CD8+肿瘤浸润淋巴细胞与乳腺癌预后的关系
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何建明, Email: sghejianming@163.com

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广东省医学科研课题项目资助(A2011646)。


Relationship between CD8+ tumor-infiltrating lymphocytes and prognosis in breast cancer
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    摘要:

    目的:探讨CD8+肿瘤浸润淋巴细胞(TIL)与乳腺癌患者临床病理特征及生存期的关系。 方法:用免疫组化法检测112例乳腺癌肿瘤切片CD8+ TIL的表达;根据表达情况将患者分为CD8+ TIL阳性组与CD8+ TIL阴性组,分析CD8+ TIL与临床病理特征及生存期的关系。 结果:乳腺癌标本中CD8+ TIL阳性率为32.14%(36/112)。统计分析显示,CD8+ TIL的表达在肿瘤分化程度、TNM分期及组织学分类的组间差异有统计学意义(χ2=6.277,P=0.043;χ2=3.963,P=0.047;χ2=4.299,P=0.038);CD8+ TIL阳性组5年生存率明显高于CD8+ TIL阴性组(88.89% vs. 71.05%;χ2=4.360,P=0.037);Log-rank检验表明CD8+ TIL阳性组总生存率明显高于CD8+ TIL阴性组(P=0.043)。 结论:乳腺癌组织CD8+ TIL可以作为患者预后的指标,癌组织中CD8+ TIL低密度浸润提示预后不良。

    Abstract:

    Objective: To investigate the relations of CD8+ tumor-infiltrating lymphocytes (TILs) in breast cancer patients with their clinicopathologic features and survival outcomes. Methods: The CD8+ TILs expression in embedded tissue sections from 122 breast cancer patients was detected by immunohistochemical staining. According to the CD8+ TILs expression status, patients were divided into CD8+ TILs positive group and CD8+ TILs negative group, and the relations of CD8+ TILs with clinicopathologic features and survival outcomes were analyzed. Results: Among the specimens, the positive rate of CD8+ TILs expression was 32.14% (36/112). Statistical analysis showed that the differences in CD8+ TILs expression had statistical significance between or among the groups divided by degree of differentiation (χ2=6.277, P=0.043), TNM stage (χ2=3.963, P=0.047), and histological classification (χ2=4.299, P=0.038). The 5-year survival of CD8+ TILs positive group was significantly higher than that of CD8+ TILs negative group (88.89% vs. 71.05%, χ2=4.360, P=0.037). Log-rank test showed that the overall survival of CD8+ TILs positive group was significantly higher than that of CD8+ TILs negative group (P=0.043). Conclusion: CD8+ TILs can be used as a prognostic index for breast cancer patients and low infiltration of CD8+ TILs in tumor tissue may predict a poor outcome.

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何建明|黄湛|吴家豪|黄伟|胡可锦. CD8+肿瘤浸润淋巴细胞与乳腺癌预后的关系[J].中国普通外科杂志,2013,22(11):1475-1478.
DOI:10.7659/j. issn.1005-6947.2013.11.021

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  • 收稿日期:2013-07-26
  • 最后修改日期:2013-10-11
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  • 在线发布日期: 2013-11-15