology, Guizhou Provincial People's Hospital Guiyang 550000, Guizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo clarify the clinical utility of neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) in metastatic renal cell carcinoma (mRCC).

methodsWe enrolled 240 RCC patients, including 100 primary RCC (pRCC) and 140 mRCC cases. Peripheral venous blood was sampled for NLR and PLR quantification. NLR/PLR correlations with clinicopathological features and their impacts on surgical outcomes were discussed.

resultsWe determined significant NLR and PLR elevations in mRCC versus pRCC cases. NLR had an area under the curve (AUC) of 0.710 while PLR exhibited an AUC of 0.716 in diagnosing mRCC. PLR correlated intimately with clinical staging and Fuhrman grading, while NLR was additionally linked to the metastatic site. In clinical stage discrimination, the AUC was 0.679 for NLR and 0.634 for PLR, with corresponding AUC of 0.656 and 0.612 in Fuhrman grade diagnosis. Additionally, the postoperative prognosis of mRCC patients was significantly and independently influenced by clinical staging, Fuhrman grading, NLR, and PLR.

conclusionNLR and PLR, showing up-regulated expression in mRCC, correlate intimately with advanced clinical staging and higher Fuhrman grading. Clinical stage III-IV, Fuhrman grade (3-4), elevated NLR (≥2.76), and high PLR (≥166.50) are predictors of unfavorable surgical outcomes in mRCC.

Indexed as

metastatic renal cell carcinomaNLRpathological featuresPeripheral blood inflammatory biomarkersPLRsurgical outcomes

Identifiers

PMID41676301
PMCPMC12886148

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