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Skok, K; Maccio, U; Martin, SD; Bräutigam, K.
Tumor-Infiltrating Lymphocytes in Breast and Female Genital Tract Cancers: Overlooked Potential and Unexplored Frontiers.
Cancer Med. 2025; 14(13): e71023 Doi: 10.1002/cam4.71023 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Skok Kristijan
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Abstract:
BACKGROUND: The growing success of cancer immunotherapies has led to significant advances in oncology. However, despite these promising developments, cancer-related mortality remains high for common cancer types such as breast and lower female genital tract cancers. METHOD: Here, we synthesize recent findings on the prognostic relevance of tumor-infiltrating lymphocytes (TILs) in breast, endometrial, tubo-ovarian, and vulvar cancer. Our analysis covers the relationship between TIL counts and density, immune cell subtype combinations, immunotherapy approaches, and patient outcomes. RESULTS: High TIL infiltration, especially CD8+ T-cells, generally correlates with improved outcomes such as in endometrial cancer (especially the POLE-ultramutated subgroup), invasive breast cancer, and ovarian epithelial tumors. However, in ductal carcinoma in situ (DCIS) of the breast, elevated TIL counts are linked to a worse prognosis. Ethnicity, the tumor microenvironment (TME), and molecular profiles further complicate the prognostic utility of TILs. CONCLUSIONS: TIL-based therapies have shown potential in personalized immunotherapy, particularly in recurrent, refractory ovarian cancer. Limited research on rarer gynecologic tumors hinders broader clinical applications.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Female - administration & dosage
Lymphocytes, Tumor-Infiltrating - immunology, metabolism
Breast Neoplasms - immunology, therapy, pathology, mortality
Tumor Microenvironment - immunology
Genital Neoplasms, Female - immunology, therapy, pathology, mortality
Prognosis - administration & dosage
Immunotherapy - methods

Find related publications in this database (Keywords)
breast cancer
endometrial cancer
fallopian tube
immunotherapy
ovarian cancer
review
tumor microenvironment (TME)
tumor-infiltrating lymphocytes (TILs)
vulvar cancer
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