This was a retrospective cohort study including 156 HER2-positive advanced BC patients who treated with pyrotinib...Low PLR was associated with better disease control rate (P=0.005)….For overall survival (OS), univariate analysis showed that high NLR (P=0.001), MLR (P=0.005), PLR (P<0.001), or PIV (P=0.018), more than two metastatic sites (P=0.001), presence of liver metastasis (P=0.004) or brain metastasis (P=0.007), and pyrotinib monotherapy (P=0.036) were associated with worse OS.