ArticleArchives of medical science : AMS2026
Is the neutrophil/lymphocyte ratio a useful index in the differential diagnosis of malignancy and tuberculosis-related ascites?
Article in Archives of medical science : AMS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Distinguishing between malignant ascites (MA) and ascites secondary to tuberculous peritonitis (TBpA) can sometimes be challenging for the clinician. The neutrophil-to-lymphocyte ratio (NLR) has been shown to be a useful index of advanced disease and poor prognosis in patients with cancer. We investigated the suitability of the neutrophil-lymphocyte ratio, an inflammatory biomarker, in differentiating MA and TBpA. Material and methods: Demographic and laboratory characteristics of 100 patients with confirmed diagnoses of malignant ascites and ascites secondary to tuberculous peritonitis between January 2015 and December 2020 were analyzed retrospectively. The diagnostic ability of NLR in differential diagnosis was evaluated. Results: Serum neutrophil-lymphocyte ratio was significantly higher in patients with MA than in patients with TBpA (4.65 ±3.17 vs. 3.17 ±1.74, Conclusions: NLR, a simple and rapid inflammatory index, can be among the initial diagnostic tests to distinguish MA and TBpA, especially in those older than 40 years.
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