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Tumor Microenvironment-Based Risk Stratification of Oropharyngeal Squamous Cell Carcinoma




TekijätAlmangush, Alhadi; Jouhi, Lauri; Haglund, Caj; Hagström, Jaana; Mäkitie, Antti A.; Leivo, Ilmo

KustantajaWiley

Julkaisuvuosi2025

JournalHead and Neck

Tietokannassa oleva lehden nimiHead & neck

Lehden akronyymiHead Neck

Vuosikerta47

Numero2

Aloitussivu599

Lopetussivu605

ISSN1043-3074

eISSN1097-0347

DOIhttps://doi.org/10.1002/hed.27945

Verkko-osoitehttps://doi.org/10.1002/hed.27945

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/458302398


Tiivistelmä

BACKGROUND: Evaluation of the prognostic impact of tumor microenvironment (TME) has received attention in recent years. We introduce a TME-based risk stratification for oropharyngeal squamous cell carcinoma (OPSCC).

MATERIAL AND METHODS: A total of 182 patients treated for OPSCC at the Helsinki University Hospital were included. TME-based risk stratification was designed combining tumor-stroma ratio and stromal tumor-infiltrating lymphocytes assessed in hematoxylin and eosin-stained sections.

RESULTS: In multivariable analysis, TME-based risk stratification associated with poor disease-free survival with a hazard ratio (HR) of 2.68 (95% CI 1.11-6.48, p = 0.029). In addition, the proposed risk stratification was associated with poor disease-specific survival (HR 2.687, 95% CI 1.28-5.66, p = 0.009) and poor overall survival (HR 2.21, 95% CI 1.23-3.99, p = 0.008).

CONCLUSION: Our TME-based risk stratification provides a powerful prognostic tool that can be used in daily treatment planning of OPSCC together with tumor-related prognostic markers.


Ladattava julkaisu

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Julkaisussa olevat rahoitustiedot
This work was supported by Finnish Cancer Society, Turku University Hospital Fund, Finska Läkaresällskapet, Maritza and Reino Salonen Foundation, K. Albin Johansson Foundation, the Finnish Dental Society Apollonia, Helsinki University Hospital Research Fund, and Sigrid Jusélius Foundation.


Last updated on 2025-27-03 at 13:18