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程序性死亡配体 1 在三阴性女性乳腺癌中是否具有预后意义?

英文原题:Is Programmed Death-Ligand 1 of Prognostic Significance in Triple-Negative Female Mammary Carcinoma?

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Is Programmed Death-Ligand 1 of Prognostic Significance in Triple-Negative Female Mammary Carcinoma?

PubMed 2022/11/14(内容时间) J Microsc Ultrastruct

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研究概要

PD-L1 表达于具有高级别、晚期 T 分期和高 Ki-67 指数等不良预后特征的肿瘤中,TILs PD-L1 阳性病例的生存得到改善,支持其预后意义。

中文摘要

研究女性TNBC中间质TIL(肿瘤浸润淋巴细胞)和肿瘤细胞(TC)程序性死亡配体1(PD-L1)的免疫组化表达,并分析其与肿瘤病理特征的相关性,特别是肿瘤分级、分期和总生存期等反映生物学行为的特征。

本回顾性研究纳入49份石蜡包埋肿瘤组织切片,来自接受根治性或保守性乳腺手术的女性TNBC患者。通过免疫组化分析PD-L1表达。

TC中PD-L1表达与TIL中PD-L1表达显著相关;TIL中PD-L1表达与组织学分级、间质TIL及Ki-67之间也存在显著相关性。TC中PD-L1表达与淋巴结(N)分期、组织学分级和解剖学分期显著相关。TIL PD-L1阳性病例生存有所改善;然而,TC和间质TIL中PD-L1表达与总生存期的相关性均未达到统计学显著性。

PD-L1在具有不良预后特征的肿瘤中表达,例如高级别、较高T分期和Ki-67指数高。TIL PD-L1阳性病例生存较好,支持其预后意义;但与总生存期的相关性未达到统计学显著性。

展开英文摘要原文

There were statistically significant relations among TC PD-L1 expression and TILs PD-L1 expression as well as relations among TILs PD-L1 expression with histologic grade, stromal TILs, and Ki-67 were statistically significant. Correlations between TC PD-L1 expression and N stage, histologic grade, and anatomic stage were statistically significant. Improved survival was detected within TILs PD-L1-positive cases; however, the correlation between the overall survival and PD-L1 expression in both TCs and stromal TIL was not statistically significant.

PD-L1 expressed in tumors with poor prognostic features such as the high grade, advanced T stage, and high Ki-67 index, TILs PD-L1-positive cases experienced improved survival supporting its prognostic significance. However, the correlation with overall survival was not statistically significant.

论文信息

作者
Sanad AM、Ibrahim WS、Ezzo IM、Sabry RM
第一作者单位
Department of Pathology, Faculty of Medicine, Tanta Cancer Center, Tanta University, Tanta, Egypt.Egypt
通讯作者单位
Department of Pathology, Faculty of Medicine, Cairo University, Cairo, Egypt.Egypt
期刊
Journal of microscopy and ultrastructure2024 Jan-Mar
原文标识
PubMed 38633572 · DOI 10.4103/jmau.jmau_77_21