Keep in mind that the Neutrophil/Lymphocyte ratio (NLR) is generally regarded to be an inflammation marker in many different diseases, not just cancer. For example, both SLE and RA roughly correlate with the NLR, but not well enough to be predictive.
Given your numbers and a positive ANA, I'd consider having a good rheumy do some follow up testing to further refine your auto-antibody profile. They may be able to pin down what it is that is bothering you. But the process can be time consuming sometimes.