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Tumor-infiltrating lymphocytes predict prognosis of breast cancer patients treated with anti-Her-2 therapy

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机构: [1]Sun Yat Sen Univ, Affiliated Hui Zhou Municipal Cent Hosp, Dept Med Oncol, Sun Yat Sen Mem Hosp, Huizhou 516000, Guangdong, Peoples R China; [2]Sun Yat Sen Mem Hosp, Training Base Masters, Sun Yat Sen Mem Hosp, Huizhou 516000, Guangdong, Peoples R China; [3]Sun Yat Sen Univ, Ctr Canc, Dept Med Oncol, Guangzhou 510000, Guangdong, Peoples R China; [4]Sun Yat Sen Univ, Ctr Canc, Dept Med Oncol, Dept Pathol, Guangzhou 510000, Guangdong, Peoples R China; [5]Sun Yat Sen Univ, Ctr Canc, Dept Radiotherapy, Guangzhou 510000, Guangdong, Peoples R China
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关键词: TILs anti-Her-2 therapy breast cancer prognosis

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Purpose: Infiltration of tumor associated lymphocytes and count of its different phenotypes are potentially new independent predictor of prognosis in breast cancer. However, research related to it is less reported in breast cancer patients treated with anti-Her-2 therapy. Thus, we evaluated the relationship between survival and tumor infiltrating lymphocytes including its different phenotypes in tumors of such patients. Methods: Between 1999 and 2010, 98 patients diagnosed with primary breast cancer and treated with anti-Her-2 therapy at Sun-Yat-Sen University Cancer Center were included in the study. Biopsy specimens were collected post-operation but before chemotherapy. Tumor infiltrating lymphocytes as well as its FOXP3+, CD68+, IL-17+ phenotypes in both intratumoral and stromal sites and expression of FOXP3 in cancer cells were assessed. Results: Median follow-up time of 98 patients was 83.3 months (range 7.4-201 months). It suggested that patients with high stromal infiltration of TILs, lower count of FOXP3+ Tregs and CD68+ Mf in stromal site, and high expression of FOXP3 in cancer cells had longer survival of OS. In multivariate Cox regression analysis, high count of intratumoral CD68+ Mf [HR: 2.70 (1.00-7.31); p = 0.050] and high expression of FOXP3 in cancer cells [HR: 0.29 (0.09-0.91); p = 0.034] were independent prognostic factors for overall survival. Conclusions: Tumor infiltrating lymphocytes as well as its FOXP3+, CD68+ phenotypes in stromal site, and expression of FOXP3 in cancer cells were significantly associated with OS, suggesting that they can be used as important pathological factor predicting prognosis of breast cancer patients treated with anti-Her-2 therapy.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 肿瘤学 3 区 细胞生物学
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第一作者:
第一作者机构: [1]Sun Yat Sen Univ, Affiliated Hui Zhou Municipal Cent Hosp, Dept Med Oncol, Sun Yat Sen Mem Hosp, Huizhou 516000, Guangdong, Peoples R China; [2]Sun Yat Sen Mem Hosp, Training Base Masters, Sun Yat Sen Mem Hosp, Huizhou 516000, Guangdong, Peoples R China; [3]Sun Yat Sen Univ, Ctr Canc, Dept Med Oncol, Guangzhou 510000, Guangdong, Peoples R China;
通讯作者:
通讯机构: [1]Sun Yat Sen Univ, Affiliated Hui Zhou Municipal Cent Hosp, Dept Med Oncol, Sun Yat Sen Mem Hosp, Huizhou 516000, Guangdong, Peoples R China; [2]Sun Yat Sen Mem Hosp, Training Base Masters, Sun Yat Sen Mem Hosp, Huizhou 516000, Guangdong, Peoples R China; [3]Sun Yat Sen Univ, Ctr Canc, Dept Med Oncol, Guangzhou 510000, Guangdong, Peoples R China;
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