Yıl: 2013 Cilt: 14 Sayı: 4 Sayfa Aralığı: 210 - 215 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma

Öz:
Amaç: Biz endometrioma bulunan ileri evre endometriozise sahip hastalar (evre 3/4) ve endometrioma dışı non-neoplastik adneksiyel kitle bulunan hastalar arasında preoperatif ortalama trombosit hac- mi (MPV) ve periferik sistemik inflamatuvar yanıt (SIR) belirteçlerinin (nötrofil / lenfosit oranı ve lenfosit/trombosit oranı) değerlerini karşı- laştırdık. Gereç ve Yöntemler: İnfertilite veya adneksiyel kitle ön tanısı ile opere edilen hastalar ile laparaskopik bilateral tubal ligasyon yapılan hastalar çalışmaya dahil edilmiştir. Bulgular: Hemoglobin düzeyi, lökosit sayısı, trombosit sayısı, nötrofil sayısı ve lenfosit sayısı açısından endometrioma saptanan ileri evre endometriosis hastaları (evre 3/4), endometrioma dışı adneksiyel kitle saptanan ve kontrol grubu hastaları arasında anlamlı farklılık saptan- mamıştır (p=0.970, p=0.902, p=0.373, p=0.501 ve p=0.463; sırasıyla). Endometrioma saptanan ileri evre endometriosis hastaları (evre 3/4), endometrioma dışı adneksiyel kitle saptanan ve kontrol grubu has- taları arasında aynı zamanda MPV (p=0.836), nötrofil / lenfosit oranı (NLR) (p=0.555) ve lenfosit/trombosit oranı (PLR) (p=0.358) açısın- dan istatistiksel olarak anlamlı farklılık tespit edilmemiştir. Ameliyat öncesi kanser antijen 125 (Ca 125) seviyeleri operasyonda endometri- oma saptanan (p=0.006) hastalarda anlamlı olarak yüksek bulunmuş- tur. Endometriomaların ortalama boyutu endometrioma dışı kitlelere göre daha düşük tespit edilmiştir (p=0.000). Sonuç: İleri evre endometriozis ve endometrioma bulunan hastaları preoperatif değerlendirme sırasında belirlemek; hastayı bilgilendir- mek ve uygun cerrahi yaklaşımı planlamak için çok önemlidir. Bu çalışmada MPV, NLR ve PLR değerlerininin hücresel veya moleküler düzeyde şiddetli inflamasyon varlığı kanıtlanmış olan ileri evre endo- metriozis hastalarında bu amaç için yararlı olmadığını gösterilmiştir. (J Turkish-German Gynecol Assoc 2013; 14: 210-5)
Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum

Endometrioma bulunan ileri evre endometrioziste ortalama trombosit hacmi, nötrofil/lenfosit oranı ve trombosit/lenfosit oranının değerlendirilmesi

Öz:
Objective: We compared the preoperative values of mean platelet volume (MPV) and peripheral systemic inflammatory response (SIR) markers (neutrophil/lymphocyte ratio and platelet/lymphocyte ratio) between patients with advanced-stage (stage 3/4) endometriosis hav- ing endometrioma (OMA) and patients with a non-neoplastic adnexal mass other than endometrioma (non-OMA). Material and Methods: Patients who underwent operations with the pre-diagnosis of infertility or adnexal mass and who underwent laparoscopic tubal ligation were included. Results: Haemoglobin levels, leucocyte count, platelet count, neu- trophil count and lymphocyte count were not significantly different between patients with advanced stage endometriosis having OMA, patients with non-OMA and patients in the control group (p=0.970, p=0.902, p=0.373, p=0.501 and p=0.463, respectively). Patients with stage 3/4 endometriosis having OMA, patients with non-OMA and control patients were also not significantly different in terms of MPV (p=0.836), neutrophil/lymphocyte ratio (NLR) (p=0.555) and plate- let/lymphocyte ratio (PLR) (p=0.358). Preoperative cancer antigen 125 (Ca-125) levels were significantly higher in patients with OMA (p=0.006). Mean size of the OMAs was significantly lower than non- OMAs (p=0.000). Conclusion: It is very important to determine advanced stage endo- metriosis and OMAs during preoperative evaluation in order to inform patients and plan an appropriate surgical approach. We demonstrate that MPV, NLR and PLR values are not useful for this purpose in pa- tients with advanced stage endometriosis that are proven to develop severe inflammation at either the cellular or molecular level. (J Turkish-German Gynecol Assoc 2013; 14: 210-5)
Anahtar Kelime:

Konular: Kadın Hastalıkları ve Doğum
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Cho S, Choi YS, Yim SY, Yang HI, Jeon YE, Lee KE, et al. Urinary vita- min D-binding protein is elevated in patients with endometriosis. Hum Reprod 2012; 27: 515-22. [CrossRef]
  • Kocadal NÇ, Attar R, Yıldırım G, Fıçıcıoğlu C, Özkan F, Yılmaz B, Yesildağlar N. Melatonin treatment results in regression of endo- metriotic lesions in an ooferectomized rat endometriosis model. J Turkish-German Gynecol Assoc 2013; 14: 81-6. [CrossRef]
  • Revised American Society for Reproductive Medicine classification of endometriosis: 1996. Fertil Steril 1997; 67: 817-21. [CrossRef]
  • Moen MH, Muus KM. Endometriosis in pregnant and nonpregnant women at tubal sterilisation. Hum Reprod 1991; 6: 699-702.
  • Kitawaki J, Ishihara H, Koshiba H, Kiyomizu M, Teramoto M, Kitaoka Y, et al. Usefulness and limits of CA-125 in diagnosis of endometriosis without associated ovarian endometriomas. Hum Reprod 2005; 20: 1999-2003. [CrossRef]
  • Khan KN, Kitajima M, Hiraki H, Fujishita A, Sekine I, Ishimaru T, et al. Immunopathogenesis of pelvic endometriosis: role of hepa- tocyte growth factor, macrophages and ovarian steroids. Am J Reprod Immunol 2008; 60: 383-404. [CrossRef]
  • Barrier BF. Immunology of endometriosis. Clin Obstet Gynecol 2010; 53: 397-402. [CrossRef]
  • Novembri R, Carrarelli P, Toti P, Rocha AL, Borges LE, Reis FM, et al. Urocortin 2 and urocortin 3 in endometriosis: evidence for a possible role in inflammatory response. Mol Hum Reprod 2011; 17: 587-93. [CrossRef]
  • Hassa H, Tanir HM, Tekin B, Kirilmaz SD, Sahin Mutlu F. Cytokine and immune cell levels in peritoneal fluid and peripheral blood of women with early- and late-staged endometriosis. Arch Gynecol Obstet 2009; 279: 891-5. [CrossRef]
  • Celikbilek M, Dogan S, Ozbakır O, Zararsız G, Kücük H, Gürsoy S, et al. Neutrophil-lymphocyte ratio as a predictor of disease severity in ulcerative colitis. J Clin Lab Anal 2013; 27: 72-6. [CrossRef]
  • Imtiaz F, Shafique K, Mirza SS, Ayoob Z, Vart P, Rao S. Neutrophil lymphocyte ratio as a measure of systemic inflammation in preva- lent chronic diseases in Asian population. Int Arch Med 2012; 5: 2. [CrossRef]
  • Tousoulis D, Antoniades C, Koumallos N, Stefanadis C. Proinflammatory cytokines in acute coronary syndromes: from bench to bedside. Cytokine Growth Factor Rev 2006; 17: 225-33. [CrossRef]
  • Zahorec R. Ratio of neutrophil to lymphocyte counts—Rapid and simple parameter of systemic inflammation and stress in critically ill. Bratisl Lek Listy 2001; 102: 5-14.
  • Proctor MJ, Morrison DS, Talwar D, Balmer SM, Fletcher CD, O’Reilly DS, et al. A comparison of inflammation-based prognostic scores in patients with cancer. A Glasgow Inflammation Outcome Study. Eur J Cancer 2011; 47: 2633-41. [CrossRef]
  • Briggs C. Quality counts: new parameters in blood cell counting. Int J Lab Hematol 2009; 31: 277‐97. [CrossRef]
  • Gasparyan AY, Ayvazyan L, Mikhailidis DP, Kitas GD. Mean platelet volume: a link between thrombosis and inflammation? Curr Pharm Des 2011; 17: 47-58. [CrossRef]
  • Ulasli SS, Ozyurek BA, Yilmaz EB, Ulubay G. Mean platelet volume as an inflammatory marker in acute exacerbation of chronic obstructive pulmonary disease. Pol Arch Med Wewn 2012; 122: 284-90.
  • Mangler M, Medrano N, Bartley J, Mechsner S, Speiser D, Schneider A, et al. Value of diagnostic procedures in rectovaginal endometrio- sis. Aust N Z J Obstet Gynaecol 2013; 53: 389-94. [CrossRef]
  • Practice committee of the American Society for Reproductive Medicine, 2004.
  • Redwine DB. Ovarian endometriosis: a marker for more extensive pelvic and intestinal disease. Fertil Steril 1999; 72: 310-5. [CrossRef]
  • Vercellini P, Vendola N, Bocciolone L, Rognoni MT, Carinelli SG, Candiani GB. Reliability of the visual diagnosis of endometriosis. Fertil Steril 1991; 56: 1198-2000.
  • Cho S, Cho H, Nam A, Kim HY, Choi YS, Park KH, et al.Neutrophil- to-lymphocyte ratio as an adjunct to CA-125 for the diagnosis of endometriosis. Fertil Steril 2008; 90: 2073-9. [CrossRef]
  • Bain BJ. Ethnic and sex differences in the total and differential white cell count and platelet count. J Clin Pathol 1996; 49: 664-6. [CrossRef]
  • Leyendecker G, Wildt L, Mall G. The pathophysiology of endome- triosis and adenomyosis: tissue injury and repair. Arch Gynecol Obstet 2009; 280: 529-38. [CrossRef]
  • Smyth SS, McEver RP, Weyrich AS, Morrell CN, Hoffman MR, Arepally GM, et al. Platelet functions beyond haemostasis. J Thromb Haemost 2009; 7: 1759-66. [CrossRef]
  • Bodur S, Gün I, Alpaslan Babayigit M. The significance of mean platelet volume on diagnosis and management of adenomyosis. Med Glas (Zenica) 2013; 10: 59-62.
  • Raungkaewmanee S, Tangjitgamol S, Manusirivithaya S, Srijaipracharoen S, Thavaramara T. Platelet to lymphocyte ratio as a prognostic factor for epithelial ovarian cancer. J Gynecol Oncol 2012; 23: 265-273. [CrossRef]
  • Azab B, Shah N, Radbel J, Tan P, Bhatt V, Vonfrolio S, et al. Pretreatment neutrophil/lymphocyte ratio is superior to platelet/ lymphocyte ratio as a predictor of long-term mortality in breast cancer patients. Med Oncol 2013; 30: 432. [CrossRef]
  • Worley MJ, Welch WR, Berkowitz RS, Ng SW. Endometriosis- associated ovarian cancer: a review of pathogenesis. Int J Mol Sci 2013; 14: 5367-79. [CrossRef]
  • Kutlucan A, Bulur S, Kr S, Bulur S, Önder E, Aslantaş Y, et al. The relationship between mean platelet volume with metabolic syn- drome in obese individuals. Blood Coagul Fibrinolysis 2012; 23: 388-90. [CrossRef]
  • Dundar O, Yoruk P, Tutuncu L, Erikci AA, Muhcu M, Ergur AR, et al. Longitudinal study of platelet size changes in gestation and pre- dictive power of elevated MPV in development of pre-eclampsia. Prenat Diagn 2008; 28: 1052-6. [CrossRef]
  • Altınbas S, Toğrul C, Orhan A, Yücel M, Danısman N. Increased MPV is not a significant predictor for preeclampsia during preg- nancy. J Clin Lab Anal 2012; 26: 403-6. [CrossRef]
  • Herington JL, Bruner-Tran KL, Lucas JA, Osteen KG. Immune inter- actions in endometriosis. Expert Rev Clin Immunol 2011; 7: 611-26. [CrossRef]
APA Yavuzcan A, Çağlar M, ÜSTÜN Y, DİLBAZ S, YILDIZ E, ÖZKARA A, KUMRU S, Özdemir İ (2013). Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. , 210 - 215.
Chicago Yavuzcan Ali,Çağlar Mete,ÜSTÜN Yusuf,DİLBAZ Serdar,YILDIZ ELİF,ÖZKARA Atilla,KUMRU Selahattin,Özdemir İsmail Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. (2013): 210 - 215.
MLA Yavuzcan Ali,Çağlar Mete,ÜSTÜN Yusuf,DİLBAZ Serdar,YILDIZ ELİF,ÖZKARA Atilla,KUMRU Selahattin,Özdemir İsmail Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. , 2013, ss.210 - 215.
AMA Yavuzcan A,Çağlar M,ÜSTÜN Y,DİLBAZ S,YILDIZ E,ÖZKARA A,KUMRU S,Özdemir İ Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. . 2013; 210 - 215.
Vancouver Yavuzcan A,Çağlar M,ÜSTÜN Y,DİLBAZ S,YILDIZ E,ÖZKARA A,KUMRU S,Özdemir İ Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. . 2013; 210 - 215.
IEEE Yavuzcan A,Çağlar M,ÜSTÜN Y,DİLBAZ S,YILDIZ E,ÖZKARA A,KUMRU S,Özdemir İ "Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma." , ss.210 - 215, 2013.
ISNAD Yavuzcan, Ali vd. "Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma". (2013), 210-215.
APA Yavuzcan A, Çağlar M, ÜSTÜN Y, DİLBAZ S, YILDIZ E, ÖZKARA A, KUMRU S, Özdemir İ (2013). Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. Journal of the Turkish-German Gynecological Association, 14(4), 210 - 215.
Chicago Yavuzcan Ali,Çağlar Mete,ÜSTÜN Yusuf,DİLBAZ Serdar,YILDIZ ELİF,ÖZKARA Atilla,KUMRU Selahattin,Özdemir İsmail Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. Journal of the Turkish-German Gynecological Association 14, no.4 (2013): 210 - 215.
MLA Yavuzcan Ali,Çağlar Mete,ÜSTÜN Yusuf,DİLBAZ Serdar,YILDIZ ELİF,ÖZKARA Atilla,KUMRU Selahattin,Özdemir İsmail Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. Journal of the Turkish-German Gynecological Association, vol.14, no.4, 2013, ss.210 - 215.
AMA Yavuzcan A,Çağlar M,ÜSTÜN Y,DİLBAZ S,YILDIZ E,ÖZKARA A,KUMRU S,Özdemir İ Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. Journal of the Turkish-German Gynecological Association. 2013; 14(4): 210 - 215.
Vancouver Yavuzcan A,Çağlar M,ÜSTÜN Y,DİLBAZ S,YILDIZ E,ÖZKARA A,KUMRU S,Özdemir İ Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma. Journal of the Turkish-German Gynecological Association. 2013; 14(4): 210 - 215.
IEEE Yavuzcan A,Çağlar M,ÜSTÜN Y,DİLBAZ S,YILDIZ E,ÖZKARA A,KUMRU S,Özdemir İ "Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma." Journal of the Turkish-German Gynecological Association, 14, ss.210 - 215, 2013.
ISNAD Yavuzcan, Ali vd. "Evaluation of mean platelet volume, neutrophil/ lymphocyte ratio and platelet/lymphocyte ratio in advanced stage endometriosis with endometrioma". Journal of the Turkish-German Gynecological Association 14/4 (2013), 210-215.