Automated Assessment of the Area of Infiltration by CD8+ Cells in Gastric Carcinoma and Areas of Normal Mucosa as a Significant Prognostic Factor

Bull Exp Biol Med. 2023 Aug;175(4):508-512. doi: 10.1007/s10517-023-05896-x. Epub 2023 Sep 28.

Abstract

In 139 patients with verified gastric cancer, the infiltration of the postoperative material with CD8+ cells was analyzed. Automated morphometric analysis of immunostained slides was performed separately in different specimen sites (tumor center, invasive edge, and peritumoral mucosa). The mean area of infiltrating CD8+ cells in the tumor center and in the invasive edge was not predictive, while in the peritumoral mucosa it provided a new negative predictive factor (hazard ratio 2.10; confidence interval 0.87-4.92, Cox regression) reliably associated with the TNM stage (hazard ratio 1.91; confidence interval 0.91-4.61, Cox regression).

Keywords: T lymphocytes; gastric cancer; immune microenvironment; morphometry; prognostic markers.

MeSH terms

  • CD8-Positive T-Lymphocytes / pathology
  • Carcinoma* / pathology
  • Humans
  • Lymphocytes, Tumor-Infiltrating / pathology
  • Prognosis
  • Stomach Neoplasms* / diagnosis
  • Stomach Neoplasms* / pathology