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程序性死亡配体 1 (PD-L1) 和 TIL(肿瘤浸润淋巴细胞)(TILs) 在声门型喉癌中的预后意义

英文原题:Prognostic significance of programmed death-ligand 1 (PD-L1) and tumor-infiltrating lymphocytes (TILs) in glottic laryngeal cancer.

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Prognostic significance of programmed death-ligand 1 (PD-L1) and tumor-infiltrating lymphocytes (TILs) in glottic laryngeal cancer.

PubMed 2026/01/19(内容时间) Indian J Pathol Microbiol Q4 · IF 0.7(JCR 2025)

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研究概要

本研究的结果提示,PD-L1 可能是预测根治性治疗后复发和生存期缩短的有价值指标。

中文摘要

本研究旨在调查声门型喉癌(LC)中程序性死亡配体1(PD-L1)和TIL(肿瘤浸润淋巴细胞)表达的预后意义,并评估二者表达之间的相关性。

研究选取40例以完整切除声门喉部肿瘤作为初始治疗的患者,采用免疫组织化学测定PD-L1和TIL表达水平。

联合阳性评分(CPS)≥1患者的无病生存期(DFS)在统计学上显著长于CPS<1患者。肿瘤标本中TIL浓度与性别、年龄、T分期、N分期、肿瘤—淋巴结—转移(TNM)分期、病理分级或局部区域复发均无显著相关性。多变量Cox回归显示,CPS较低和淋巴结阳性是具有统计学意义的独立恶性肿瘤复发预测因子。

研究结果提示,PD-L1可能是预测根治性治疗后复发和生存降低的有价值指标。因此,仍需在更大患者群体中开展全面研究,以确定PD-L1和TIL作为LC生物标志物的预测价值。

展开英文摘要原文

For this study, 40 patients who underwent complete resection of the glottic laryngeal tumor as primary treatment were selected. PD-L1 and TIL expression levels were determined by immunohistochemistry.

Disease-free survival (DFS) was statistically significantly longer in patients with the combined positive score (CPS). CPS 1 than those with CPS <1. The concentration of TILs in tumor specimens was not significantly related to gender, age, T status, N status, tumor, node, metastasis (TNM) stage, pathological grade, or locoregional recurrence. Multivariate Cox regression analysis showed that low CPS and positive nodal status are statistically significant and independent predictors of malignancy recurrence.

The findings of our study suggest that PD-L1 could be a valuable indicator for predicting recurrence and reduced survival following definitive therapy. Consequently, further comprehensive studies involving larger groups of patients are imperative to ascertain the predictive significance of PD-L1 and TIL as biomarkers in LC.

论文信息

作者
Muhedin K、Elvir Z、Ljiljana V、Sabina C、Danilo P
单位
Department of Otorhinolaryngology, Clinical Centre of Montenegro, Podgorica, Montenegro.
期刊
Indian journal of pathology & microbiology2026 Jan 1
原文标识
PubMed 41553159 · DOI 10.4103/ijpm.ijpm_622_24