10. Tumor infiltrating Lymphocytes and relationship with histological characteristics in triple-negative breast carcinoma
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Abstract
This study aims to determine the rate of tumor infiltrating lymphocytes (TILs) and compare it with histopathological features of triple-negative breast cancer (TNBC). We conducted a study on 214 TNBC patients diagnosed and treated at K hospital from October 2021 to December 2023. All patients were female, average age 53.6 ± 13.1 years (range 28-90 years). The average rate of TILs is 20.0 ± 25.7%, the TILs 10% has the highest rate with 37 cases (accounting for 17.3%). The intermediate TILs group (10 - 40%, group B) accounts for the highest proportion (49.1%). With a dividing threshold of 50%, patients with non-predominant TILs (< 50%) accounted for the majority in the study (76.2%), compared with the characteristics of histopathological type and histological grade, the difference statistically significant difference p < 0.05. Consequently, we suggest that it is necessary to routinely evaluate TILs in the practice of pathological diagnosis for TNBC.
Article Details
Keywords
Tumor infiltrating lymphocytes, Breast cancer, Triple-negative breast carcinoma
References
2. WHO Classification of Tumours Editorial Board. Breast Tumours. International Agency for Research on Cancer; 2019. https://publications.iarc.fr/581.
3. Wein L, Savas P, Luen SJ, Virassamy B, Salgado R, Loi S. Clinical Validity and Utility of Tumor-Infiltrating Lymphocytes in Routine Clinical Practice for Breast Cancer Patients: Current and Future Directions. Front Oncol. 2017; 7:156. doi:10.3389/fonc.2017.00156.
4. Denkert C, von Minckwitz G, Darb-Esfahani S, et al. Tumour-infiltrating lymphocytes and prognosis in different subtypes of breast cancer: a pooled analysis of 3771 patients treated with neoadjuvant therapy. Lancet Oncol. 2018; 19(1): 40-50. doi:10.1016/S1470-2045(17)30904-X.
5. García-Teijido P, Cabal ML, Fernández IP, Pérez YF. Tumor-Infiltrating Lymphocytes in Triple Negative Breast Cancer: The Future of Immune Targeting. Clin Med Insights Oncol. 2016; 10(Suppl 1): 31-39. doi:10.4137/CMO.S34540.
6. Wolff AC, Hammond MEH, Allison KH, et al. Human Epidermal Growth Factor Receptor 2 Testing in Breast Cancer: American Society of Clinical Oncology/College of American Pathologists Clinical Practice Guideline Focused Update. Arch Pathol Lab Med. 2018; 142(11): 1364-1382. doi:10.5858/arpa.2018-0902-SA.
7. Ivanova M, Porta FM, D’Ercole M, et al. Standardized pathology report for HER2 testing in compliance with 2023 ASCO/CAP updates and 2023 ESMO consensus statements on HER2-low breast cancer. Virchows Arch Int J Pathol. 2024; 484(1): 3-14. doi:10.1007/s00428-023-03656-w.
8. Salgado R, Denkert C, Demaria S, et al. The evaluation of tumor-infiltrating lymphocytes (TILs) in breast cancer: recommendations by an International TILs Working Group 2014. Ann Oncol Off J Eur Soc Med Oncol. 2015; 26(2): 259-271. doi:10.1093/annonc/mdu450.
9. Adams S, Gray RJ, Demaria S, et al. Prognostic value of tumor-infiltrating lymphocytes in triple-negative breast cancers from two phase III randomized adjuvant breast cancer trials: ECOG 2197 and ECOG 1199. J Clin Oncol Off J Am Soc Clin Oncol. 2014; 32(27): 2959-2966. doi:10.1200/JCO.2013.55.0491.
10. Kurozumi S, Matsumoto H, Kurosumi M, et al. Prognostic significance of tumour-infiltrating lymphocytes for oestrogen receptor-negative breast cancer without lymph node metastasis. Oncol Lett. 2019; 17(3): 2647-2656. doi:10.3892/ol.2019.9938.
11. Pruneri G, Gray KP, Vingiani A, et al. Tumor-infiltrating lymphocytes (TILs) are a powerful prognostic marker in patients with triple-negative breast cancer enrolled in the IBCSG phase III randomized clinical trial 22-00. Breast Cancer Res Treat. 2016; 158(2): 323-331. doi:10.1007/s10549-016-3863-3.
12. Loi S, Michiels S, Salgado R, et al. Tumor infiltrating lymphocytes are prognostic in triple negative breast cancer and predictive for trastuzumab benefit in early breast cancer: results from the FinHER trial. Ann Oncol Off J Eur Soc Med Oncol. 2014; 25(8): 1544-1550. doi:10.1093/annonc/mdu112.
13. Dieci MV, Criscitiello C, Goubar A, et al. Prognostic value of tumor-infiltrating lymphocytes on residual disease after primary chemotherapy for triple-negative breast cancer: a retrospective multicenter study. Ann Oncol Off J Eur Soc Med Oncol. 2014; 25(3): 611-618. doi:10.1093/annonc/mdt556..