首页|Luminal型乳腺癌中PD-L1、CD8+T淋巴细胞的表达特点及预测价值

Luminal型乳腺癌中PD-L1、CD8+T淋巴细胞的表达特点及预测价值

The application value of ultrasound in the diagnosis of common bile duct stones and its related factors were analyzed

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目的 讨论Luminal型乳腺癌中PD-L1、CD8+ T淋巴细胞的表达特点及预测价值.方法 收集 2022 年 1 月至 2023 年 10 月于本院治疗的Luminal型乳腺癌病例共 54 例.收集患者临床资料(年龄、家族史、合并症等),病理资料(TNM分期、PR%、病理学分级等),使用Cox生存分析判断生存的独立因素.结果 Luminal型乳腺癌患者CD8+ T表达在绝经状态、肿瘤分期、Ki-67 方面有统计学差异,肿瘤细胞中程序性死亡配体 1(programmed death ligand 1,PD-L1)的表达与TNM分期、TIL评分、PR%、Ki-67、分子分型相关,肿瘤浸润淋巴细胞(tumor infiltrating lymphocytes,TILs)中PD-L1 的表达TNM分期、TIL评分、PR%、Ki-67、分子分型、ER%相关,CD8+ T表达与肿瘤细胞、TILs中PD-L1的表达有统计学差异,Luminal型乳腺癌患者生存的独立危险因素包括PR%、IC评分、Ki-67 和病理学分级.结论 CD8+ T淋巴细胞抑制Lu-minal型乳腺癌的增殖和转移,PD-L1 在TILs中的表达、PR%、Ki-67 和病理学分级对Luminal型乳腺癌患者的生存预后具有一定的预测价值.
Objective To discuss the expression characteristics and predictive value of PD-L1 and CD8+ T lymphocytes in Luminal type breast cancer.Methods A total of 54 cases of Luminal type breast cancer treated in our hospital from January 2022 to October 2023 were collected.Clinical data(age,family history,comorbidities,etc.),pathologic data(TNM stage,PR%,pathologic grading,etc.)were collected,and independent factors of survival were determined using Cox survival analysis.Results CD8+ T expression in Luminal type breast cancer patients was statistically different in terms of menopausal status,tumor stage,Ki-67,and programmed death ligand 1(PD-L1)in tumor cells expression in tumor cells correlated with TNM stage,TIL score,PR%,Ki-67,molecular typing,PD-L1 expression in tumor infiltrating lymphocytes(TILs)TNM stage,TIL score,PR%,Ki-67,molecular typing,ER%,and CD8+ T expression correlated with tumor cells,PD-L1 expression in TILs was statistically different,and independent risk factors for survival in patients with Luminal type breast cancer included PR%,IC score,Ki-67,and pathologic grading.Conclusion CD8+ T lymphocytes inhibited proliferation and metastasis of Luminal-type breast cancer,and PD-L1 expression in TILs,PR%,Ki-67,and pathologic grade had predictive value for survival prognosis of Luminal-type breast cancer patients.

Luminal breast cancerPD-L1tumor cellTumor infiltrating lymphocytesPredictive value

杨筱绯、王路军、吴桔红

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313300 安吉,浙江省安吉县人民医院

浙江省龙游县人民医院

Luminal型乳腺癌 PD-L1 肿瘤细胞 肿瘤浸润淋巴细胞 预测价值

浙江省湖州市科技局项目

2022GY57

2024

浙江创伤外科
温州医学院

浙江创伤外科

影响因子:0.884
ISSN:1009-7147
年,卷(期):2024.29(4)
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