Findings remain unclear whether neutrophil-to-lymphocyte ratio (NLR) detrimentally affects advanced nasopharyngeal carcinoma (NPC) prognosis. We aim to evaluate the prognostic value of NLR in patients with NPC based on a large-scale cohort from an endemic area. | Prognostic value of neutrophil-tolymphocyte ratio in advanced nasopharyngeal carcinoma A large institution-based cohort study from an endemic area