A Novel Score Using Lymphocyte-to-Monocyte Ratio in Blood and Malignant Body Fluid for Predicting Prognosis of Patients with Advanced Ovarian Cancer
(1) Background: The lymphocyte-to-monocyte ratio (LMR), one of the systemic inflammatory markers, has been shown to be associated with prognosis of various solid tumors. However, no study has reported clinical utility of the LMR of malignant body fluid (mLMR) (2) Methods: We retrospectively analyzed...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2023-04-01
|
Series: | Cancers |
Subjects: | |
Online Access: | https://www.mdpi.com/2072-6694/15/8/2328 |
_version_ | 1797606039032430592 |
---|---|
author | Min Jin Jeong Yeo Nyeong Yoon Yeon Kyung Kang Chan Joo Kim Hae Seong Nam Yong Seok Lee |
author_facet | Min Jin Jeong Yeo Nyeong Yoon Yeon Kyung Kang Chan Joo Kim Hae Seong Nam Yong Seok Lee |
author_sort | Min Jin Jeong |
collection | DOAJ |
description | (1) Background: The lymphocyte-to-monocyte ratio (LMR), one of the systemic inflammatory markers, has been shown to be associated with prognosis of various solid tumors. However, no study has reported clinical utility of the LMR of malignant body fluid (mLMR) (2) Methods: We retrospectively analyzed clinical data of the final 92 patients of a total of 197 patients with advanced ovarian cancer newly diagnosed from November 2015 and December 2021 using our institute big data. (3) Results: Patients were divided into three groups according to their combined bLMR and mLMR scores (bmLMR score): 2, both bLMR and mLMR were elevated; 1, bLMR or mLMR was elevated; and 0, neither bLMR nor mLMR was elevated. A multivariable analysis confirmed that the histologic grade (<i>p</i> = 0.001), status of residual disease (<i>p</i> < 0.001), and bmLMR score (<i>p</i> < 0.001) were independent predictors of disease progression. A low combined value of bLMR and mLMR was strongly associated with a poor prognosis in patients with ovarian cancer. (4) Conclusions: Although further studies are required to apply our results clinically, this is the first study to validate the clinical value of mLMR for predicting prognosis of patients with advanced ovarian cancer. |
first_indexed | 2024-03-11T05:09:43Z |
format | Article |
id | doaj.art-0c202735d5ad4741b03bad2b72130403 |
institution | Directory Open Access Journal |
issn | 2072-6694 |
language | English |
last_indexed | 2024-03-11T05:09:43Z |
publishDate | 2023-04-01 |
publisher | MDPI AG |
record_format | Article |
series | Cancers |
spelling | doaj.art-0c202735d5ad4741b03bad2b721304032023-11-17T18:39:28ZengMDPI AGCancers2072-66942023-04-01158232810.3390/cancers15082328A Novel Score Using Lymphocyte-to-Monocyte Ratio in Blood and Malignant Body Fluid for Predicting Prognosis of Patients with Advanced Ovarian CancerMin Jin Jeong0Yeo Nyeong Yoon1Yeon Kyung Kang2Chan Joo Kim3Hae Seong Nam4Yong Seok Lee5Department of Obstetrics and Gynecology, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Republic of KoreaDepartment of Obstetrics and Gynecology, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Republic of KoreaDepartment of Obstetrics and Gynecology, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Republic of KoreaDepartment of Obstetrics and Gynecology, Uijeongbu St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 11765, Republic of KoreaDivision of Pulmonology, Department of Internal Medicine, Inha University Hospital, Inha University School of Medicine, Incheon 22332, Republic of KoreaDepartment of Obstetrics and Gynecology, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul 03312, Republic of Korea(1) Background: The lymphocyte-to-monocyte ratio (LMR), one of the systemic inflammatory markers, has been shown to be associated with prognosis of various solid tumors. However, no study has reported clinical utility of the LMR of malignant body fluid (mLMR) (2) Methods: We retrospectively analyzed clinical data of the final 92 patients of a total of 197 patients with advanced ovarian cancer newly diagnosed from November 2015 and December 2021 using our institute big data. (3) Results: Patients were divided into three groups according to their combined bLMR and mLMR scores (bmLMR score): 2, both bLMR and mLMR were elevated; 1, bLMR or mLMR was elevated; and 0, neither bLMR nor mLMR was elevated. A multivariable analysis confirmed that the histologic grade (<i>p</i> = 0.001), status of residual disease (<i>p</i> < 0.001), and bmLMR score (<i>p</i> < 0.001) were independent predictors of disease progression. A low combined value of bLMR and mLMR was strongly associated with a poor prognosis in patients with ovarian cancer. (4) Conclusions: Although further studies are required to apply our results clinically, this is the first study to validate the clinical value of mLMR for predicting prognosis of patients with advanced ovarian cancer.https://www.mdpi.com/2072-6694/15/8/2328advanced ovarian cancermalignant body fluidsystemic inflammationlymphocyte-to-monocyte ratioprognostic factor |
spellingShingle | Min Jin Jeong Yeo Nyeong Yoon Yeon Kyung Kang Chan Joo Kim Hae Seong Nam Yong Seok Lee A Novel Score Using Lymphocyte-to-Monocyte Ratio in Blood and Malignant Body Fluid for Predicting Prognosis of Patients with Advanced Ovarian Cancer Cancers advanced ovarian cancer malignant body fluid systemic inflammation lymphocyte-to-monocyte ratio prognostic factor |
title | A Novel Score Using Lymphocyte-to-Monocyte Ratio in Blood and Malignant Body Fluid for Predicting Prognosis of Patients with Advanced Ovarian Cancer |
title_full | A Novel Score Using Lymphocyte-to-Monocyte Ratio in Blood and Malignant Body Fluid for Predicting Prognosis of Patients with Advanced Ovarian Cancer |
title_fullStr | A Novel Score Using Lymphocyte-to-Monocyte Ratio in Blood and Malignant Body Fluid for Predicting Prognosis of Patients with Advanced Ovarian Cancer |
title_full_unstemmed | A Novel Score Using Lymphocyte-to-Monocyte Ratio in Blood and Malignant Body Fluid for Predicting Prognosis of Patients with Advanced Ovarian Cancer |
title_short | A Novel Score Using Lymphocyte-to-Monocyte Ratio in Blood and Malignant Body Fluid for Predicting Prognosis of Patients with Advanced Ovarian Cancer |
title_sort | novel score using lymphocyte to monocyte ratio in blood and malignant body fluid for predicting prognosis of patients with advanced ovarian cancer |
topic | advanced ovarian cancer malignant body fluid systemic inflammation lymphocyte-to-monocyte ratio prognostic factor |
url | https://www.mdpi.com/2072-6694/15/8/2328 |
work_keys_str_mv | AT minjinjeong anovelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT yeonyeongyoon anovelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT yeonkyungkang anovelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT chanjookim anovelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT haeseongnam anovelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT yongseoklee anovelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT minjinjeong novelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT yeonyeongyoon novelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT yeonkyungkang novelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT chanjookim novelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT haeseongnam novelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer AT yongseoklee novelscoreusinglymphocytetomonocyteratioinbloodandmalignantbodyfluidforpredictingprognosisofpatientswithadvancedovariancancer |