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间质 TIL(肿瘤浸润淋巴细胞)(sTILs)与印度尼西亚三阴性乳腺癌较高分级、较低分期的相关性

英文原题:Stromal Tumor Infiltrating Lymphocytes (sTILs) Were Associated with a Higher Grade and a Lower Stage of Indonesian Triple Negative Breast Cancers.

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Stromal Tumor Infiltrating Lymphocytes (sTILs) Were Associated with a Higher Grade and a Lower Stage of Indonesian Triple Negative Breast Cancers.

PubMed 2022/08/01(内容时间) Asian Pac J Cancer Prev

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研究概要

结果表明,sTILs 可能作为 TNBC 的额外病理参数。

研究思路结论见上方概要

本研究旨在探讨sTILs与三阴性乳腺癌(TNBC)患者临床病理参数及总生存期(OS)的相关性。

本研究使用了2008-2017年间从印度尼西亚日惹Sardjito总医院收集的125例TNBC患者的石蜡包埋组织。从苏木精-伊红(H&E)染色样本中检查间质TILs,并使用20%截断值将其分类为低评分或高评分。分析sTILs与临床病理参数、相对风险(RR)和OS的关联,使用95%置信区间(CI),显著性设定为p<0.05。

本研究中较高比例的TNBC患者为40岁(83.3%)、高肿瘤分级(68%)、肿瘤分期>IIIa(56%)、存活(50.4%),且sTILs较低(54.4%)。结果显示,sTILs与较高的肿瘤分级或较低的肿瘤分期之间存在显著关联(分别为B = 0.259,95%CI = 0.090-0.468,p = 0.004和B = -0.255,95%CI = -0.433 - -0.080,p = 0.005)。同时,sTILs与诊断时年龄(B = 0.027,95%CI = -0.193 - 0.264,p = 0.758)或患者的3年OS(HR = 0.342,95%CI = 0.41 - 1.43,p = 0.402)无关。

展开英文摘要原文

This study aimed to investigate the association of sTILs with clinicopathological parameters and overall survival (OS) in patients with triple negative breast cancer (TNBC).

One hundred and twenty-five paraffin embedded tissue of patients with TNBC, collected from Dr. Sardjito General Hospital Yogyakarta, Indonesia, between 2008-2017, were used in this study. Stromal TILs were examined from hematoxylin and eosin (H&E)-stained samples, and classified as either low or high score using 20% cut-off. Analysis of the association of sTILs with clinicopathological parameters, relative risk (RR) and OS used 95% confidence interval (CI) with significance set as p<0.05.

The higher proportion of TNBC patients in this study were 40 years old (83.3%), high tumor grade (68%), tumor stage >IIIa (56%), alive (50.4%), and with low sTILs (54.4%). The results showed significant association between sTILs and a higher grade or a lower stage of tumor (B = 0.259, 95%CI = 0.090-0.468, p = 0.004 and B = -0.255, 95%CI = -0.433 - -0.080, p = 0.005, respectively ). Meanwhile sTILs were not associated with age at diagnosis (B = 0.027, 95%CI = -0.193 - 0.264 p = 0.758 nor 3-year OS of patients (HR = 0.342, 95%CI = 0.41 - 1.43 p = 0.402).

The results indicate that sTILs may serve as an additional pathological parameter for TNBC.

论文信息

作者
Widodo I、Ghozali A、Purwanto I、Ferronika P
单位
Department of Anatomic Pathology, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Indonesia.Indonesia
期刊
Asian Pacific journal of cancer prevention : APJCP2022 Aug 1
原文标识
PubMed 36037130 · DOI 10.31557/APJCP.2022.23.8.2749