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Cancer classification using the Immunoscore: a worldwide task force
Jérôme Galon1, Franck Pagès, Francesco M Marincola
1INSERM, U872, Laboratory of Integrative Cancer Immunology, Paris, F-75006, France. jerome.galon@crc.jussieu.fr
Journal of Translational Medicine
|October 5, 2012
Summary
The Immunoscore, an assessment of the immune system
Area of Science:
- Oncology
- Immunology
- Pathology
Background:
- Traditional cancer staging (AJCC/UICC-TNM) has limitations in predicting clinical outcome and therapy response.
- The host immune system plays a critical role in controlling tumor progression.
- Existing staging lacks prognostic information beyond tumor burden and spread.
Purpose of the Study:
- To highlight the prognostic and predictive value of immunological biomarkers in cancer.
- To advocate for the integration of the Immunoscore into traditional cancer classification.
- To address the need for harmonization in quantitative immunohistochemistry assays.
Main Methods:
- Review of accumulating data from large human cancer cohorts.
- Analysis of the impact of immune-classification on prognosis.
- Discussion of an international task force initiative for Immunoscore validation.
Main Results:
- Immune-classification demonstrates significant prognostic value, potentially augmenting the AJCC/UICC TNM-classification.
- The Immunoscore can provide essential prognostic and predictive information.
- Immunophenotyping of tumors offers crucial novel prognostic insights.
Conclusions:
- Incorporating the Immunoscore into cancer classification (TNM-I) will enhance clinical decision-making and patient treatment stratification.
- Assay harmonization is urgently required for the routine clinical application of the Immunoscore.
- The validation of the Immunoscore may lead to its implementation as a new standard in cancer classification.
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