General characteristics of studies on the association of NLR with nodal or distant metastases in tCa

ReferenceSample sizeStudy designYear of publicationCountryHistopathologyCut off value of NLRSeminomatous tCaOutcome
Yigit et al. [51]146Retrospective cohort2018TurkeytCa3.1136.30%High level of NLR was associated with the risk of metastasis.
Bolat et al. [29]53Retrospective cohort2017TurkeyTGCT3.3550.90%Elevated NLR could predict lymph node involvement.
Ilktac et al. [37]61Retrospective cohort2020TurkeyTGCT2.5659.00%NLR was significantly higher in patients with non-localized TGCT compared to those with localized TGCT.
Horsanali et al. [36]128Retrospective cohort2017TurkeyTGCT3.7244.80%Elevated NLR was significantly related to metastasis.
Köşeci et al. [43]72Retrospective cohort2021TurkeyTGCT2.543.00%Elevated NLR could predict metastasis.
Pęksa et al. [45]180Retrospective cohort2021PolandTGCT3.5653.90%Elevated NLR could predict the presence of nodal or distant metastases.
Bauzá Quetglas et al. [46]80Retrospective cohort2020SpaintCa2.2562.50%NLR had higher levels in patient with non-localized tCa than those with localized tCa.
Olcucu et al. [44]99Retrospective cohort2020TurkeyTGCT3.2145.45%Elevated NLR could predict metastasis and low mean survival time.
Tan et al. [2]160Retrospective cohort2019SingaporetCa363.80%High levels of NLR were associated with metastasis and poorer CSS.
Arda et al. [26]182Retrospective cohort2020TurkeyTGCT1.7846.60%There was no significant association between metastasis with NLR of patients.
Jankovich et al. [38]103Retrospective cohort2017SlovakiaTGCT439.80%No significant correlation was found between metastasis with NLR.
Kopru et al. [42]80Retrospective cohort2019TurkeytCa-51.51%NLR had no statistically significant correlation with metastasis and the presence of lymphovascular invasion.
Başer and Aras [28]83Retrospective cohort-TurkeyTGCT2.2760.00%There was no significant association between NLR and metastasis or lymph node involvement.

tCa: testicular cancer; TGCT: testicular germ cell tumor; NLR: neutrophil to lymphocyte ratio