Immunological Tumor Microenvironment of Solitary Fibrous Tumors-Associating Immune Infiltrate with Variables of Prognostic Significance

  • 0Pathology Department, Hospital Clínico Universitario de Valencia, 46010 Valencia, Spain.

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Summary

This summary is machine-generated.

Solitary fibrous tumors (SFTs) have a variable prognosis. Immune microenvironment markers in SFTs showed prognostic significance but did not correlate with established risk stratification systems.

Area Of Science

  • Oncology
  • Immunology
  • Pathology

Background

  • Solitary fibrous tumors (SFTs) are rare neoplasms with heterogeneous clinical behavior.
  • While most SFTs have favorable outcomes, some exhibit aggressive progression, recurrence, and metastasis.
  • The prognostic role of the tumor microenvironment in SFTs remains incompletely understood.

Purpose Of The Study

  • To investigate the prognostic value of the immunological tumor microenvironment (ITME) in SFTs.
  • To assess the correlation between ITME components and established risk stratification systems (RSSs).

Main Methods

  • Retrospective analysis of 52 fusion-confirmed SFTs with clinical follow-up.
  • Immunohistochemical evaluation of immune cell markers (CD163, CD68, CD3, CD8, CD20, PD-L1, PD-1, LAG-1) and Ki67.
  • Correlation of ITME markers with clinical outcomes, morphology, and RSSs.

Main Results

  • Only one of 52 SFTs showed progression, which had high immune infiltrate (CD68, CD163, CD8, CD20).
  • Immune cell presence did not correlate with assessed RSSs (Demicco, Sugita, G-score, Huang).
  • Round-oval cell morphology associated with CD163+ macrophages; CD20+ lymphocytes correlated with less necrosis; PD-L1 expression linked to higher Ki67.

Conclusions

  • SFT immunological tumor microenvironment components correlate with independent prognostic variables.
  • The ITME did not demonstrate correlation with current risk stratification systems for SFTs.