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涎腺肿瘤中CD3和CD20的表达及浸润模式

CD3 and CD20 Expressions and Infiltrating Patterns in Salivary Gland Tumors.

作者信息

Hussein Rukhsar R, Garib Balkees T

机构信息

Department of Oral Pathology, College of Dentistry, University of Sulaimani, Sulaymaniyah 46001, Iraq.

出版信息

Diagnostics (Basel). 2024 May 3;14(9):959. doi: 10.3390/diagnostics14090959.

Abstract

Tumor-infiltrating lymphocytes (TILs) represent a subset of immunological constituents within the tumor microenvironment that can influence cancer growth. We retrospectively evaluate the density and pattern of CD3 and CD20 expression in salivary gland tumors and their relation to clinical pathologic parameters. A total of 44 formalin-fixed paraffin-embedded blocks of salivary gland tumors were included. These tumors were stained immunohistochemically with CD3 and CD20. The chi-square test was used to relate immune scoring, intensity, and clinical pathological parameters to different salivary tumors. -value < 0.05 was considered statistically significant. The intra-tumoral CD3 infiltrating count was high and diffused in (71.4%) of pleomorphic adenomas (PAs) followed by mucoepidermoid carcinomas (MECs) (66.7%). At the same time, adenoid cystic carcinomas (AdCCs) exhibited significantly low infiltration (71.4%) ( = 0.046). The three types of tumors exhibited high tumor-infiltrating counts diffused in peripheral areas with significant differences between malignant tumors ( = 0.047). The intra-tumoral CD20 infiltrating count significantly differed among the tumors ( = 0.002); it was low in all PAs and AdCCs, while MECs showed an equal percentage of expression. However, in the peripheral area, PAs and MECs exhibited significantly ( = 0.007) high infiltrating counts (69.2% and 84.6), and the lowest infiltrating count was predominantly found for AdCCs. The two markers had a significant positive correlation between the mean of CD3 in the intra-tumoral and peripheral regions and CD20 in the peripheral zone across the total samples. In conclusion, the density of CD3 expression is notably higher than CD20 across tumor types. PAs and MECs showed high-density scores, while AdCCs were characterized by low scores. TIL expression was found to be significantly associated with patients' outcomes in the intra-tumoral area.

摘要

肿瘤浸润淋巴细胞(TILs)是肿瘤微环境中免疫成分的一个子集,可影响癌症生长。我们回顾性评估涎腺肿瘤中CD3和CD20表达的密度及模式,以及它们与临床病理参数的关系。共纳入44个经福尔马林固定、石蜡包埋的涎腺肿瘤组织块。这些肿瘤组织用CD3和CD20进行免疫组织化学染色。采用卡方检验将免疫评分、强度及临床病理参数与不同涎腺肿瘤相关联。P值<0.05被认为具有统计学意义。在多形性腺瘤(PA)中,瘤内CD3浸润计数高且呈弥漫性分布的占71.4%,其次是黏液表皮样癌(MEC),占66.7%。同时,腺样囊性癌(AdCC)的浸润明显较低(71.4%)(P = 0.046)。这三种肿瘤在周边区域均表现出高肿瘤浸润计数且弥漫分布,恶性肿瘤之间存在显著差异(P = 0.047)。瘤内CD20浸润计数在各肿瘤之间有显著差异(P = 0.002);在所有PA和AdCC中均较低,而MEC的表达百分比相当。然而,在周边区域,PA和MEC的浸润计数显著较高(P = 0.007)(分别为69.2%和84.6%),AdCC的浸润计数最低。在所有样本中,瘤内和周边区域CD3的平均值与周边区域CD20之间,这两种标志物存在显著正相关。总之,在所有肿瘤类型中,CD3表达密度明显高于CD20。PA和MEC表现出高密度评分,而AdCC的特征是低密度评分。发现TIL表达在瘤内区域与患者预后显著相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea48/11082958/c4bcf0522e73/diagnostics-14-00959-g001.jpg

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