Association of Low Prognostic Nutritional Index Score with Lymph Node Metastasis in Breast Cancer Patients, Unlike Hemoglobin-Albumin-Lymphocyte-Platelet Score - Scorecard - MDSpire

Association of Low Prognostic Nutritional Index Score with Lymph Node Metastasis in Breast Cancer Patients, Unlike Hemoglobin-Albumin-Lymphocyte-Platelet Score

  • By

  • Weihua Wen

  • Litao Jin

  • Yuyang Yang

  • Jianjuan Li

  • April 27, 2026

  • 0 min

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Clinical Scorecard: Association of Low Prognostic Nutritional Index Score with Lymph Node Metastasis in Breast Cancer Patients, Unlike Hemoglobin-Albumin-Lymphocyte-Platelet Score

At a Glance

CategoryDetail
ConditionBreast Cancer with Lymph Node Metastasis
Key MechanismsNutritional status and immune function impact cancer progression and lymph node metastasis.
Target PopulationBreast cancer patients, specifically those undergoing surgical intervention.
Care SettingOncology clinics and hospitals.

Key Highlights

  • Low PNI is associated with lymph node metastasis (LNM) in breast cancer patients.
  • HALP score did not show a significant association with LNM.
  • Median PNI levels were significantly lower in LNM-positive patients.
  • Optimal cutoff for PNI to predict LNM is 52.45.
  • Nutritional and immune interventions are recommended pre- and post-surgery.

Guideline-Based Recommendations

Diagnosis

  • Assess PNI and HALP scores in breast cancer patients to evaluate risk of LNM.

Management

  • Implement nutritional and immune interventions based on PNI levels.

Monitoring & Follow-up

  • Regularly monitor PNI and HALP scores during treatment.

Risks

  • Low PNI levels indicate increased risk of LNM and poor prognosis.

Patient & Prescribing Data

799 breast cancer patients with complete clinical data.

Focus on improving nutritional status to potentially reduce LNM risk.

Clinical Best Practices

  • Incorporate PNI assessment in preoperative evaluations.
  • Provide nutritional support to patients with low PNI scores.
  • Monitor immune function alongside nutritional status in cancer care.

References

Original Source(s)

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