NLR and PLR, showing up-regulated expression in mRCC, correlate intimately with advanced clinical staging and higher Fuhrman grading. Clinical stage III-IV, Fuhrman grade (3-4), elevated NLR (≥2.76), and high PLR (≥166.50) are predictors of unfavorable surgical outcomes in mRCC.
Gang Shan (Thu,) studied this question.