Evidence map›Paper›PMID 42848650›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2026

Retrospective study of inflammatory markers in high-grade cervical lesions.

Pınar Yıldız, Güneş Topçu, Gerçek Aydın, Asiye Uzun

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Article in Revista da Associacao Medica Brasileira (1992), 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Pınar YıldızAcademic Hospital, Department of Obstetrics and Gynecology - Istanbul, Turkey.ORCID http://orcid.org/0009-0009-0747-4990
Güneş TopçuBahçelievler Medipol University Hospital, Department of Obstetrics and Gynecology - Istanbul, Turkey.ORCID http://orcid.org/0000-0003-4784-6356
Gerçek AydınIstanbul Health and Technology University, Department of Obstetrics and Gynecology - Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5638-3675
Asiye UzunBahçelievler Medipol University Hospital, Department of Obstetrics and Gynecology - Istanbul, Turkey.ORCID http://orcid.org/0000-0001-8322-6643

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate the predictive value of systemic inflammation markers for abnormal cervical screening results and high-grade cervical lesions in women participating in a human papillomavirus- and cytology-based screening program, thereby determining colposcopy indications more accurately to reduce unnecessary colposcopy requests and prevent overtreatment.

methodsA total of 2,758 women who underwent cervical cancer screening between 2020 and 2025 were included in this retrospective cross-sectional study. Abnormal screening results were defined as abnormal cytology (≥Atypical squamous cells of undetermined significance [ASC-US]) and/or high-risk human papillomavirus positivity. Hematological parameters measured within 1 month prior to screening were used to calculate neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and systemic immune-inflammation index. Continuous variables were evaluated using nonparametric tests, and the independent predictors of abnormal screening results and high-grade lesions were identified using logistic regression models.

resultsNeutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, and systemic immune-inflammation index values were significantly higher in the abnormal smear groups and in human papillomavirus -positive patients (all p<0.001). Neutrophil-to-lymphocyte ratio displayed the highest diagnostic performance for high-grade lesions (area under the curve=0.871; cutoff value >4.41, sensitivity 66.7%, specificity 99.2%), followed by systemic immune-inflammation index (area under the curve=0.847), while platelet-to-lymphocyte ratio showed lower specificity (area under the curve=0.741).

conclusionIn conclusion, our findings suggest that inflammatory markers are associated with abnormal cervical screening results. To determine the significance and clinical utility of serum inflammatory markers, multicenter clinical trials involving larger patient cohorts are needed.

Indexed as

InflammationUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultBiomarkersColposcopyCross-Sectional StudiesEarly Detection of CancerFemaleHuman Papillomavirus VirusesHumansLymphocytesMiddle AgedNeoplasm GradingNeutrophilsPapillomavirus InfectionsBiomarkers

Identifiers

PMID42848650
PMCPMC13649238

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.