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Tumour-infiltrating lymphocytes do not predict survival in human papillomavirus-associated oropharyngeal squamous cell carcinoma: a single institution retrospective review

Title: Tumour-infiltrating lymphocytes do not predict survival in human papillomavirus-associated oropharyngeal squamous cell carcinoma: a single institution retrospective review
Authors: Fitzsimons, Michael; O'Flanagan, Grace; Brennan, Shane; O'Driscoll, Hannah; Kennedy, Susan; Timon, Conrad; Woods, Robbie Seton Rowan
Source: The Journal of Laryngology & Otology ; page 1-6 ; ISSN 0022-2151 1748-5460
Publisher Information: Cambridge University Press (CUP)
Publication Year: 2026
Description: Objective Human papillomavirus (HPV) associated oropharyngeal squamous cell carcinoma (OPSCC) exhibits a favourable prognosis compared to non-HPV OPCSCC. Tumour infiltrating lymphocytes (TILs) may predict better survival outcomes for patients with HPV+OPSCC. Methods A retrospective review of patients treated for HPV+OPSCC between 2003-2018. TIL density scores for each patient’s tumour specimen were determined. Patients were categorised as TIL-Hi or TIL-Lo. Survival outcomes for the two TIL groups were compared. Results Fifty-seven patients, 33 in the TIL-Hi group, were included. 5-year overall survival was 81.8% in the TIL-Hi and 75% in the TIL-Lo groups. 5-year disease specific survival was 87.9% and 87.5%, respectively. There was no statistically significant difference in survival outcomes between TIL-Hi and TIL-Lo. Conclusion TIL density in HPV+OPSCC has been reported to predict survival outcomes. This is not supported by the findings of this study. Further prospective evaluation with a standardised scoring technique may fully elicit the prognostic value of TILs in HPV+OPSCC.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1017/s0022215126104538
Availability: https://doi.org/10.1017/s0022215126104538; https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0022215126104538
Rights: http://creativecommons.org/licenses/by/4.0
Accession Number: edsbas.385516A0
Database: BASE