View : 127 Download: 0

Prognostic Significance of Tumor-Infiltrating Lymphocytes and High-Risk Human Papillomavirus in Ocular Sebaceous Carcinoma: A Comprehensive Analysis

Title
Prognostic Significance of Tumor-Infiltrating Lymphocytes and High-Risk Human Papillomavirus in Ocular Sebaceous Carcinoma: A Comprehensive Analysis
Authors
JeongSe UnSongJoon SeonLeeHee JinSaHo-SeokChoKyung-Ja
Ewha Authors
정세운
SCOPUS Author ID
정세운scopus
Issue Date
2024
Journal Title
Modern Pathology
ISSN
0893-3952JCR Link
Citation
Modern Pathology vol. 37, no. 4
Keywords
carcinomahumanhuman papillomavirus viruseslymphocytesprognosissebaceous gland neoplasmsskin appendagetumor-infiltratingZNF750 protein
Publisher
Elsevier B.V.
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
High-risk human papillomavirus (hrHPV) and tumor-infiltrating lymphocytes (TILs) are known to have prognostic significance in oropharyngeal squamous cell carcinoma. However, their significance in ocular sebaceous carcinoma (OSC) remains unverified because of the rarity of the condition. This study aimed to investigate the association between clinicopathologic features, biomarkers, and hrHPV infection and their potential to predict prognosis in OSC patients. We analyzed the clinicopathologic features of 81 OSC patients from Asan Medical Center between 2000 and 2022. Seventeen biomarkers and hrHPV were examined using immunohistochemistry and DNA in situ hybridization on tissue microarray cores. hrHPV was identified in 31 cases (38.3%). Univariate analysis revealed that hrHPV infection was associated with comedonecrosis (P =.032), high Ki-67 labeling index (≥30%, P =.042), lower expression of E-cadherin (P =.033), and loss of expression of zinc finger protein 750 (P =.023). Multivariate analysis revealed that loss of expression of zinc finger protein 750 (P =.026) remained an independently associated factor for hrHPV. Progression-free survival analysis was performed on 28 patients who were continuously observed for more than 5 years. During a median follow-up duration of 86 months, recurrence or metastasis developed in 14 patients (50%) within the survival cohort, occurring at a median time of 48 months after excision. Univariate analysis indicated that recurrence or metastasis was associated with tumor size (P =.010), high TILs (≥10%; P =.025), lymphovascular invasion (P = 0.043), site of origin (P =.025), and high expression of bcl-2-associated athanogene 3 (P =.039). Multivariate analysis demonstrated that high TILs (P =.017) and site of origin (P =.025) were independent prognostic factors. The prognosis of OSC was hrHPV-independent, and a better prognosis was associated with the site of origin in the order of the gland of Zeis, meibomian gland, and multicentric site, as well as with high TILs. © 2024
DOI
10.1016/j.modpat.2024.100449
Appears in Collections:
의료원 > 의료원 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

BROWSE