A Nomogram Based on Fibrinogen-to-Neutrophil Ratio as a Novel Predictor of Lymph Node Metastasis in Patients with Cervical Cancer and Type 2 Diabetes Mellitus

  • 0Department of Gynecology, The First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang, 150040, People's Republic of China.

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Summary

This summary is machine-generated.

The fibrinogen-to-neutrophil ratio (FNR) can help predict pelvic lymph node metastasis in cervical cancer patients with type 2 diabetes. A nomogram integrating FNR and other factors shows promise for personalized treatment strategies.

Area Of Science

  • Oncology
  • Diabetology
  • Biomarker Discovery

Background

  • Rising cervical cancer incidence in diabetic patients poses global health challenges.
  • Pelvic lymph node metastasis is a critical prognostic factor in early-stage cervical cancer.
  • Accurate preoperative prediction of lymph node metastasis is vital for personalized treatment.

Purpose Of The Study

  • To evaluate the fibrinogen-to-neutrophil ratio (FNR) as a biomarker for pelvic lymph node metastasis in cervical cancer patients with type 2 diabetes.
  • To develop and validate a predictive model for lymph node metastasis.

Main Methods

  • Retrospective analysis of 141 cervical cancer patients with type 2 diabetes.
  • Data split into training (n=98) and validation (n=43) sets.
  • Univariate and multivariate logistic regression to identify risk factors; nomogram construction.

Main Results

  • A nomogram integrating FNR, triglycerides, maximum diameter, and total protein effectively predicts pelvic lymph node metastasis.
  • This integrated model outperforms single biomarkers in predictive accuracy.

Conclusions

  • The fibrinogen-to-neutrophil ratio (FNR) is a promising biomarker for assessing lymph node metastasis risk in diabetic cervical cancer patients.
  • An integrated predictive model offers a reliable approach for identifying high-risk individuals.