Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter Study

Background: Melanoma is one of the most immunogenic tumors that causes a significant immune response. Tumor infiltrating lymphocytes are an important part of this response. Tumor infiltrating lymphocytes are lymphocytes in close association with tumor cells that have infiltrated tumor nests. In t...

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Main Authors: Alireza Ghanadan, Amir-Hoshang Ehsani, Ali-Mohammad Farahmand, Mojtaba Mirzaei
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2017-09-01
Series:Middle East Journal of Cancer
Subjects:
Online Access:http://mejc.sums.ac.ir/index.php/mejc/article/view/551/325
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author Alireza Ghanadan
Amir-Hoshang Ehsani
Ali-Mohammad Farahmand
Mojtaba Mirzaei
author_facet Alireza Ghanadan
Amir-Hoshang Ehsani
Ali-Mohammad Farahmand
Mojtaba Mirzaei
author_sort Alireza Ghanadan
collection DOAJ
description Background: Melanoma is one of the most immunogenic tumors that causes a significant immune response. Tumor infiltrating lymphocytes are an important part of this response. Tumor infiltrating lymphocytes are lymphocytes in close association with tumor cells that have infiltrated tumor nests. In this study, we attempt to evaluate the relationship of tumor infiltrating lymphocytes in malignant melanoma with histopathologic findings, tumor stage, and other prognostic factors. Methods: This was a retrospective cross-sectional study. We re-evaluated patients’ specimens and categorized the tumor infiltrating lymphocytes as grades 0, 1, 2, or 3 based on density and distribution of the infiltrating lymphocytes. Results:We enrolled 111 patients with a mean age of 59.33±14.68 years, and a male to female ratio of 1.09. There was no evidence of tumor infiltrating lymphocytes in 17.1% of patients. The melanoma subtypes had the following tumor infiltrating lymphocyte grades: 1 (47.7%), 2 (28.8%), and 3 (6.3%). Cancer stage significantly decreased with increasing grade of tumor infiltrating lymphocyte (P<0.001). Although numerous histopathologic findings had a relationship with tumor infiltrating lymphocytes, only microsatellitosis had a significant relation after adjustments for melanoma stage (P< 0.001). Conclusion: Increased density of tumor infiltrating lymphocytes can show a more effective immune response against melanoma. This response can limit cancer progression and result in tumor diagnosis at lower stages of the disease.
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spelling doaj.art-75d80026fed74e0799b0bf81b6e3b0982022-12-21T21:55:58ZengShiraz University of Medical SciencesMiddle East Journal of Cancer2008-67092008-66872017-09-0184207212Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter StudyAlireza Ghanadan0Amir-Hoshang Ehsani1Ali-Mohammad Farahmand2Mojtaba Mirzaei3Department of Dermatopathology, Razi Dermatology Hospital, Tehran University of Medical Sciences, Tehran, IranAutoimmune Bullous Diseases Research Center, Department of Dermatology, Razi Dermatology Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Dermatopathology, Razi Dermatology Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Dermatopathology, Razi Dermatology Hospital, Tehran University of Medical Sciences, Tehran, IranBackground: Melanoma is one of the most immunogenic tumors that causes a significant immune response. Tumor infiltrating lymphocytes are an important part of this response. Tumor infiltrating lymphocytes are lymphocytes in close association with tumor cells that have infiltrated tumor nests. In this study, we attempt to evaluate the relationship of tumor infiltrating lymphocytes in malignant melanoma with histopathologic findings, tumor stage, and other prognostic factors. Methods: This was a retrospective cross-sectional study. We re-evaluated patients’ specimens and categorized the tumor infiltrating lymphocytes as grades 0, 1, 2, or 3 based on density and distribution of the infiltrating lymphocytes. Results:We enrolled 111 patients with a mean age of 59.33±14.68 years, and a male to female ratio of 1.09. There was no evidence of tumor infiltrating lymphocytes in 17.1% of patients. The melanoma subtypes had the following tumor infiltrating lymphocyte grades: 1 (47.7%), 2 (28.8%), and 3 (6.3%). Cancer stage significantly decreased with increasing grade of tumor infiltrating lymphocyte (P<0.001). Although numerous histopathologic findings had a relationship with tumor infiltrating lymphocytes, only microsatellitosis had a significant relation after adjustments for melanoma stage (P< 0.001). Conclusion: Increased density of tumor infiltrating lymphocytes can show a more effective immune response against melanoma. This response can limit cancer progression and result in tumor diagnosis at lower stages of the disease.http://mejc.sums.ac.ir/index.php/mejc/article/view/551/325MelanomaTumor infiltrating lymphocytesTumor stageImmune responsePrognostic factor
spellingShingle Alireza Ghanadan
Amir-Hoshang Ehsani
Ali-Mohammad Farahmand
Mojtaba Mirzaei
Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter Study
Middle East Journal of Cancer
Melanoma
Tumor infiltrating lymphocytes
Tumor stage
Immune response
Prognostic factor
title Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter Study
title_full Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter Study
title_fullStr Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter Study
title_full_unstemmed Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter Study
title_short Tumor Infiltrating Lymphocytes in Different Stages of Malignant Melanoma and Correlation with Tumor Stage and Other Prognostic Factors: A Retrospective Multicenter Study
title_sort tumor infiltrating lymphocytes in different stages of malignant melanoma and correlation with tumor stage and other prognostic factors a retrospective multicenter study
topic Melanoma
Tumor infiltrating lymphocytes
Tumor stage
Immune response
Prognostic factor
url http://mejc.sums.ac.ir/index.php/mejc/article/view/551/325
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