Biochemotherapy of metastatic malignant melanoma. Predictive value of tumour-infiltrating lymphocytes
2001

Predicting Response to Biochemotherapy in Melanoma

Sample size: 41 publication Evidence: moderate

Author Information

Author(s): Håkansson A, Gustafsson B, Krysander L, Hjelmqvist B, Rettrup B, Håkansson L

Primary Institution: University Hospital, Linköping

Hypothesis

Can the presence of tumour-infiltrating CD4+ lymphocytes predict the therapeutic effect of biochemotherapy in metastatic malignant melanoma?

Conclusion

The presence of CD4+ lymphocytes in melanoma metastases is significantly correlated with better treatment responses and longer survival times in patients undergoing biochemotherapy.

Supporting Evidence

  • A statistically significant correlation was found between the occurrence of CD4+ lymphocytes and tumour regression during biochemotherapy.
  • 12 out of 14 patients with moderate to high numbers of infiltrating CD4+ lymphocytes achieved tumour regression.
  • Patients with moderate to high numbers of CD4+ lymphocytes had significantly longer time to progression and overall survival compared to those with low numbers.

Takeaway

Doctors can look for certain immune cells in melanoma patients to see if they are likely to benefit from a specific cancer treatment.

Methodology

The study analyzed fine-needle aspirates from melanoma metastases to identify CD4+ lymphocytes and correlated their presence with treatment outcomes.

Participant Demographics

25 patients with systemic and 16 with regional metastatic melanoma

Statistical Information

P-Value

P = 0.01

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.2001.2169

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