Association between blood inflammatory indicators and prognosis of papillary thyroid carcinoma: a narrative review
View abstract on PubMed
Summary
This summary is machine-generated.Preoperative inflammation markers like lymphocyte-to-monocyte ratio (LMR) and neutrophil-to-lymphocyte ratio (NLR) can indicate papillary thyroid cancer (PTC) prognosis. Low LMR and high NLR/platelet-to-lymphocyte ratio (PLR) are linked to poorer outcomes in PTC patients.
Area Of Science
- Oncology
- Immunology
- Medical Diagnostics
Background
- Papillary thyroid carcinoma (PTC) is the most common thyroid cancer, typically indolent but sometimes aggressive.
- Preoperative inflammation indices (LMR, NLR, SII) in blood are explored as nonspecific markers for thyroid cancer.
- Understanding inflammatory markers' role in PTC prognosis is crucial for patient management.
Purpose Of The Study
- To review the association between preoperative inflammatory factors and outcomes in patients with PTC.
- To identify blood indicators that predict prognosis in papillary thyroid cancer.
- To synthesize current evidence on inflammation markers and PTC patient outcomes.
Main Methods
- A narrative review of English articles published from January 2014 to December 2023.
- Searches conducted on PubMed and Web of Science databases.
- Inclusion of studies examining blood indicators and PTC prognosis (TNM staging, survival, recurrence, metastasis).
Main Results
- Low lymphocyte-to-monocyte ratio (LMR) generally correlates with poor PTC prognosis.
- High neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are often associated with adverse outcomes.
- The prognostic value of individual cell counts alone remains unclear.
Conclusions
- Minimally invasive blood indicators offer potential for precise PTC prognosis management.
- Findings on these markers are often conflicting and require validation.
- Prospective, multi-center studies incorporating factors like age are needed to confirm prognostic value.
Related Concept Videos
Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...

