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Related Concept Videos

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  2. Research Domains
  3. Biomedical And Clinical Sciences
  4. Oncology And Carcinogenesis
  5. Predictive And Prognostic Markers
  6. Prognostic Significance Of Cd3+ And Cd8+ T-cells Immunoscore In Renal Cell Carcinoma: A Comparison Between Two Simple Models For Assessment.
  1. Home
  2. Research Domains
  3. Biomedical And Clinical Sciences
  4. Oncology And Carcinogenesis
  5. Predictive And Prognostic Markers
  6. Prognostic Significance Of Cd3+ And Cd8+ T-cells Immunoscore In Renal Cell Carcinoma: A Comparison Between Two Simple Models For Assessment.

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Prognostic significance of CD3+ and CD8+ T-cells immunoscore in renal cell carcinoma: A comparison between two simple models for assessment.

Amira Emad Elwy1, Mahmoud Ismail Nassar2, Shimaa Hassan Shaban1

  • 1Department of Pathology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.

Annals of Diagnostic Pathology
|October 30, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

The immunoscore (ISc) indicates worse survival in renal cell carcinoma (RCC) patients. High ISc predicts recurrence, aiding personalized treatment strategies and improving prognostic accuracy.

Keywords:
CD3 +CD8+ImmunoscorePrognosis

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Area of Science:

  • Oncology
  • Immunology
  • Pathology

Background:

  • The immunoscore (ISc) is a prognostic indicator in various solid tumors.
  • Its role in renal cell carcinoma (RCC) requires further investigation.
  • This study evaluates the prognostic value of ISc using CD3+ and CD8+ T cells in RCC.

Purpose of the Study:

  • To ascertain the prognostic value of the immunoscore (ISc) in non-metastatic renal cell carcinoma (RCC) patients.
  • To analyze the association between ISc and clinicopathological factors, including survival.
  • To explore a modified quantification method for immune cells to improve clinical utility.

Main Methods:

  • 115 non-metastatic RCC patients undergoing nephrectomy were included.
  • ISc was determined by quantifying CD3+ and CD8+ T cells (cell count/mm² and % of cells/mm²) at tumor margins and center.
Renal cell carcinoma
  • Statistical analyses correlated ISc with clinicopathological characteristics and survival outcomes.
  • Main Results:

    • High ISc was significantly associated with adverse clinicopathological factors.
    • Patients with high ISc exhibited significantly worse overall survival (OS) and disease-free survival (DFS) (p < 0.001).
    • High ISc predicted shortened DFS in univariate analysis but was a dependent predictor in multivariate analysis.

    Conclusions:

    • High ISc is a potential predictor of recurrence in RCC patients.
    • ISc may guide personalized treatment strategies for improved patient care.
    • A modified, automated quantification method (% of cells/mm²) offers a simpler, more efficient, and clinically meaningful approach for routine ISc assessment.