ArticleBMC cancer2025
The prognostic value of lactate dehydrogenase/albumin ratio in extranodal natural killer/T cell lymphoma.
Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Lactate dehydrogenase/albumin ratio predicts progression of disease within 24 months (POD24) in advanced-stage extranodal natural killer/T cell lymphoma.Annals of hematology · 2026Article
- Expression of Serum Adenosine Deaminase in Pediatric Non-Hodgkin Lymphoma and Its Association with Clinical Outcomes and Survival.Current oncology (Toronto, Ont.) · 2026Article
- Prognostic significance of the preoperative lactate dehydrogenase-to-albumin ratio in patients undergoing radical resection for hilar cholangiocarcinoma.Frontiers in medicine · 2025Article
- Establishment and validation of a 28-day mortality prediction model based on the lactate dehydrogenase/albumin ratio in patients with severe pneumonia.Frontiers in medicine · 2025Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveExtranodal natural killer/T-cell lymphoma (ENKTL) is recognized for its aggressive nature and variable clinical presentation, often leading to a poor prognosis. While the combined assessment of baseline serum lactate dehydrogenase (LDH) and albumin (ALB) levels has demonstrated prognostic value across various malignancies, its specific application and evidence in ENKTL are unstudied. PURPOSE: This study aimed to investigate the impact of the lactate dehydrogenase/albumin ratio (LAR) in ENKTL, offering nutritional and immunological insights to enhance risk stratification.
resultsWe conducted a retrospective analysis of 484 ENKTL patients treated with asparaginase-based regimens. The optimal thresholds for serum LDH and ALB levels were identified as 230 u/L and 40 g/L, respectively, and 5.4 for LAR. With a median follow-up of 70 months, the 5-year overall survival (OS) and progression-free survival (PFS) rates were determined to be 58.7% and 52.0%, respectively. Patients with higher LAR values exhibited more unfavorable clinical features and poorer 5-year OS and PFS rates compared to those with lower LAR values. Utilizing the LAR-associated prognostic score, patients were categorized into distinct risk groups, revealing significant differences in 5-year OS and PFS among these groups. By integrating the LAR and LAR-associated prognostic score into the prognostic index for natural killer lymphoma (PINK) and PINK with Epstein-Barr virus (PINK-E) models, we found that these measures provided additional prognostic information.
conclusionElevated LDH and decreased ALB levels at the time of initial diagnosis are indicative of a poor prognosis in ENKTL patients. The LAR and LAR-associated prognostic score may serve as independent prognostic indicators for ENKTL, potentially aiding in risk stratification and informing clinical decision-making.
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