■本研究旨在确定CA125,HE4,全身免疫炎症指数(SII)的诊断准确性,预后营养指数(PNI),纤维蛋白原与白蛋白比值(FAR),中性粒细胞与淋巴细胞比率(NLR),血小板与淋巴细胞比率(PLR),单核细胞与淋巴细胞比率(MLR),并结合卵巢癌(OC)的6种炎症营养标志物,确定OC早期诊断的最佳诊断指标。进行了广泛的研究,以建立这些指标与OC的病理方面之间的联系。
■本研究共纳入170人,其中87例诊断为OC,83例诊断为良性卵巢肿瘤(BOTs)。通过计算灵敏度评估变量的诊断能力,特异性,和ROC曲线下的面积。通过使用DCA,我们评估了变量在鉴别卵巢肿块中的临床价值。
■所有标记物对OC显示出显著的诊断能力。CA125,HE4,SII,远,从BOTs组到早期OC组,MLR水平显着增加。与早期OC组相比,晚期OC组的PNI值显着降低,但CA125,HE4,SII,NLR,远。此外,有淋巴结转移的OC组CA125、HE4、SII、NLR,PLR,远,与非转移组相比,而PNI水平明显较低。分类因素,如组织学分级和病理分类,CA125和HE4水平显示明显差异。NLR在病理类型组之间有显著差异。在六种炎症营养标志物中,FAR显示最大诊断值。在逻辑回归分析中,观察到,包含所有6种炎症-营养标记物的组合标记物表现出比任何单个标记物显著更高的AUC值(0.881;95%CI,0.823-0.926).
■PNI,NLR,PLR,MLR,SII,FAR对OC表现出优异的诊断性能。与每个个体相比,这些标记物的组合显示出优异的诊断能力。全身炎症指标可能有助于OC的诊断。
UNASSIGNED: This study aimed to determine the diagnostic accuracy of CA125, HE4, systemic immune-inflammation index (SII), prognostic nutritional index (PNI), fibrinogen-to-albumin ratio (FAR), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), and the combination of the six inflammatory-nutritional markers for ovarian cancer (OC) to identify the best diagnostic indicator for OC early diagnosis. An extensive study was performed to establish the connection between these indicators and the pathological aspects of OC.
UNASSIGNED: A total of 170 individuals were included in this study, with 87 diagnosed with OC and 83 with benign ovarian tumors (BOTs). The diagnostic abilities of the variables were evaluated by calculating sensitivity, specificity, and area under the ROC curves. Through the use of DCA, we evaluated the variables\' clinical value in the discrimination of ovarian masses.
UNASSIGNED: All markers showed significant diagnostic power for OC. CA125, HE4, SII, FAR, and MLR levels significantly increased from the BOTs group to the early-stage OC group. The advanced-stage OC group had significantly lower PNI values compared to the early-stage OC group but significantly higher levels of CA125, HE4, SII, NLR, and FAR. Moreover, the OC group with lymph node metastasis exhibited significantly higher levels of CA125, HE4, SII, NLR, PLR, and FAR, in contrast to the non-metastatic group, while PNI levels were significantly lower. Categorical factors, such as histological grade and pathological classification, showed noticeable discrepancies in CA125 and HE4 levels. NLR was significantly different among the pathological type groups. Among the six inflammatory-nutritional markers, the FAR displayed the greatest diagnostic value. In the analysis of logistic regression, it was observed that a combination marker containing all six inflammatory-nutritional markers exhibited a notably higher AUC value (0.881; 95% CI, 0.823 - 0.926) than any of the individual marker.
UNASSIGNED: PNI, NLR, PLR, MLR, SII, and FAR showed excellent diagnostic performance for OC. The combination of these markers demonstrated a superior diagnostic capability compared to each individual one. The systemic inflammatory indicators may be helpful to diagnose OC.