Association of PD-L1 Expression with Lymph Node Metastasis and Clinical Stage in Ampulla of Vater Cancer: An Observational Study

  • 0Department of Surgery, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.

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Summary

This summary is machine-generated.

Programmed Death-Ligand 1 (PD-L1) expression is common in ampulla of Vater cancer. PD-L1 positivity correlates with advanced clinical stage and lymph node metastasis, suggesting its potential as a prognostic marker.

Area Of Science

  • Oncology
  • Immunology
  • Gastroenterology

Background

  • Ampulla of Vater cancer is a periampullary malignancy originating from pancreatic and bile ducts.
  • Programmed Death-Ligand 1 (PD-L1) plays a key role in cancer progression, immune evasion, and the tumor microenvironment.

Purpose Of The Study

  • To investigate the association between PD-L1 expression and clinical characteristics in ampulla of Vater cancer patients.

Main Methods

  • Retrospective observational study including 44 patients with ampulla of Vater cancer.
  • PD-L1 expression assessed via immunohistochemistry.
  • Clinicopathological data analyzed using chi-square, Mann-Whitney, and independent t-tests.

Main Results

  • PD-L1 expression was positive in 59.1% of patients.
  • PD-L1 positivity was significantly associated with lymph node involvement (p=0.042) and advanced clinical stage (p=0.017).
  • No significant association found with age, sex, histopathological grade, or distant metastasis.

Conclusions

  • PD-L1 expression in ampulla of Vater cancer is linked to increased lymph node metastasis and advanced clinical stage.
  • PD-L1 may serve as a prognostic biomarker and a potential therapeutic target for this cancer subtype.