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胃癌浸润 CD8 细胞面积及正常黏膜面积的自动评估作为一个显著的预后因素。

Automated Assessment of the Area of Infiltration by CD8 Cells in Gastric Carcinoma and Areas of Normal Mucosa as a Significant Prognostic Factor.

机构信息

Medical Scientific Educational Center, M. V. Lomonosov Moscow State University, Moscow, Russia.

P. A. Herzen Moscow Research Oncological Institute - Branch of National Medical Research Center of Radiology, Ministry of Health of the Russian Federation, Moscow, Russia.

出版信息

Bull Exp Biol Med. 2023 Aug;175(4):508-512. doi: 10.1007/s10517-023-05896-x. Epub 2023 Sep 28.

DOI:10.1007/s10517-023-05896-x
PMID:37768461
Abstract

In 139 patients with verified gastric cancer, the infiltration of the postoperative material with CD8 cells was analyzed. Automated morphometric analysis of immunostained slides was performed separately in different specimen sites (tumor center, invasive edge, and peritumoral mucosa). The mean area of infiltrating CD8 cells in the tumor center and in the invasive edge was not predictive, while in the peritumoral mucosa it provided a new negative predictive factor (hazard ratio 2.10; confidence interval 0.87-4.92, Cox regression) reliably associated with the TNM stage (hazard ratio 1.91; confidence interval 0.91-4.61, Cox regression).

摘要

在 139 例经证实的胃癌患者中,分析了术后标本中 CD8 细胞的浸润情况。对免疫染色载玻片进行了自动形态计量分析,分别在不同的标本部位(肿瘤中心、浸润边缘和肿瘤周围黏膜)进行分析。肿瘤中心和浸润边缘浸润 CD8 细胞的平均面积没有预测性,而在肿瘤周围黏膜中,它提供了一个新的负预测因素(风险比 2.10;95%置信区间 0.87-4.92,Cox 回归),与 TNM 分期可靠相关(风险比 1.91;95%置信区间 0.91-4.61,Cox 回归)。

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本文引用的文献

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Association of tumor-infiltrating T lymphocytes with intestinal-type gastric cancer molecular subtypes and outcome.肿瘤浸润 T 淋巴细胞与肠型胃癌分子亚型及预后的关系。
Virchows Arch. 2021 Apr;478(4):707-717. doi: 10.1007/s00428-020-02932-3. Epub 2020 Sep 21.
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Assessing Tumor-Infiltrating Lymphocytes in Solid Tumors: A Practical Review for Pathologists and Proposal for a Standardized Method from the International Immuno-Oncology Biomarkers Working Group: Part 2: TILs in Melanoma, Gastrointestinal Tract Carcinomas, Non-Small Cell Lung Carcinoma and Mesothelioma, Endometrial and Ovarian Carcinomas, Squamous Cell Carcinoma of the Head and Neck, Genitourinary Carcinomas, and Primary Brain Tumors.评估实体瘤中的肿瘤浸润淋巴细胞:病理学家实用综述及国际免疫肿瘤生物标志物工作组提出的标准化方法建议:第 2 部分:黑色素瘤、胃肠道癌、非小细胞肺癌和间皮瘤、子宫内膜癌和卵巢癌、头颈部鳞状细胞癌、泌尿生殖道癌和脑原发性肿瘤中的 TILs。
Adv Anat Pathol. 2017 Nov;24(6):311-335. doi: 10.1097/PAP.0000000000000161.
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Assessing Tumor-infiltrating Lymphocytes in Solid Tumors: A Practical Review for Pathologists and Proposal for a Standardized Method From the International Immunooncology Biomarkers Working Group: Part 1: Assessing the Host Immune Response, TILs in Invasive Breast Carcinoma and Ductal Carcinoma In Situ, Metastatic Tumor Deposits and Areas for Further Research.评估实体瘤中的肿瘤浸润淋巴细胞:病理学家实用综述及国际免疫肿瘤生物标志物工作组提出的标准化方法建议:第 1 部分:评估宿主免疫反应、浸润性乳腺癌及导管原位癌中的肿瘤浸润淋巴细胞、转移性肿瘤沉积及进一步研究领域。
Adv Anat Pathol. 2017 Sep;24(5):235-251. doi: 10.1097/PAP.0000000000000162.
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Inflammatory microenvironment contributes to epithelial-mesenchymal transition in gastric cancer.炎症微环境促进胃癌中的上皮-间质转化。
World J Gastroenterol. 2016 Aug 7;22(29):6619-28. doi: 10.3748/wjg.v22.i29.6619.
5
Tumor-Infiltrating Immune Cells Are Associated With Prognosis of Gastric Cancer.肿瘤浸润免疫细胞与胃癌预后相关。
Medicine (Baltimore). 2015 Sep;94(39):e1631. doi: 10.1097/MD.0000000000001631.
6
Cytokines in cancer pathogenesis and cancer therapy.细胞因子在癌症发病机制和癌症治疗中的作用
Nat Rev Cancer. 2004 Jan;4(1):11-22. doi: 10.1038/nrc1252.