PMID- 26727349 OWN - NLM STAT- MEDLINE DCOM- 20171229 LR - 20190116 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 57 IP - 8 DP - 2016 Aug TI - Prognostic value of lymphocyte/monocyte ratio in advanced Hodgkin lymphoma: correlation with International Prognostic Score and tumor associated macrophages. PG - 1839-47 LID - 10.3109/10428194.2015.1110745 [doi] AB - We studied the prognostic significance of the absolute lymphocyte/monocyte count ratio (ALC/AMC), its contribution to the prognostic value of the International Prognostic Score (IPS), and evaluated if ALC/AMC could serve as a proxy for the frequency of CD68 + tumor-associated macrophages (TAMs) in 101 patients with advanced Hodgkin lymphoma (HL). The receiver operating characteristic (ROC) curve identified best cut-off values of 2.0 for ALC/AMC and 25% for CD68 + TAM. Patients with ALC/AMC < 2, IPS > 2 and > 25% CD68 + TAM had an inferior overall survival (OS) and event-free survival (EFS). Spearman's test also uncovered a significant correlation between the ALC/AMC and TAM. Multivariate analysis identified ALC/AMC < 2, IPS > 2 and > 25% CD68 + TAM as poor prognostic factors of OS and EFS. After evaluating ALC/AMC and IPS, we stratified patients into three progressively-worse-outcome groups (low-risk: 0 risk factors; intermediate: 1 risk factor; high: 2 risk factors). Our study encourages the combination of ALC/AMC with IPS, for refining risk prediction in advanced HL patients. FAU - Jakovic, Ljubomir R AU - Jakovic LR AD - a Clinic of Hematology, Clinical Center of Serbia , Serbia ; AD - b Faculty of Medicine, University of Belgrade , Serbia ; FAU - Mihaljevic, Biljana S AU - Mihaljevic BS AD - a Clinic of Hematology, Clinical Center of Serbia , Serbia ; AD - b Faculty of Medicine, University of Belgrade , Serbia ; FAU - Andjelic, Bosko M AU - Andjelic BM AD - a Clinic of Hematology, Clinical Center of Serbia , Serbia ; AD - b Faculty of Medicine, University of Belgrade , Serbia ; FAU - Bogdanovic, Andrija D AU - Bogdanovic AD AD - a Clinic of Hematology, Clinical Center of Serbia , Serbia ; AD - b Faculty of Medicine, University of Belgrade , Serbia ; FAU - Perunicic Jovanovic, Maja D AU - Perunicic Jovanovic MD AD - c Department of Histopathology , Clinical Center of Serbia , Serbia ; FAU - Babic, Dragan D AU - Babic DD AD - d Institute of Medical statistics and Informatics, Faculty of Medicine University of Belgrade , Serbia ; FAU - Bumbasirevic, Vladimir Z AU - Bumbasirevic VZ AD - e Institute of Histology and Embryology, Faculty of Medicine University of Belgrade , Serbia. LA - eng PT - Journal Article DEP - 20160104 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation, Myelomonocytic) RN - 0 (CD68 antigen, human) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Antigens, CD/metabolism MH - Antigens, Differentiation, Myelomonocytic/metabolism MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Disease-Free Survival MH - Female MH - Hodgkin Disease/*blood/*mortality/pathology/therapy MH - Humans MH - Immunohistochemistry MH - Lymph Nodes/pathology MH - Lymphocyte Count MH - Lymphocytes/*pathology MH - Macrophages/*pathology MH - Male MH - Middle Aged MH - Monocytes/*pathology MH - Neoplasm Staging MH - Prognosis MH - ROC Curve MH - Radiotherapy, Adjuvant MH - Retrospective Studies MH - Risk Assessment/methods MH - Risk Factors MH - Salvage Therapy/methods MH - Tumor Microenvironment MH - Young Adult OTO - NOTNLM OT - ALC/AMC OT - Advanced Hodgkin lymphoma OT - IPS OT - TAM EDAT- 2016/01/05 06:00 MHDA- 2017/12/30 06:00 CRDT- 2016/01/05 06:00 PHST- 2016/01/05 06:00 [entrez] PHST- 2016/01/05 06:00 [pubmed] PHST- 2017/12/30 06:00 [medline] AID - 10.3109/10428194.2015.1110745 [doi] PST - ppublish SO - Leuk Lymphoma. 2016 Aug;57(8):1839-47. doi: 10.3109/10428194.2015.1110745. Epub 2016 Jan 4.