Research Article

Neutrophil-Lymphocyte Ratio as an Initial Screening Biomarker for Differential Diagnosis of Cushing’s Syndrome from Nonfunctional Adenoma in Patients with an Adrenal Mass

Table 2

Comparison of hormone concentrations, NLR, and PLR in patients with overt CS and AIMCE.

Overt CS ()AIMCE ()

8 am serum cortisol (μg/dL)19.76 (13.79, 25.45)13.82 (10.51, 16.06)<0.001
8 am ACTH (pg/mL)1.23 (0.90, 4.32)8.43 (4.30, 11.85)<0.001
NE (×109/L)<0.001
LY (×109/L)<0.001
NLR4.00 (2.70, 6.18)2.16 (1.60, 3.07)<0.001

Results are presented as the or as the median (interquartile range). Abbreviations: ACTH: corticotropin; NE: neutrophil count; LY: lymphocyte count; NLR: neutrophil-lymphocyte ratio; CS: Cushing’s syndrome; AIMCE: adrenal incidentaloma with mild autonomous cortisol excess.