PMID- 33107987 OWN - NLM STAT- MEDLINE DCOM- 20210407 LR - 20210407 IS - 1531-4995 (Electronic) IS - 0023-852X (Linking) VI - 131 IP - 4 DP - 2021 Apr TI - Prognostic Impact of Tumor-Infiltrating Lymphocytes in Laryngeal Squamous Cell Carcinoma Patients. PG - E1249-E1255 LID - 10.1002/lary.29196 [doi] AB - OBJECTIVES/HYPOTHESIS: Tumor-infiltrating lymphocytes (TILs) has been shown to be associated with the prognosis of many tumors, yet few studies have investigated their roles in laryngeal squamous cell carcinoma (LSCC). We aim to investigate the prognostic values of tumor-infiltrating CD3(+) /CD4(+) /CD8(+) /Foxp3(+) T-cells and neutrophils in LSCC patients that received total or partial laryngectomy. STUDY DESIGN: Retrospective case series of LSCC patients who underwent total or partial laryngectomy from 2013 to 2014 at Eye, Ear, Nose, and Throat Hospital of Fudan University. METHODS: In our study, 41 tumor tissues from patients with LSCC were retrospectively assessed using immunohistochemistry for CD3(+) /CD4(+) /CD8(+) /Foxp3(+) T-cells and CD66b(+) neutrophils. Overall survival (OS) and disease-free survival (DFS) were recorded using Kaplan-Meier methods. RESULTS: Generally, patients with high density of TILs (CD3, CD4, CD8) showed improved OS or DFS. Specifically, high density of CD3(+) TILs were associated with better OS, yet poorer OS and DFS for CD66b(+) neutrophils. Patients with an Immunoscore of 0-1 experienced the worst OS and DFS, compared with Immunoscore 2-4 (P = .0111 for OS, P = .0391 for DFS). In Cox proportional hazards analysis adjusted for N stage and T stage, only stroma CD66b(+) neutrophils densities were able to predict OS, with odds ratios of 4.819 (95% confidence interval [CI] 1.149-20.206; P = .032*), and DFS 2.888 (95% CI 1.043-7.997; P = .041*). CONCLUSIONS: The density of TILs and CD66b(+) neutrophils may help predict the prognosis of patients with LSCC after surgery. LEVEL OF EVIDENCE: 3 Laryngoscope, 131:E1249-E1255, 2021. CI - (c) 2020 American Laryngological, Rhinological and Otological Society Inc, "The Triological Society" and American Laryngological Association (ALA). FAU - Zhang, Duo AU - Zhang D AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, Shanghai, People's Republic of China. AD - Department of Pudong Hospital, Fudan University School of Medicine, Shanghai, People's Republic of China. FAU - Tang, Di AU - Tang D AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, Shanghai, People's Republic of China. AD - Department of Pudong Hospital, Fudan University School of Medicine, Shanghai, People's Republic of China. FAU - Heng, Yu AU - Heng Y AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, Shanghai, People's Republic of China. AD - Department of Pudong Hospital, Fudan University School of Medicine, Shanghai, People's Republic of China. FAU - Zhu, Xiao-Ke AU - Zhu XK AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, Shanghai, People's Republic of China. AD - Department of Pudong Hospital, Fudan University School of Medicine, Shanghai, People's Republic of China. FAU - Zhou, Liang AU - Zhou L AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, Shanghai, People's Republic of China. AD - Department of Pudong Hospital, Fudan University School of Medicine, Shanghai, People's Republic of China. FAU - Tao, Lei AU - Tao L AUID- ORCID: 0000-0003-3384-9396 AD - Department of Otolaryngology-HNS, Eye, Ear, Nose and Throat Hospital, Shanghai Key Clinical Disciplines of Otorhinolaryngology, Fudan University School of Medicine, Shanghai, People's Republic of China. AD - Department of Pudong Hospital, Fudan University School of Medicine, Shanghai, People's Republic of China. FAU - Lu, Li-Ming AU - Lu LM AD - Shanghai Institute of Immunology, Shanghai Jiaotong University School of Medicine, Shanghai, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201027 PL - United States TA - Laryngoscope JT - The Laryngoscope JID - 8607378 SB - IM MH - Aged MH - Carcinoma, Squamous Cell/*immunology/mortality/pathology/surgery MH - Female MH - Humans MH - Laryngeal Neoplasms/*immunology/mortality/pathology/surgery MH - Laryngectomy MH - *Lymphocytes, Tumor-Infiltrating MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Neutrophil Infiltration MH - Prognosis MH - Retrospective Studies MH - Survival Rate OTO - NOTNLM OT - CD3 OT - CD66b OT - CD8 OT - Tumor-infiltrating lymphocytes OT - laryngeal squamous cell carcinoma EDAT- 2020/10/28 06:00 MHDA- 2021/04/10 06:00 CRDT- 2020/10/27 12:14 PHST- 2020/02/19 00:00 [received] PHST- 2020/09/13 00:00 [revised] PHST- 2020/10/08 00:00 [accepted] PHST- 2020/10/28 06:00 [pubmed] PHST- 2021/04/10 06:00 [medline] PHST- 2020/10/27 12:14 [entrez] AID - 10.1002/lary.29196 [doi] PST - ppublish SO - Laryngoscope. 2021 Apr;131(4):E1249-E1255. doi: 10.1002/lary.29196. Epub 2020 Oct 27.