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11360

Predictive and Prognostic Impact of Tumor-Infiltrating Lymphocytes (CD8+) In Breast Cancer Treated With Neoadjuvant Chemotherapy

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Last updated: 03 Jan 2025

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Abstract

Background and Objectives: the use of neoadjuvant chemotherapy (NAC) in breast cancer induces a pCR in only 30–35% of patients. We can't depend only on clinical and pathological factors to distinguish the patients who have no chance of a pCR or not. Moreover, the NAC scenario is the perfect setting to study possible changes in TIL levels. Tumor-infiltrating lymphocytes (TIL) (CD) 8+ are essential components of tumor-specific cellular adaptive immunity. However, only few studies have addressed the significance of (CD8+) TIL in patients with breast cancer. Patients and Methods: we assessed the stromal and intratumral TIL, CD+8 in pretreatment core biopsy by immuohistochemistry (IHC) in 45 patients with breast cancer received neoadjuvant anthracyclin and docetaxel chemotherapy. CD8 classified into high or low according to the inter quartile range. Tumors with ≥ 50% intratumoral or stromal lymphocytes were designated lymphocyte predominant breast cancer (LPBC). Results: we found statistically significant correlation with high CD8 and DFS and smaller tumor residual (95% CI, 18.6-22.9; P= 0.01) and (p=0.003) respectively. But there was no significant difference regarding pCR or OS between high and low groups. Conclusion: this study confirmed that the CD8 TIL is an important prognostic and predictive factor in breast cancer.

DOI

10.21608/ejhm.2018.11360

Keywords

breast cancer, CD8, Tumor infiltrating lymphocytes

Authors

First Name

Zeinab Mohammed Abdel-Hafeez

Last Name

Elsayed

MiddleName

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Affiliation

Department of Clinical Oncology and Nuclear Medicine, Ain Shams University

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Orcid

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First Name

Mohammad Sabry

Last Name

Elkady

MiddleName

-

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Ain Shams University

Email

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Orcid

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First Name

Waleed Abd

Last Name

Elmmonem Biomy

MiddleName

-

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Mai Mohamed Ali

Last Name

Ezz El Din

MiddleName

-

Affiliation

Department of Clinical Oncology and Nuclear Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Manal Mohamed

Last Name

El Mahdy

MiddleName

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Affiliation

Department of Clinical Pathology Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Tag Ibrahim

Last Name

Omran

MiddleName

-

Affiliation

Maadi Armed Forces Medical Compound

Email

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City

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Orcid

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First Name

Radwa Mohamed

Last Name

Sabra

MiddleName

-

Affiliation

Maadi Armed Forces Medical Compound

Email

radwahamed7@gmail.com

City

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Orcid

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Volume

72

Article Issue

10

Related Issue

2135

Issue Date

2018-07-01

Receive Date

2018-08-18

Publish Date

2018-08-18

Page Start

5,466

Page End

5,469

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_11360.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=11360

Order

22

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Predictive and Prognostic Impact of Tumor-Infiltrating Lymphocytes (CD8+) In Breast Cancer Treated With Neoadjuvant Chemotherapy

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Type

Article

Created At

22 Jan 2023