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Pre-treatment neutrophil/lymphocyte ratio and platelet/lymphocyte ratio are prognostic of progression in early stage classical Hodgkin lymphoma.

Jay P ReddyMike HernandezJillian R GuntherBouthaina S DabajaGeoffrey V MartinWen JiangMani AkhtariPamela K AllenBradley J AtkinsonGrace L SmithChelsea C PinnixSarah Allison MilgromZeinab Abou YehiaEleanor M OsborneYasuhiro OkiJee Hun LeeFredrick HagemeisterMichelle A Fanale
Published in: British journal of haematology (2017)
To determine whether pre-treatment neutrophil/lymphocyte (NLR) or platelet/lymphocyte ratios (PLR) are predictive for progression in early-stage classical Hodgkin lymphoma (cHL), we derived NLR and PLR values for 338 stage I/II cHL patients and appropriate cut-off point values to define progression. Two-year freedom from progression (FFP) for patients with NLR ≥6·4 was 82·2% vs. 95·7% with NLR <6·4 (P < 0·001). Similarly, 2-year FFP was 84·3% for patients with PLR ≥266·2 vs. 96·1% with PLR <266·2 (P = 0·003). On univariate analysis, both NLR and PLR were significantly associated with worse FFP (P = 0·001). On multivariate analysis, PLR remained a significant, independent prognostic factor (P < 0·001).
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