Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2016 Dec 12:10:702.
doi: 10.3332/ecancer.2016.702. eCollection 2016.

The neutrophil-to-lymphocyte ratio: a narrative review

Affiliations
Review

The neutrophil-to-lymphocyte ratio: a narrative review

Sara Socorro Faria et al. Ecancermedicalscience. .

Abstract

Cellular-mediated inflammatory response, lymphocytes, neutrophils, and monocytes are increasingly being recognised as having an important role in tumorigenesis and carcinogenesis. In this context, studies have suggested that the neutrophil-to-lymphocyte ratio (NLR) can be used as an independent prognostic factor in a variety of cancers. Particularly in breast cancer, several studies have shown that a high NLR is associated with shorter survival. Because the NLR can be easily determined from the full blood count, it could potentially provide a simple and inexpensive test cancer prognosis. This review addresses the possibilities and limitations of using the NLR as a clinical tool for risk stratification helpful for individual treatment of breast cancer patients. The potential underlying phenomena and some perspectives are discussed.

Keywords: breast cancer; inflammation; neutrophil-to-lymphocyte ratio; prognosis.

PubMed Disclaimer

References

    1. Siegel R, Ma J, Zou Z, et al. Cancer statistics. Ca Cancer J Clin. 2014;64(1):9–29. doi: 10.3322/caac.21208. - DOI - PubMed
    1. Saadatmand S, Bretveld R, Siesling S, et al. Influence of tumor stage at breast cancer detection on survival in modern times: population based study in 173797 patients. BMJ. 2015;351:h4901. doi: 10.1136/bmj.h4901. - DOI - PMC - PubMed
    1. Guthrie GJ, Charles KA, Roxburgh CS, et al. The systemic inflammation-based neutrophil lymphocyte ratio: experience in patients with cancer. Crit Rev Oncol Hematol. 2013;88(1):218–30. doi: 10.1016/j.critrevonc.2013.03.010. - DOI - PubMed
    1. McMillan DC. Systemic inflammation, nutritional status and survival in patients with cancer. Curr Opin Clin Nutr Metab Care. 2009;12:223–26. doi: 10.1097/MCO.0b013e32832a7902. - DOI - PubMed
    1. Templeton AJ, Ace O, McNamara MG, et al. Prognostic role of platelet to lymphocyte ratio in solid tumors: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev. 2014;23(7):1204–12. doi: 10.1158/1055-9965.EPI-14-0146. - DOI - PubMed