Evidence map›Paper›PMID 42015042›Full record

ArticleBMC cancer2026

Prognostic value of Neutrophil-to-Lymphocyte Ratio (NLR) in patients with Leptomeningeal Metastasis (LM) from solid tumors.

Nanyang Tong, Yuanyuan Qu, Kunlin Guo, Mengjia Li, Haibin Chen, Liang Sun, Caixing Sun, Liang Xia

Abstract read
In one paragraph

Article in BMC cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Nanyang Tong *Postgraduate training base Alliance of Wenzhou Medical University, Zhejiang province, WenZhou, Zhejiang province, 325035, China.
Yuanyuan Qu *Postgraduate training base Alliance of Wenzhou Medical University, Zhejiang province, WenZhou, Zhejiang province, 325035, China.
Kunlin GuoPostgraduate training base Alliance of Wenzhou Medical University, Zhejiang province, WenZhou, Zhejiang province, 325035, China.
Mengjia LiPostgraduate training base Alliance of Wenzhou Medical University, Zhejiang province, WenZhou, Zhejiang province, 325035, China.
Haibin ChenPostgraduate training base Alliance of Wenzhou Medical University, Zhejiang province, WenZhou, Zhejiang province, 325035, China.
Liang SunPostgraduate training base Alliance of Wenzhou Medical University, Zhejiang province, WenZhou, Zhejiang province, 325035, China.
Caixing SunPostgraduate training base Alliance of Wenzhou Medical University, Zhejiang province, WenZhou, Zhejiang province, 325035, China. 226124552@qq.com.
Liang XiaPostgraduate training base Alliance of Wenzhou Medical University, Zhejiang province, WenZhou, Zhejiang province, 325035, China. xialiang@zjcc.org.cn.

Funding

Zhejiang Provincial National Science Foundation LY21H160007
6 · The paper itself

Abstract

backgroundLeptomeningeal metastasis (LM) arising from solid tumors signifies a late-stage complication in the cancer trajectory, often portending a poor prognosis. The prognostic factors remain elusive. Prior research has established the Neutrophil-to-Lymphocyte Ratio (NLR) as an independent prognostic marker in various malignancies; however, its prognostic utility in LM patients remains underexplored. This study aims to investigate the prognostic significance of NLR at the time of LM diagnosis. PATIENTS AND

methodsWe conducted a retrospective analysis involving 490 diagnosed LM patients with solid tumor origins at Zhejiang Cancer Hospital. NLR was computed at the time of LM diagnosis. Kaplan-Meier curves and Cox proportional models were employed to examine the association between NLR and overall survival (OS).

resultsFollowing exclusions, the cohort comprised 384 patients. The median age was 55 years (interquartile range, IQR: 51-61.25), with a median OS was 6.45 months (IQR: 2.1–15.6) and a median NLR was 4.09 (IQR: 2.81–7.57). The median interval between LM diagnosis and NLR assessment was 1 day (IQR: 0–3). NLR proved effective in stratifying the prognosis of LM patients (HR = 1.02, 95% CI 1.01–1.04, p = 0.009). Stratifying patients based on the median NLR into low- and high-risk groups revealed that the high-risk group exhibited a 1.324-fold increased risk of death compared to the low-risk group (HR = 1.324, 95% CI 1.069–1.640, p = 0.010). Subgroup analysis indicated that NLR independently predicted prognosis specifically in the invasive breast cancer subgroup (p = 0.002).

conclusionNLR emerges as a simple and accessible prognostic indicator in newly diagnosed patients with leptomeningeal metastasis stemming from solid tumors.

Indexed as

LymphocytesMeningeal NeoplasmsNeoplasmsNeutrophilsAgedFemaleHumansKaplan-Meier EstimateLymphocyte CountMaleMiddle AgedPrognosisRetrospective Studies

Identifiers

PMID42015042
PMCPMC13237968

What Socratic holds

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LicenceCC BY-NC-ND
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