Correlation of Tumor-infiltrating Lymphocytes with Tumor Staging and Grading in Breast Carcinomas: A Retrospective Study

Background and aim: The global breast cancer mortality rate has increased by 0.23% per year globally, with a statistically significant increase in the age group under 50 and 70+. The present study evaluated Tumor-infiltrating lymphocytes(TIL) in breast carcinoma and correlated TIL with tumour stage,...

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Main Authors: Mohit Kumar, Chaitra Eshwaraiah, Athira K P, Shashidhar Rudrappa
Format: Article
Language:English
Published: International Journal of Scientific Research in Dental and Medical Sciences (IJSRDMS) 2023-03-01
Series:International Journal of Scientific Research in Dental and Medical Sciences
Subjects:
Online Access:http://www.ijsrdms.com/article_168348_4ed2483fe95aa384f5df23d0827a5019.pdf
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author Mohit Kumar
Chaitra Eshwaraiah
Athira K P
Shashidhar Rudrappa
author_facet Mohit Kumar
Chaitra Eshwaraiah
Athira K P
Shashidhar Rudrappa
author_sort Mohit Kumar
collection DOAJ
description Background and aim: The global breast cancer mortality rate has increased by 0.23% per year globally, with a statistically significant increase in the age group under 50 and 70+. The present study evaluated Tumor-infiltrating lymphocytes(TIL) in breast carcinoma and correlated TIL with tumour stage, grade, and lymph node metastasis. Material and methods: A retrospective study was conducted on 66 cases of modified radical mastectomy specimens of invasive breast carcinoma. The corresponding patients' clinicopathological details like age, location, laterality, tumour size, and lymph node involvement were retried from case sheets. The histopathological reports and H&E slides were reviewed again. The representative H&E stained section of each case was selected, and TIL assessment was done based on the International TIL Working Group (ITILWG) recommendations.Results: A total of sixty-six cases were included in our study. Out of 66 cases, the majority were seen in the age group between 51-60 years, which is 36.4%. Forty-one cases ( 62.1%) out of 66 were in size groups of 2- 5 cm. 86.4% ( 57 cases) were invasive ductal breast carcinoma. On invasive tumour lymphocyte (TIL) evaluation, grade I was noted in 22 cases, grade II in 33 cases, and 11 in grade III. Conclusions: Our study validates the method of histomorphological evaluation of TILs proposed by the International TIL Working Group (ITWG) 2014 in the Indian population and explores its role as a novel prognostic immune biomarker. Our analysis significantly correlated with tumour size, lymph node status, SBR grading, and histological types.
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spelling doaj.art-fbe0e02cc8a04d63a9c5b9fc2eca58a92023-03-16T05:48:34ZengInternational Journal of Scientific Research in Dental and Medical Sciences (IJSRDMS)International Journal of Scientific Research in Dental and Medical Sciences2676-54972676-53732023-03-0151162010.30485/ijsrdms.2023.382044.1430168348Correlation of Tumor-infiltrating Lymphocytes with Tumor Staging and Grading in Breast Carcinomas: A Retrospective StudyMohit Kumar0Chaitra Eshwaraiah1Athira K P2Shashidhar Rudrappa3Department of Pathology, Hassan Institute of Medical Sciences, Karnataka, IndiaDepartment of Pathology, Hassan Institute of Medical Sciences, Karnataka, IndiaDepartment of Pathology, Hassan Institute of Medical Sciences, Karnataka, IndiaDepartment of Pathology, Hassan Institute of Medical Sciences, Karnataka, IndiaBackground and aim: The global breast cancer mortality rate has increased by 0.23% per year globally, with a statistically significant increase in the age group under 50 and 70+. The present study evaluated Tumor-infiltrating lymphocytes(TIL) in breast carcinoma and correlated TIL with tumour stage, grade, and lymph node metastasis. Material and methods: A retrospective study was conducted on 66 cases of modified radical mastectomy specimens of invasive breast carcinoma. The corresponding patients' clinicopathological details like age, location, laterality, tumour size, and lymph node involvement were retried from case sheets. The histopathological reports and H&E slides were reviewed again. The representative H&E stained section of each case was selected, and TIL assessment was done based on the International TIL Working Group (ITILWG) recommendations.Results: A total of sixty-six cases were included in our study. Out of 66 cases, the majority were seen in the age group between 51-60 years, which is 36.4%. Forty-one cases ( 62.1%) out of 66 were in size groups of 2- 5 cm. 86.4% ( 57 cases) were invasive ductal breast carcinoma. On invasive tumour lymphocyte (TIL) evaluation, grade I was noted in 22 cases, grade II in 33 cases, and 11 in grade III. Conclusions: Our study validates the method of histomorphological evaluation of TILs proposed by the International TIL Working Group (ITWG) 2014 in the Indian population and explores its role as a novel prognostic immune biomarker. Our analysis significantly correlated with tumour size, lymph node status, SBR grading, and histological types.http://www.ijsrdms.com/article_168348_4ed2483fe95aa384f5df23d0827a5019.pdfbreast neoplasmsneoplasm gradingneoplasm stagingtumor-infiltrating lymphocytes
spellingShingle Mohit Kumar
Chaitra Eshwaraiah
Athira K P
Shashidhar Rudrappa
Correlation of Tumor-infiltrating Lymphocytes with Tumor Staging and Grading in Breast Carcinomas: A Retrospective Study
International Journal of Scientific Research in Dental and Medical Sciences
breast neoplasms
neoplasm grading
neoplasm staging
tumor-infiltrating lymphocytes
title Correlation of Tumor-infiltrating Lymphocytes with Tumor Staging and Grading in Breast Carcinomas: A Retrospective Study
title_full Correlation of Tumor-infiltrating Lymphocytes with Tumor Staging and Grading in Breast Carcinomas: A Retrospective Study
title_fullStr Correlation of Tumor-infiltrating Lymphocytes with Tumor Staging and Grading in Breast Carcinomas: A Retrospective Study
title_full_unstemmed Correlation of Tumor-infiltrating Lymphocytes with Tumor Staging and Grading in Breast Carcinomas: A Retrospective Study
title_short Correlation of Tumor-infiltrating Lymphocytes with Tumor Staging and Grading in Breast Carcinomas: A Retrospective Study
title_sort correlation of tumor infiltrating lymphocytes with tumor staging and grading in breast carcinomas a retrospective study
topic breast neoplasms
neoplasm grading
neoplasm staging
tumor-infiltrating lymphocytes
url http://www.ijsrdms.com/article_168348_4ed2483fe95aa384f5df23d0827a5019.pdf
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AT athirakp correlationoftumorinfiltratinglymphocyteswithtumorstagingandgradinginbreastcarcinomasaretrospectivestudy
AT shashidharrudrappa correlationoftumorinfiltratinglymphocyteswithtumorstagingandgradinginbreastcarcinomasaretrospectivestudy