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Peripheral inflammatory biomarkers as predictors of recurrence in surgically-treated anogenital condylomata acuminata patients.

Abstract
The aim of this study was to examine the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), and systemic immune-inflammation index (SII) in patients with anogenital condylomata acuminata (CA) and their association with recurrence and squamous intraepithelial neoplasia development. We conducted a descriptive study in 95 patients that had undergone surgical treatment for CA. The descriptive data, disease characteristics, and pre-treatment peripheral inflammatory biomarkers (PIBs) were recorded retrospectively. All parameters were compared in those with recurrent and non-recurrent CA. All PIBs were significantly higher in patients with the greatest genital wart size of >2 cm in the squamous intraepithelial lesion (SIL) group. Human papillomavirus (HPV) types 16, 18, 31 and 33, known to carry high risk for anogenital cancer, were significantly related to higher SII. Greater wart size, high-grade squamous intraepithelial lesion (HSIL), and higher PLR and SII values were highly associated with recurrent disease (p = 0.003, 0.006, 0.005 and 0.000, respectively). Of all recurrences, 34.1% were explained by HSIL and increased PLR and SII values. The prediction of CA recurrence is important to determine those patients at high risk. PLR and SII can be used for risk analysis in selected patient groups.
AuthorsP Basim, M Yuksel
JournalInternational journal of STD & AIDS (Int J STD AIDS) Vol. 31 Issue 14 Pg. 1380-1388 (12 2020) ISSN: 1758-1052 [Electronic] England
PMID33104496 (Publication Type: Journal Article)
Chemical References
  • Biomarkers
Topics
  • Adult
  • Biomarkers (blood)
  • Condylomata Acuminata (epidemiology)
  • Female
  • Humans
  • Inflammation (pathology)
  • Lymphocyte Count
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Neutrophils
  • Papillomaviridae (isolation & purification)
  • Papillomavirus Infections (epidemiology)
  • Platelet Count
  • Predictive Value of Tests
  • Retrospective Studies
  • Squamous Intraepithelial Lesions (epidemiology)

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