ALB and malnutrition: Malnutrition, often indicated by low serum ALB levels, is common in patients with terminal-stage cancer and is correlated with shorter survival times.[27] Decreased immunity due to malnutrition increases the risk of pulmonary infections and thrombosis, leading to a worse prognosis.[28,29] Our study supports the finding that lower serum ALB levels and increased Neu are independent prognostic factors in these patients.