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Dense tumor‐infiltrating lymphocytes (TILs) in liver metastasis from colorectal cancer are related to improved overall survival
Abstract Background and Objectives Tumor‐infiltrating lymphocytes (TILs) represent a host‐tumor interaction, frequently signifying an augmented immunological response. Nonetheless, implications with survival outcomes in patients with colorectal carcinoma liver metastasis (CRLM) warrant rigorous vali...
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Published in: | Journal of surgical oncology 2024-07 |
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creator | Vaz da Silva, Diego Greatti de Ribeiro, Heber Salvador de Castro dos Santos, Gabriel Oliveira Lindote, Marcus Vitor Nunes Torres, Silvio Mello Diniz, Alessandro Lansdskron de Godoy, André Luiz de Farias, Igor Correia Felismino, Tiago Cordeiro da Costa Junior, Wilson Luiz Coimbra, Felipe José Fernández |
description | Abstract Background and Objectives Tumor‐infiltrating lymphocytes (TILs) represent a host‐tumor interaction, frequently signifying an augmented immunological response. Nonetheless, implications with survival outcomes in patients with colorectal carcinoma liver metastasis (CRLM) warrant rigorous validation. The objective was to demonstrate the association between TILs and survival in patients with CRLM. Method In a retrospective evaluation conducted in a single institution, we assessed all patients who underwent hepatectomy due to CRLM between 2014 and 2018. Comprehensive medical documentation reviews were executed. TILs were assessed by a liver pathologist, blinded to the clinical information, in all surgical slides. Results This retrospective cohort included 112 patients. Median overall survival (OS) was 58 months and disease‐free survival (DFS) was 12 months for the entire cohort. Comparison between groups showed a median OS of 81 months in the dense TILs group and 40 months in the weak/absent group ( p = 0.001), and DFS was 14 months versus 9 months ( p = 0.041). Multivariable analysis showed that TILs were an independent predictor of OS (HR 1.95; p = 0.031). Conclusions Dense TILs are a pivotal prognostic indicator, correlating with enhanced OS. Including TILs information in histopathological evaluations should refine the clinical decision‐making process for this group of patients. |
doi_str_mv | 10.1002/jso.27759 |
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Nonetheless, implications with survival outcomes in patients with colorectal carcinoma liver metastasis (CRLM) warrant rigorous validation. The objective was to demonstrate the association between TILs and survival in patients with CRLM. Method In a retrospective evaluation conducted in a single institution, we assessed all patients who underwent hepatectomy due to CRLM between 2014 and 2018. Comprehensive medical documentation reviews were executed. TILs were assessed by a liver pathologist, blinded to the clinical information, in all surgical slides. Results This retrospective cohort included 112 patients. Median overall survival (OS) was 58 months and disease‐free survival (DFS) was 12 months for the entire cohort. Comparison between groups showed a median OS of 81 months in the dense TILs group and 40 months in the weak/absent group ( p = 0.001), and DFS was 14 months versus 9 months ( p = 0.041). Multivariable analysis showed that TILs were an independent predictor of OS (HR 1.95; p = 0.031). Conclusions Dense TILs are a pivotal prognostic indicator, correlating with enhanced OS. Including TILs information in histopathological evaluations should refine the clinical decision‐making process for this group of patients.</description><identifier>ISSN: 0022-4790</identifier><identifier>ISSN: 1096-9098</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.27759</identifier><language>eng</language><ispartof>Journal of surgical oncology, 2024-07</ispartof><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c152t-65bd18f7b3e0f79e9a06cee9788f24cdf72c90adcf7a98daaef4c4d4531720853</cites><orcidid>0000-0003-4460-4706 ; 0000-0002-4085-2668 ; 0000-0002-3412-7451 ; 0000-0001-7274-3602</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids></links><search><creatorcontrib>Vaz da Silva, Diego Greatti</creatorcontrib><creatorcontrib>de Ribeiro, Heber Salvador de Castro</creatorcontrib><creatorcontrib>dos Santos, Gabriel Oliveira</creatorcontrib><creatorcontrib>Lindote, Marcus Vitor Nunes</creatorcontrib><creatorcontrib>Torres, Silvio Mello</creatorcontrib><creatorcontrib>Diniz, Alessandro Lansdskron</creatorcontrib><creatorcontrib>de Godoy, André Luiz</creatorcontrib><creatorcontrib>de Farias, Igor Correia</creatorcontrib><creatorcontrib>Felismino, Tiago Cordeiro</creatorcontrib><creatorcontrib>da Costa Junior, Wilson Luiz</creatorcontrib><creatorcontrib>Coimbra, Felipe José Fernández</creatorcontrib><title>Dense tumor‐infiltrating lymphocytes (TILs) in liver metastasis from colorectal cancer are related to improved overall survival</title><title>Journal of surgical oncology</title><description>Abstract Background and Objectives Tumor‐infiltrating lymphocytes (TILs) represent a host‐tumor interaction, frequently signifying an augmented immunological response. Nonetheless, implications with survival outcomes in patients with colorectal carcinoma liver metastasis (CRLM) warrant rigorous validation. The objective was to demonstrate the association between TILs and survival in patients with CRLM. Method In a retrospective evaluation conducted in a single institution, we assessed all patients who underwent hepatectomy due to CRLM between 2014 and 2018. Comprehensive medical documentation reviews were executed. TILs were assessed by a liver pathologist, blinded to the clinical information, in all surgical slides. Results This retrospective cohort included 112 patients. Median overall survival (OS) was 58 months and disease‐free survival (DFS) was 12 months for the entire cohort. Comparison between groups showed a median OS of 81 months in the dense TILs group and 40 months in the weak/absent group ( p = 0.001), and DFS was 14 months versus 9 months ( p = 0.041). Multivariable analysis showed that TILs were an independent predictor of OS (HR 1.95; p = 0.031). Conclusions Dense TILs are a pivotal prognostic indicator, correlating with enhanced OS. Including TILs information in histopathological evaluations should refine the clinical decision‐making process for this group of patients.</description><issn>0022-4790</issn><issn>1096-9098</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNotkM1KAzEQx4MoWKsH3yDH9rA12a9sjlK_CgUv9bxMsxNNyW5qkl3oTd_AZ_RJXK0wzPxhfgzDj5BrzhacsfRmF9wiFaKQJ2TCmSwTyWR1SibjLk1yIdk5uQhhxxiTsswn5PMOu4A09q3z3x9fptPGRg_RdK_UHtr9m1OHiIHONqt1mFPTUWsG9LTFCGEsE6j2rqXKWedRRbBUQadGAjxSjxYiNjQ6atq9d8OYx-bBWhp6P5gB7CU502ADXv3PKXl5uN8sn5L18-NqebtOFC_SmJTFtuGVFtsMmRYSJbBSIUpRVTrNVaNFqiSDRmkBsmoAUOcqb_Ii4yJlVZFNyex4d_zjvccQ69YEhdZCh64PdcZEzrOCleWIzo-o8i4Ej7ree9OCP9Sc1b-a61Fz_ac5-wFTHHTp</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Vaz da Silva, Diego Greatti</creator><creator>de Ribeiro, Heber Salvador de Castro</creator><creator>dos Santos, Gabriel Oliveira</creator><creator>Lindote, Marcus Vitor Nunes</creator><creator>Torres, Silvio Mello</creator><creator>Diniz, Alessandro Lansdskron</creator><creator>de Godoy, André Luiz</creator><creator>de Farias, Igor Correia</creator><creator>Felismino, Tiago Cordeiro</creator><creator>da Costa Junior, Wilson Luiz</creator><creator>Coimbra, Felipe José Fernández</creator><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4460-4706</orcidid><orcidid>https://orcid.org/0000-0002-4085-2668</orcidid><orcidid>https://orcid.org/0000-0002-3412-7451</orcidid><orcidid>https://orcid.org/0000-0001-7274-3602</orcidid></search><sort><creationdate>202407</creationdate><title>Dense tumor‐infiltrating lymphocytes (TILs) in liver metastasis from colorectal cancer are related to improved overall survival</title><author>Vaz da Silva, Diego Greatti ; de Ribeiro, Heber Salvador de Castro ; dos Santos, Gabriel Oliveira ; Lindote, Marcus Vitor Nunes ; Torres, Silvio Mello ; Diniz, Alessandro Lansdskron ; de Godoy, André Luiz ; de Farias, Igor Correia ; Felismino, Tiago Cordeiro ; da Costa Junior, Wilson Luiz ; Coimbra, Felipe José Fernández</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c152t-65bd18f7b3e0f79e9a06cee9788f24cdf72c90adcf7a98daaef4c4d4531720853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vaz da Silva, Diego Greatti</creatorcontrib><creatorcontrib>de Ribeiro, Heber Salvador de Castro</creatorcontrib><creatorcontrib>dos Santos, Gabriel Oliveira</creatorcontrib><creatorcontrib>Lindote, Marcus Vitor Nunes</creatorcontrib><creatorcontrib>Torres, Silvio Mello</creatorcontrib><creatorcontrib>Diniz, Alessandro Lansdskron</creatorcontrib><creatorcontrib>de Godoy, André Luiz</creatorcontrib><creatorcontrib>de Farias, Igor Correia</creatorcontrib><creatorcontrib>Felismino, Tiago Cordeiro</creatorcontrib><creatorcontrib>da Costa Junior, Wilson Luiz</creatorcontrib><creatorcontrib>Coimbra, Felipe José Fernández</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vaz da Silva, Diego Greatti</au><au>de Ribeiro, Heber Salvador de Castro</au><au>dos Santos, Gabriel Oliveira</au><au>Lindote, Marcus Vitor Nunes</au><au>Torres, Silvio Mello</au><au>Diniz, Alessandro Lansdskron</au><au>de Godoy, André Luiz</au><au>de Farias, Igor Correia</au><au>Felismino, Tiago Cordeiro</au><au>da Costa Junior, Wilson Luiz</au><au>Coimbra, Felipe José Fernández</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dense tumor‐infiltrating lymphocytes (TILs) in liver metastasis from colorectal cancer are related to improved overall survival</atitle><jtitle>Journal of surgical oncology</jtitle><date>2024-07</date><risdate>2024</risdate><issn>0022-4790</issn><issn>1096-9098</issn><eissn>1096-9098</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Abstract Background and Objectives Tumor‐infiltrating lymphocytes (TILs) represent a host‐tumor interaction, frequently signifying an augmented immunological response. Nonetheless, implications with survival outcomes in patients with colorectal carcinoma liver metastasis (CRLM) warrant rigorous validation. The objective was to demonstrate the association between TILs and survival in patients with CRLM. Method In a retrospective evaluation conducted in a single institution, we assessed all patients who underwent hepatectomy due to CRLM between 2014 and 2018. Comprehensive medical documentation reviews were executed. TILs were assessed by a liver pathologist, blinded to the clinical information, in all surgical slides. Results This retrospective cohort included 112 patients. Median overall survival (OS) was 58 months and disease‐free survival (DFS) was 12 months for the entire cohort. Comparison between groups showed a median OS of 81 months in the dense TILs group and 40 months in the weak/absent group ( p = 0.001), and DFS was 14 months versus 9 months ( p = 0.041). Multivariable analysis showed that TILs were an independent predictor of OS (HR 1.95; p = 0.031). Conclusions Dense TILs are a pivotal prognostic indicator, correlating with enhanced OS. Including TILs information in histopathological evaluations should refine the clinical decision‐making process for this group of patients.</abstract><doi>10.1002/jso.27759</doi><orcidid>https://orcid.org/0000-0003-4460-4706</orcidid><orcidid>https://orcid.org/0000-0002-4085-2668</orcidid><orcidid>https://orcid.org/0000-0002-3412-7451</orcidid><orcidid>https://orcid.org/0000-0001-7274-3602</orcidid></addata></record> |
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title | Dense tumor‐infiltrating lymphocytes (TILs) in liver metastasis from colorectal cancer are related to improved overall survival |
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