• Rev Assoc Med Bras (1992) · Jul 2021

    Comparative Study

    Comparison of nonspecific inflammatory markers in endometrial cancer and hyperplasia.

    • Ezgi Ceren Dallı Alper, Ayşe Deniz Ertürk Coşkun, and Fisun Vural.
    • University of Health Sciences, Ümraniye Training and Research Hospital Blood Center, Department of Obstetrics and Gynecology - Istanbul, Turkey.
    • Rev Assoc Med Bras (1992). 2021 Jul 1; 67 (7): 966-970.

    ObjectiveThis study aims to analyze inflammatory markers among patients with endometrial cancer, hyperplasia with atypia/endometrial intraepithelial neoplasia, hyperplasia without atypia, and normal controls, thus observing the stage at which inflammation becomes the most significant.MethodsA total of 444 patients who had endometrial sampling were included in the study (endometrial cancer, n=79; endometrial hyperplasia with atypia/endometrial intraepithelial neoplasia, n=27; endometrial hyperplasia without atypia, n=238; and normal controls, n=100). Neutrophil count, lymphocyte count, platelet count, platelet distribution width, neutrophil/lymphocyte ratio, platelet/lymphocyte ratio, CA-125, and endometrial thickness of the patients were recorded.ResultsComparing the groups for neutrophil count, the hyperplasia with atypia group had higher values compared with both the hyperplasia without atypia group and the control group (p=0.003). When compared for the lymphocyte count, the hyperplasia with atypia group had lower values compared with the control group (p=0.014). Neutrophil/lymphocyte ratio of the hyperplasia with atypia group was higher than all other groups, and neutrophil/lymphocyte ratio of the cancer group was higher than the control group (p=0.001). Platelet count, mean platelet volume, platelet distribution width, and platelet/lymphocyte ratio values were not significantly different among groups (p>0.05).ConclusionsConsidering the inflammatory markers, the most prominent result was that the hyperplasia with atypia group had neutrophilia, lymphopenia, and increased neutrophil/lymphocyte ratio compared with other groups.

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