Tumor Infiltrating Lymphocytes Predicting Long-Term Outcomes in HER2-Negative Breast Cancer Patients with Visceral Metastases

Background: Tumor-infiltrating lymphocytes (TILs) were found to be associated with a better clinical outcome in specific subtypes of breast cancer. Aim: To study the association between TILs and the prognosis of Egyptian patients with HER2-negative breast cancer metastatic to the viscera. Methods: T...

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Main Authors: Elia Hakim, Amina Mostafa, Mohamed Mohamed, Mahmoud Sherif, Maha El Naggar
Format: Article
Language:English
Published: Kasr Al-Ainy Center of Clinical Oncology and Nuclear Medicine 2022-12-01
Series:Research in Oncology
Subjects:
Online Access:https://resoncol.journals.ekb.eg/article_270477_3059978f3da1dc5a0903270e02f2bb30.pdf
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author Elia Hakim
Amina Mostafa
Mohamed Mohamed
Mahmoud Sherif
Maha El Naggar
author_facet Elia Hakim
Amina Mostafa
Mohamed Mohamed
Mahmoud Sherif
Maha El Naggar
author_sort Elia Hakim
collection DOAJ
description Background: Tumor-infiltrating lymphocytes (TILs) were found to be associated with a better clinical outcome in specific subtypes of breast cancer. Aim: To study the association between TILs and the prognosis of Egyptian patients with HER2-negative breast cancer metastatic to the viscera. Methods: This prospective study included 100 patients with HER2-negative metastatic breast cancer. Intratumoral TILs, stromal TILs, and CD4 and CD8 were examined in the pathological specimens and their relationship with survival and response to treatment was studied. Results: At a median follow-up period of 43 months, the median overall survival was 44.7 months (95%CI: 39.2-50.2) and the 5-year overall survival rate was 28%. A high level of CD8+ve TILs was associated with significantly longer overall survival (p < 0.001) and progression-free survival (p=0.043). There was no significant correlation between intratumoral TILs, stromal TILs, or CD4+ve and overall survival. Conclusions: A higher level of CD8+ve TILs is associated with better overall as well as progression-free survival in HER2-negative breast cancer with visceral metastases.
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spelling doaj.art-5d80652b2c8c40f5837a83e23e2895102022-12-24T20:13:50ZengKasr Al-Ainy Center of Clinical Oncology and Nuclear MedicineResearch in Oncology2357-06872357-06952022-12-01182455110.21608/resoncol.2022.135734.1166270477Tumor Infiltrating Lymphocytes Predicting Long-Term Outcomes in HER2-Negative Breast Cancer Patients with Visceral MetastasesElia Hakim0Amina Mostafa1Mohamed Mohamed2Mahmoud Sherif3Maha El Naggar4Department of Clinical Oncology, Sohag Cancer Center, Sohag, EgyptDepartment of Clinical Oncology, Assuit University, Assuit, EgyptDepartment of Clinical Oncology, Assuit University, Assuit, EgyptDepartment of Pathology, Assuit University, Assuit, EgyptDepartment of Clinical Oncology, Assuit University, Assuit, EgyptBackground: Tumor-infiltrating lymphocytes (TILs) were found to be associated with a better clinical outcome in specific subtypes of breast cancer. Aim: To study the association between TILs and the prognosis of Egyptian patients with HER2-negative breast cancer metastatic to the viscera. Methods: This prospective study included 100 patients with HER2-negative metastatic breast cancer. Intratumoral TILs, stromal TILs, and CD4 and CD8 were examined in the pathological specimens and their relationship with survival and response to treatment was studied. Results: At a median follow-up period of 43 months, the median overall survival was 44.7 months (95%CI: 39.2-50.2) and the 5-year overall survival rate was 28%. A high level of CD8+ve TILs was associated with significantly longer overall survival (p < 0.001) and progression-free survival (p=0.043). There was no significant correlation between intratumoral TILs, stromal TILs, or CD4+ve and overall survival. Conclusions: A higher level of CD8+ve TILs is associated with better overall as well as progression-free survival in HER2-negative breast cancer with visceral metastases.https://resoncol.journals.ekb.eg/article_270477_3059978f3da1dc5a0903270e02f2bb30.pdfbreast cancercd4cd8her2prognosistumor-infiltrating lymphocytesvisceral metastases
spellingShingle Elia Hakim
Amina Mostafa
Mohamed Mohamed
Mahmoud Sherif
Maha El Naggar
Tumor Infiltrating Lymphocytes Predicting Long-Term Outcomes in HER2-Negative Breast Cancer Patients with Visceral Metastases
Research in Oncology
breast cancer
cd4
cd8
her2
prognosis
tumor-infiltrating lymphocytes
visceral metastases
title Tumor Infiltrating Lymphocytes Predicting Long-Term Outcomes in HER2-Negative Breast Cancer Patients with Visceral Metastases
title_full Tumor Infiltrating Lymphocytes Predicting Long-Term Outcomes in HER2-Negative Breast Cancer Patients with Visceral Metastases
title_fullStr Tumor Infiltrating Lymphocytes Predicting Long-Term Outcomes in HER2-Negative Breast Cancer Patients with Visceral Metastases
title_full_unstemmed Tumor Infiltrating Lymphocytes Predicting Long-Term Outcomes in HER2-Negative Breast Cancer Patients with Visceral Metastases
title_short Tumor Infiltrating Lymphocytes Predicting Long-Term Outcomes in HER2-Negative Breast Cancer Patients with Visceral Metastases
title_sort tumor infiltrating lymphocytes predicting long term outcomes in her2 negative breast cancer patients with visceral metastases
topic breast cancer
cd4
cd8
her2
prognosis
tumor-infiltrating lymphocytes
visceral metastases
url https://resoncol.journals.ekb.eg/article_270477_3059978f3da1dc5a0903270e02f2bb30.pdf
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AT mohamedmohamed tumorinfiltratinglymphocytespredictinglongtermoutcomesinher2negativebreastcancerpatientswithvisceralmetastases
AT mahmoudsherif tumorinfiltratinglymphocytespredictinglongtermoutcomesinher2negativebreastcancerpatientswithvisceralmetastases
AT mahaelnaggar tumorinfiltratinglymphocytespredictinglongtermoutcomesinher2negativebreastcancerpatientswithvisceralmetastases