PMID- 37462760 OWN - NLM STAT- Publisher LR - 20230810 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) DP - 2023 Jul 18 TI - Programmed death-ligand 1 and tumor-infiltrating lymphocytes (TILs) - low TIL density may predict poorer long-term prognosis in T1 laryngeal cancer. LID - 10.1007/s00428-023-03586-7 [doi] AB - We evaluated the prognostic role of programmed death-ligand 1 (PD-L1) and tumor-infiltrating lymphocytes (TILs) in T1 glottic laryngeal squamous cell carcinoma (LSCC). T1 glottic LSCC patients (n = 174) treated at five Finnish university hospitals between 2003 and 2013 were included. Tissue microarray (TMA) blocks were used for PD-L1 immunohistochemistry. TILs were scored from intratumoral and stromal regions in whole tissue sections. Of 174 patients, 92 (53%) had negative, 66 (38%) intermediate, and 16 (9%) high PD-L1 levels. Of 80 patients whose TILs were analyzed, 50 (63%) had low and 30 (38%) high stromal TIL density. Patients with a local recurrence or a new primary tumor of the larynx had lower TIL density than had other patients (p = 0.047). High PD-L1 expression with low stromal TIL density was associated with inferior 5-year disease-specific survival (85% vs. 100%, p = 0.02). In conclusion, in patients treated for T1 glottic LSCC, low stromal TIL density was associated with local recurrences and new primary tumors of the larynx. High PD-L1 expression with low stromal TIL density may be associated with worse survival in T1 glottic LSCC. CI - (c) 2023. The Author(s). FAU - Pakkanen, Pihla AU - Pakkanen P AUID- ORCID: 0000-0002-0009-8146 AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. pihla.pakkanen@helsinki.fi. FAU - Ilmarinen, Taru AU - Ilmarinen T AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. FAU - Halme, Elina AU - Halme E AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Tampere and Tampere University Hospital, Tampere, Finland. FAU - Irjala, Heikki AU - Irjala H AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Turku and Turku University Hospital, Turku, Finland. FAU - Koivunen, Petri AU - Koivunen P AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Oulu and Oulu University Hospital, Oulu, Finland. FAU - Pukkila, Matti AU - Pukkila M AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland. FAU - Ventela, Sami AU - Ventela S AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Turku and Turku University Hospital, Turku, Finland. FAU - Almangush, Alhadi AU - Almangush A AD - Department of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. FAU - Birkman, Eva-Maria AU - Birkman EM AD - Department of Pathology, University of Turku and Turku University Hospital, Turku, Finland. FAU - Lindgren, Outi AU - Lindgren O AD - Department of Pathology, University of Oulu and Oulu University Hospital, Oulu, Finland. FAU - Pohjolainen, Virva AU - Pohjolainen V AD - Fimlab Laboratories, Department of Pathology, Tampere University Hospital, Tampere, Finland. FAU - Sjoblom, Nelli AU - Sjoblom N AD - Department of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. FAU - Haglund, Caj AU - Haglund C AD - Department of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. AD - Department of Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. FAU - Hagstrom, Jaana AU - Hagstrom J AD - Department of Pathology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. AD - Department of Oral Pathology and Radiology, University of Turku, Turku, Finland. FAU - Aaltonen, Leena-Maija AU - Aaltonen LM AD - Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. LA - eng PT - Journal Article DEP - 20230718 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 SB - IM EIN - Virchows Arch. 2023 Aug 9;:. PMID: 37555983 OTO - NOTNLM OT - Early laryngeal cancer OT - Prognosis OT - Programmed death-ligand 1 OT - T1 glottic cancer OT - Tumor-infiltrating lymphocytes EDAT- 2023/07/18 13:08 MHDA- 2023/07/18 13:08 CRDT- 2023/07/18 11:07 PHST- 2023/03/08 00:00 [received] PHST- 2023/06/25 00:00 [accepted] PHST- 2023/05/26 00:00 [revised] PHST- 2023/07/18 13:08 [pubmed] PHST- 2023/07/18 13:08 [medline] PHST- 2023/07/18 11:07 [entrez] AID - 10.1007/s00428-023-03586-7 [pii] AID - 10.1007/s00428-023-03586-7 [doi] PST - aheadofprint SO - Virchows Arch. 2023 Jul 18. doi: 10.1007/s00428-023-03586-7.