Mehmet Erol YILDIRIM, Hüseyin BADEM, Ömer Faruk KARATAŞ, Ersin ÇİMENTEPE

Preoperatif Nötrofil/Lenfosit Oranının Testis Tümörlerinin Evresinin Tespitindeki Prediktif Değeri

Amaç: Nötrofil/Lenfosit oranının mesane kanseri ve böbrek tümörü gibi birçok kanserde bağımsız bir prognostik faktör olduğu gösterilmiştir. Bu çalışmada testis tümörlerinin farklı evrelerinde, Nötrofil/Lenfosit oranında herhangi bir değişim olup olmadığını tespit etmeyi amaçladık. Gereç ve Yöntemler: Kliniğimizde testis tümörü şüphesi ile orşiektomi yapılmış 21 hastanın patoloji sonuçları geriye dönük olarak incelendi. Tüm hastaların operasyon öncesi kan değerlerinden Nötrofil/Lenfosit oranları tespit edildi. Evre 1 hastalar grup 1 ve evre 2 ve üzeri hastalar grup 2 olarak sınıflandırıldı. Her grupta 9' ar hasta mevcuttu. Her iki grubun da Nötrofil/Lenfosit oranları Mann-Whitney U testi kullanılarak istatistiksel olarak karşılaştırıldı. Bulgular: Patolojik inceleme sonucunda 10 hastada saf seminom, 6 hastada miks germ hücreli tümör, 1 hastada lenfoma, 1 hastada adenomatoid tümör, 1 hastada fibroma, 1 hastada small round cell ve 1 hastada ise leydig hücreli tümör tespit edildi. Her bir grupta 9 hasta bulunmaktaydı. Grup 1 ve 2 ‘nin ortalama Nötrofil/Lenfosit oranları sırasıyla, 1.99 (SD: 0.779) ve 2.74 (SD: 1.484) idi. Nötrofil/Lenfosit oranları açısından bakıldığında bu iki grup arasında anlamlı bir fark olmadığı saptandı (p=0.270). Sonuç: Nötrofil/Lenfosit oranları testis tümörünün evresini operasyon öncesinden tahmin edememektedir. Ancak Nötrofil/Lenfosit oranlarının testis tümöründeki prognostik değerinin ortaya çıkarılması için daha geniş serilere ve daha uzun hasta takip sürelerinde ihtiyaç vardır. Anahtar kelimeler: Testis; Seminom; NLR; Prognoz.

Anahtar Kelimeler:

Testis; Seminom; NLR; Prognoz.

Preoperative Predictive Value of Neuthrophil/Lymphocyte Ratios in Testicular Tumors

Objective: It has been demonstrated that neuthrophil/lymphocyte ratio is an independent prognostic factor in many cancers such as bladder tumor and renal tumor. Whether any differences neuthrophil/lymphocyte ratio regarding the pathological stage of testicular tumor was assessed in this study. Meterial and Methods: 21 patients underwent orchiectomy for testicular mass in our clinic were included to the study. Neuthrophil/lymphocyte ratios of both groups were obtained from preoperative blood count. Patients were divided into two groups as Group 1 and 2, which contain stage 1 and ≥stage 2 diseases, respectively. Neuthrophil/lymphocyte ratios of both groups were compared statistically using the Mann Whitney U test. Results: Pathologic examination revealed pure seminoma in 10 patients, mixt germ cell tumor in 6 patients, lymphoma in 1 patient, adenomatoid tumor in 1 patient, fibroma in 1 patient, small round cell ca in 1 patient and leydig cell tumor in 1 patient. Pathologic examination revealed benign pathology in 3 patients. There were 9 patients in each group. The mean neuthrophil/lymphocyte ratios for group 1 and 2 were 1.99 (SD: 0.779) and 2.74 (SD: 1.484), respectively. There was no statistically significant difference between both groups regarding the neuthrophil/lymphocyte ratio (p=0.270). Conclusion: Neuthrophil/lymphocyte ratio could not predict the pathological stage of testicular tumor preoperatively. Larger series and long-term follow-ups are needed to determine of prognostic effect of neuthrophil/lymphocyte ratio on testicular tumor. Key words: Testis; Seminoma; NLR; Prognosis.

Keywords:

Testis; Seminoma; NLR; Prognosis.,

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