The relationship between T-lymphocyte infiltration, stage, tumour grade and survival in patients undergoing curative surgery for renal cell cancer
2003

T-lymphocyte Infiltration and Survival in Renal Cancer

Sample size: 73 publication Evidence: moderate

Author Information

Author(s): Bromwich E J, McArdle P A, Canna K, McMillan D C, McNicol A-M, Brown M, Aitchison M

Primary Institution: Gartnavel General Hospital, Glasgow

Hypothesis

The study aims to examine the relationship between tumour stage, grade, T-lymphocyte subset infiltration and survival in patients who had undergone potentially curative surgery for renal clear-cell cancer.

Conclusion

Increased intratumoural CD4+ T-lymphocyte infiltrate was associated with poor cancer-specific survival in patients with renal clear-cell cancer.

Supporting Evidence

  • Increased CD4+ T-lymphocyte infiltration was associated with poorer cancer-specific survival.
  • Patients with higher tumour grades had worse outcomes.
  • The study included patients who underwent potentially curative surgery.

Takeaway

The more CD4+ T-lymphocytes found in kidney cancer tumors, the worse the patients did after surgery.

Methodology

Patients with histologically proven renal clear-cell cancer who underwent potentially curative surgery were included, and T-lymphocyte infiltration was assessed using immunohistochemistry.

Potential Biases

Potential observer bias in the assessment of T-lymphocyte infiltration.

Limitations

The study may not generalize to all renal cancer patients as it was conducted in a specific population.

Participant Demographics

The majority of patients were male, with a mix of age groups and stages of renal cancer.

Statistical Information

P-Value

0.005

Confidence Interval

95% CI 1.64–15.52

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1038/sj.bjc.6601400

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