Sabuncuoglu Serefeddin Health Science, cilt.3, sa.2, ss.56-69, 2021 (Hakemli Dergi)
The neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and mean
platelet volume (MPV) have been gaining attention as systemic inflammatory response and
angiogenetic markers. We assessed the utility of NLR, PLR and MPV as preoperative
inflammatory markers, to better distinguish malignant from benign and borderline ovarian
tumors. Retrospective designed study performed in the gynecology department of a university
clinic. Patients who underwent surgery due to suspected pelvic mass enrolled the study group.
Patients were divided into three groups as benign, borderline, and malignant cases according to
final histopathologic results. Patients’ preoperative NLR, PLR and MPV counts were compared.
MPV, NLR and PLR were found to significantly higher in patients with malignant adnexal mass,
however there were no difference among MPV, NLR and PLR in patients with benign and
borderline ovarian tumor. Cut of values for MPV, NLR and PLR were calculated as 8.4, 3.5, and
149473 respectively to predict malignancy (p<0.001, p<0.01, p<0.001). Assessing the role of NLR, PLR, and MPV in patients with adnexal mass might be of clinical usefulness, especially in
predicting malignant disease. MPV was found to be the strongest parameter to predict
malignancy among CBC parameters.