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Tumor-Infiltrating Lymphocyte Grade in Primary Melanomas Is Independently Associated With Melanoma-Specific Survival in the Population-Based Genes, Environment and Melanoma Study

Identifieur interne : 000631 ( PascalFrancis/Corpus ); précédent : 000630; suivant : 000632

Tumor-Infiltrating Lymphocyte Grade in Primary Melanomas Is Independently Associated With Melanoma-Specific Survival in the Population-Based Genes, Environment and Melanoma Study

Auteurs : Nancy E. Thomas ; Klaus J. Busam ; Lynn From ; Anne Kricker ; Bruce K. Armstrong ; Hoda Anton-Culver ; Stephen B. Gruber ; Richard P. Gallagher ; Roberto Zanetti ; Stefano Rosso ; Terence Dwyer ; Alison Venn ; Peter A. Kanetsky ; Pamela A. Groben ; HONGLIN HAO ; Irene Orlow ; Anne S. Reiner ; LI LUO ; Susan Paine ; David W. Ollila ; Homer Wilcox ; Colin B. Begg ; Marianne Berwick

Source :

RBID : Pascal:14-0010513

Descripteurs français

English descriptors

Abstract

Purpose Although most hospital-based studies suggest more favorable survival with tumor-infiltrating lymphocytes (TILs) present in primary melanomas, it is uncertain whether TILs provide prognostic information beyond existing melanoma staging definitions. We addressed the issue in an international population-based study of patients with single and multiple primary melanomas. Patients and Methods On the basis of the Genes, Environment and Melanoma (GEM) study, we conducted follow-up of 2,845 patients diagnosed from 1998 to 2003 with 3,330 invasive primary melanomas centrally reviewed for TIL grade (absent, nonbrisk, or brisk). The odds of TIL grades associated with clinicopathologic features and survival by TIL grade were examined. Results Independent predictors (P< .05) for nonbrisk TIL grade were site, histologic subtype, and Breslow thickness, and for brisk TIL grade, they were age, site, Breslow thickness, and radial growth phase. Nonbrisk and brisk TIL grades were each associated with lower American Joint Committee on Cancer (AJCC) tumor stage compared with TIL absence (Ptrend < .001). Death as a result of melanoma was 30% less with nonbrisk TIL grade (hazard ratio [HR], 0.7; 95% CI, 0.5 to 1.0) and 50% less with brisk TIL grade (HR, 0.5; 95% CI, 0.3 to 0.9) relative to TIL absence, adjusted for age, sex, site, and AJCC tumor stage. Conclusion At the population level, higher TIL grade of primary melanoma is associated with a lower risk of death as a result of melanoma independently of tumor characteristics currently used for AJCC tumor stage. We conclude that TIL grade deserves further prospective investigation to determine whether it should be included in future AJCC staging revisions.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0732-183X
A03   1    @0 J. clin. oncol.
A05       @2 31
A06       @2 33
A08 01  1  ENG  @1 Tumor-Infiltrating Lymphocyte Grade in Primary Melanomas Is Independently Associated With Melanoma-Specific Survival in the Population-Based Genes, Environment and Melanoma Study
A11 01  1    @1 THOMAS (Nancy E.)
A11 02  1    @1 BUSAM (Klaus J.)
A11 03  1    @1 FROM (Lynn)
A11 04  1    @1 KRICKER (Anne)
A11 05  1    @1 ARMSTRONG (Bruce K.)
A11 06  1    @1 ANTON-CULVER (Hoda)
A11 07  1    @1 GRUBER (Stephen B.)
A11 08  1    @1 GALLAGHER (Richard P.)
A11 09  1    @1 ZANETTI (Roberto)
A11 10  1    @1 ROSSO (Stefano)
A11 11  1    @1 DWYER (Terence)
A11 12  1    @1 VENN (Alison)
A11 13  1    @1 KANETSKY (Peter A.)
A11 14  1    @1 GROBEN (Pamela A.)
A11 15  1    @1 HONGLIN HAO
A11 16  1    @1 ORLOW (Irene)
A11 17  1    @1 REINER (Anne S.)
A11 18  1    @1 LI LUO
A11 19  1    @1 PAINE (Susan)
A11 20  1    @1 OLLILA (David W.)
A11 21  1    @1 WILCOX (Homer)
A11 22  1    @1 BEGG (Colin B.)
A11 23  1    @1 BERWICK (Marianne)
A14 01      @1 University of North Carolina @2 Chapel Hill, NC @3 USA @Z 1 aut. @Z 14 aut. @Z 15 aut. @Z 20 aut.
A14 02      @1 Memorial Sloan-Kettering Cancer Center @2 New York, NY @3 USA @Z 2 aut. @Z 16 aut. @Z 17 aut. @Z 22 aut.
A14 03      @1 Women's College Hospital @2 Toronto, Ontario @3 CAN @Z 3 aut.
A14 04      @1 British Columbia Cancer Research Centre @2 Vancouver, British Columbia @3 CAN @Z 8 aut.
A14 05      @1 The University of Sydney @2 Sydney, New South Wales @3 AUS @Z 4 aut. @Z 5 aut.
A14 06      @1 Menzies Research Institute @2 Tasmania @3 AUS @Z 12 aut.
A14 07      @1 University of California @2 Irvine @3 USA @Z 6 aut.
A14 08      @1 University of Southern California @2 Los Angeles, CA @3 USA @Z 7 aut.
A14 09      @1 Center for Cancer Prevention @2 Torino @3 ITA @Z 9 aut. @Z 10 aut.
A14 10      @1 International Agency for Research on Cancer @2 Lyon @3 FRA @Z 11 aut.
A14 11      @1 University of Pennsylvania @2 Philadelphia, PA @3 USA @Z 13 aut.
A14 12      @1 University of New Mexico @2 Albuquerque, NM @3 USA @Z 18 aut. @Z 19 aut. @Z 23 aut.
A14 13      @1 New Jersey Department of Health @2 Trenton, NJ @3 USA @Z 21 aut.
A20       @1 4252-4259
A21       @1 2013
A23 01      @0 ENG
A43 01      @1 INIST @2 20094 @5 354000507427000120
A44       @0 0000 @1 © 2014 INIST-CNRS. All rights reserved.
A45       @0 34 ref.
A47 01  1    @0 14-0010513
A60       @1 P
A61       @0 A
A64 01  1    @0 Journal of clinical oncology
A66 01      @0 USA
C01 01    ENG  @0 Purpose Although most hospital-based studies suggest more favorable survival with tumor-infiltrating lymphocytes (TILs) present in primary melanomas, it is uncertain whether TILs provide prognostic information beyond existing melanoma staging definitions. We addressed the issue in an international population-based study of patients with single and multiple primary melanomas. Patients and Methods On the basis of the Genes, Environment and Melanoma (GEM) study, we conducted follow-up of 2,845 patients diagnosed from 1998 to 2003 with 3,330 invasive primary melanomas centrally reviewed for TIL grade (absent, nonbrisk, or brisk). The odds of TIL grades associated with clinicopathologic features and survival by TIL grade were examined. Results Independent predictors (P< .05) for nonbrisk TIL grade were site, histologic subtype, and Breslow thickness, and for brisk TIL grade, they were age, site, Breslow thickness, and radial growth phase. Nonbrisk and brisk TIL grades were each associated with lower American Joint Committee on Cancer (AJCC) tumor stage compared with TIL absence (Ptrend < .001). Death as a result of melanoma was 30% less with nonbrisk TIL grade (hazard ratio [HR], 0.7; 95% CI, 0.5 to 1.0) and 50% less with brisk TIL grade (HR, 0.5; 95% CI, 0.3 to 0.9) relative to TIL absence, adjusted for age, sex, site, and AJCC tumor stage. Conclusion At the population level, higher TIL grade of primary melanoma is associated with a lower risk of death as a result of melanoma independently of tumor characteristics currently used for AJCC tumor stage. We conclude that TIL grade deserves further prospective investigation to determine whether it should be included in future AJCC staging revisions.
C02 01  X    @0 002B04C
C02 02  X    @0 002B08A
C03 01  X  FRE  @0 Mélanome malin @5 01
C03 01  X  ENG  @0 Malignant melanoma @5 01
C03 01  X  SPA  @0 Melanoma maligno @5 01
C03 02  X  FRE  @0 Lymphocyte infiltrant tumeur @5 02
C03 02  X  ENG  @0 Tumor infiltrating lymphocyte @5 02
C03 02  X  SPA  @0 Linfocito infiltrando tumor @5 02
C03 03  X  FRE  @0 Primaire @5 03
C03 03  X  ENG  @0 Primary @5 03
C03 03  X  SPA  @0 Primario @5 03
C03 04  X  FRE  @0 Association @5 05
C03 04  X  ENG  @0 Association @5 05
C03 04  X  SPA  @0 Asociación @5 05
C03 05  X  FRE  @0 Origine ethnique @5 06
C03 05  X  ENG  @0 Ethnic origin @5 06
C03 05  X  SPA  @0 Origen étnico @5 06
C03 06  X  FRE  @0 Survie @5 08
C03 06  X  ENG  @0 Survival @5 08
C03 06  X  SPA  @0 Sobrevivencia @5 08
C03 07  X  FRE  @0 Gène @5 09
C03 07  X  ENG  @0 Gene @5 09
C03 07  X  SPA  @0 Gen @5 09
C03 08  X  FRE  @0 Génétique @5 11
C03 08  X  ENG  @0 Genetics @5 11
C03 08  X  SPA  @0 Genética @5 11
C03 09  X  FRE  @0 Environnement @5 12
C03 09  X  ENG  @0 Environment @5 12
C03 09  X  SPA  @0 Medio ambiente @5 12
C03 10  X  FRE  @0 Cancérologie @5 17
C03 10  X  ENG  @0 Cancerology @5 17
C03 10  X  SPA  @0 Cancerología @5 17
C07 01  X  FRE  @0 Tumeur maligne @2 NM @5 37
C07 01  X  ENG  @0 Malignant tumor @2 NM @5 37
C07 01  X  SPA  @0 Tumor maligno @2 NM @5 37
C07 02  X  FRE  @0 Cancer @2 NM
C07 02  X  ENG  @0 Cancer @2 NM
C07 02  X  SPA  @0 Cáncer @2 NM
N21       @1 006
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 14-0010513 INIST
ET : Tumor-Infiltrating Lymphocyte Grade in Primary Melanomas Is Independently Associated With Melanoma-Specific Survival in the Population-Based Genes, Environment and Melanoma Study
AU : THOMAS (Nancy E.); BUSAM (Klaus J.); FROM (Lynn); KRICKER (Anne); ARMSTRONG (Bruce K.); ANTON-CULVER (Hoda); GRUBER (Stephen B.); GALLAGHER (Richard P.); ZANETTI (Roberto); ROSSO (Stefano); DWYER (Terence); VENN (Alison); KANETSKY (Peter A.); GROBEN (Pamela A.); HONGLIN HAO; ORLOW (Irene); REINER (Anne S.); LI LUO; PAINE (Susan); OLLILA (David W.); WILCOX (Homer); BEGG (Colin B.); BERWICK (Marianne)
AF : University of North Carolina/Chapel Hill, NC/Etats-Unis (1 aut., 14 aut., 15 aut., 20 aut.); Memorial Sloan-Kettering Cancer Center/New York, NY/Etats-Unis (2 aut., 16 aut., 17 aut., 22 aut.); Women's College Hospital/Toronto, Ontario/Canada (3 aut.); British Columbia Cancer Research Centre/Vancouver, British Columbia/Canada (8 aut.); The University of Sydney/Sydney, New South Wales/Australie (4 aut., 5 aut.); Menzies Research Institute/Tasmania/Australie (12 aut.); University of California/Irvine/Etats-Unis (6 aut.); University of Southern California/Los Angeles, CA/Etats-Unis (7 aut.); Center for Cancer Prevention/Torino/Italie (9 aut., 10 aut.); International Agency for Research on Cancer/Lyon/France (11 aut.); University of Pennsylvania/Philadelphia, PA/Etats-Unis (13 aut.); University of New Mexico/Albuquerque, NM/Etats-Unis (18 aut., 19 aut., 23 aut.); New Jersey Department of Health/Trenton, NJ/Etats-Unis (21 aut.)
DT : Publication en série; Niveau analytique
SO : Journal of clinical oncology; ISSN 0732-183X; Etats-Unis; Da. 2013; Vol. 31; No. 33; Pp. 4252-4259; Bibl. 34 ref.
LA : Anglais
EA : Purpose Although most hospital-based studies suggest more favorable survival with tumor-infiltrating lymphocytes (TILs) present in primary melanomas, it is uncertain whether TILs provide prognostic information beyond existing melanoma staging definitions. We addressed the issue in an international population-based study of patients with single and multiple primary melanomas. Patients and Methods On the basis of the Genes, Environment and Melanoma (GEM) study, we conducted follow-up of 2,845 patients diagnosed from 1998 to 2003 with 3,330 invasive primary melanomas centrally reviewed for TIL grade (absent, nonbrisk, or brisk). The odds of TIL grades associated with clinicopathologic features and survival by TIL grade were examined. Results Independent predictors (P< .05) for nonbrisk TIL grade were site, histologic subtype, and Breslow thickness, and for brisk TIL grade, they were age, site, Breslow thickness, and radial growth phase. Nonbrisk and brisk TIL grades were each associated with lower American Joint Committee on Cancer (AJCC) tumor stage compared with TIL absence (Ptrend < .001). Death as a result of melanoma was 30% less with nonbrisk TIL grade (hazard ratio [HR], 0.7; 95% CI, 0.5 to 1.0) and 50% less with brisk TIL grade (HR, 0.5; 95% CI, 0.3 to 0.9) relative to TIL absence, adjusted for age, sex, site, and AJCC tumor stage. Conclusion At the population level, higher TIL grade of primary melanoma is associated with a lower risk of death as a result of melanoma independently of tumor characteristics currently used for AJCC tumor stage. We conclude that TIL grade deserves further prospective investigation to determine whether it should be included in future AJCC staging revisions.
CC : 002B04C; 002B08A
FD : Mélanome malin; Lymphocyte infiltrant tumeur; Primaire; Association; Origine ethnique; Survie; Gène; Génétique; Environnement; Cancérologie
FG : Tumeur maligne; Cancer
ED : Malignant melanoma; Tumor infiltrating lymphocyte; Primary; Association; Ethnic origin; Survival; Gene; Genetics; Environment; Cancerology
EG : Malignant tumor; Cancer
SD : Melanoma maligno; Linfocito infiltrando tumor; Primario; Asociación; Origen étnico; Sobrevivencia; Gen; Genética; Medio ambiente; Cancerología
LO : INIST-20094.354000507427000120
ID : 14-0010513

Links to Exploration step

Pascal:14-0010513

Le document en format XML

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<name sortKey="Berwick, Marianne" sort="Berwick, Marianne" uniqKey="Berwick M" first="Marianne" last="Berwick">Marianne Berwick</name>
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<name sortKey="Armstrong, Bruce K" sort="Armstrong, Bruce K" uniqKey="Armstrong B" first="Bruce K." last="Armstrong">Bruce K. Armstrong</name>
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</inist:fA14>
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</inist:fA14>
</affiliation>
</author>
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<name sortKey="Gruber, Stephen B" sort="Gruber, Stephen B" uniqKey="Gruber S" first="Stephen B." last="Gruber">Stephen B. Gruber</name>
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<name sortKey="Gallagher, Richard P" sort="Gallagher, Richard P" uniqKey="Gallagher R" first="Richard P." last="Gallagher">Richard P. Gallagher</name>
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</author>
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<name sortKey="Zanetti, Roberto" sort="Zanetti, Roberto" uniqKey="Zanetti R" first="Roberto" last="Zanetti">Roberto Zanetti</name>
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<inist:fA14 i1="09">
<s1>Center for Cancer Prevention</s1>
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<name sortKey="Rosso, Stefano" sort="Rosso, Stefano" uniqKey="Rosso S" first="Stefano" last="Rosso">Stefano Rosso</name>
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<inist:fA14 i1="09">
<s1>Center for Cancer Prevention</s1>
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<sZ>9 aut.</sZ>
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<name sortKey="Dwyer, Terence" sort="Dwyer, Terence" uniqKey="Dwyer T" first="Terence" last="Dwyer">Terence Dwyer</name>
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<s1>International Agency for Research on Cancer</s1>
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</affiliation>
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<name sortKey="Venn, Alison" sort="Venn, Alison" uniqKey="Venn A" first="Alison" last="Venn">Alison Venn</name>
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<inist:fA14 i1="06">
<s1>Menzies Research Institute</s1>
<s2>Tasmania</s2>
<s3>AUS</s3>
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</affiliation>
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<name sortKey="Kanetsky, Peter A" sort="Kanetsky, Peter A" uniqKey="Kanetsky P" first="Peter A." last="Kanetsky">Peter A. Kanetsky</name>
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<inist:fA14 i1="11">
<s1>University of Pennsylvania</s1>
<s2>Philadelphia, PA</s2>
<s3>USA</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
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<name sortKey="Groben, Pamela A" sort="Groben, Pamela A" uniqKey="Groben P" first="Pamela A." last="Groben">Pamela A. Groben</name>
<affiliation>
<inist:fA14 i1="01">
<s1>University of North Carolina</s1>
<s2>Chapel Hill, NC</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
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</author>
<author>
<name sortKey="Honglin Hao" sort="Honglin Hao" uniqKey="Honglin Hao" last="Honglin Hao">HONGLIN HAO</name>
<affiliation>
<inist:fA14 i1="01">
<s1>University of North Carolina</s1>
<s2>Chapel Hill, NC</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>20 aut.</sZ>
</inist:fA14>
</affiliation>
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<author>
<name sortKey="Orlow, Irene" sort="Orlow, Irene" uniqKey="Orlow I" first="Irene" last="Orlow">Irene Orlow</name>
<affiliation>
<inist:fA14 i1="02">
<s1>Memorial Sloan-Kettering Cancer Center</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>22 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Reiner, Anne S" sort="Reiner, Anne S" uniqKey="Reiner A" first="Anne S." last="Reiner">Anne S. Reiner</name>
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<inist:fA14 i1="02">
<s1>Memorial Sloan-Kettering Cancer Center</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>22 aut.</sZ>
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<author>
<name sortKey="Li Luo" sort="Li Luo" uniqKey="Li Luo" last="Li Luo">LI LUO</name>
<affiliation>
<inist:fA14 i1="12">
<s1>University of New Mexico</s1>
<s2>Albuquerque, NM</s2>
<s3>USA</s3>
<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>23 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Paine, Susan" sort="Paine, Susan" uniqKey="Paine S" first="Susan" last="Paine">Susan Paine</name>
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<inist:fA14 i1="12">
<s1>University of New Mexico</s1>
<s2>Albuquerque, NM</s2>
<s3>USA</s3>
<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>23 aut.</sZ>
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</author>
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<name sortKey="Ollila, David W" sort="Ollila, David W" uniqKey="Ollila D" first="David W." last="Ollila">David W. Ollila</name>
<affiliation>
<inist:fA14 i1="01">
<s1>University of North Carolina</s1>
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<sZ>1 aut.</sZ>
<sZ>14 aut.</sZ>
<sZ>15 aut.</sZ>
<sZ>20 aut.</sZ>
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<name sortKey="Wilcox, Homer" sort="Wilcox, Homer" uniqKey="Wilcox H" first="Homer" last="Wilcox">Homer Wilcox</name>
<affiliation>
<inist:fA14 i1="13">
<s1>New Jersey Department of Health</s1>
<s2>Trenton, NJ</s2>
<s3>USA</s3>
<sZ>21 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Begg, Colin B" sort="Begg, Colin B" uniqKey="Begg C" first="Colin B." last="Begg">Colin B. Begg</name>
<affiliation>
<inist:fA14 i1="02">
<s1>Memorial Sloan-Kettering Cancer Center</s1>
<s2>New York, NY</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>22 aut.</sZ>
</inist:fA14>
</affiliation>
</author>
<author>
<name sortKey="Berwick, Marianne" sort="Berwick, Marianne" uniqKey="Berwick M" first="Marianne" last="Berwick">Marianne Berwick</name>
<affiliation>
<inist:fA14 i1="12">
<s1>University of New Mexico</s1>
<s2>Albuquerque, NM</s2>
<s3>USA</s3>
<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>23 aut.</sZ>
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<series>
<title level="j" type="main">Journal of clinical oncology</title>
<title level="j" type="abbreviated">J. clin. oncol.</title>
<idno type="ISSN">0732-183X</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
</series>
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<title level="j" type="main">Journal of clinical oncology</title>
<title level="j" type="abbreviated">J. clin. oncol.</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Association</term>
<term>Cancerology</term>
<term>Environment</term>
<term>Ethnic origin</term>
<term>Gene</term>
<term>Genetics</term>
<term>Malignant melanoma</term>
<term>Primary</term>
<term>Survival</term>
<term>Tumor infiltrating lymphocyte</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Mélanome malin</term>
<term>Lymphocyte infiltrant tumeur</term>
<term>Primaire</term>
<term>Association</term>
<term>Origine ethnique</term>
<term>Survie</term>
<term>Gène</term>
<term>Génétique</term>
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<div type="abstract" xml:lang="en">Purpose Although most hospital-based studies suggest more favorable survival with tumor-infiltrating lymphocytes (TILs) present in primary melanomas, it is uncertain whether TILs provide prognostic information beyond existing melanoma staging definitions. We addressed the issue in an international population-based study of patients with single and multiple primary melanomas. Patients and Methods On the basis of the Genes, Environment and Melanoma (GEM) study, we conducted follow-up of 2,845 patients diagnosed from 1998 to 2003 with 3,330 invasive primary melanomas centrally reviewed for TIL grade (absent, nonbrisk, or brisk). The odds of TIL grades associated with clinicopathologic features and survival by TIL grade were examined. Results Independent predictors (P< .05) for nonbrisk TIL grade were site, histologic subtype, and Breslow thickness, and for brisk TIL grade, they were age, site, Breslow thickness, and radial growth phase. Nonbrisk and brisk TIL grades were each associated with lower American Joint Committee on Cancer (AJCC) tumor stage compared with TIL absence (P
<sub>trend</sub>
< .001). Death as a result of melanoma was 30% less with nonbrisk TIL grade (hazard ratio [HR], 0.7; 95% CI, 0.5 to 1.0) and 50% less with brisk TIL grade (HR, 0.5; 95% CI, 0.3 to 0.9) relative to TIL absence, adjusted for age, sex, site, and AJCC tumor stage. Conclusion At the population level, higher TIL grade of primary melanoma is associated with a lower risk of death as a result of melanoma independently of tumor characteristics currently used for AJCC tumor stage. We conclude that TIL grade deserves further prospective investigation to determine whether it should be included in future AJCC staging revisions.</div>
</front>
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<s1>GROBEN (Pamela A.)</s1>
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<sZ>15 aut.</sZ>
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<s1>Memorial Sloan-Kettering Cancer Center</s1>
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<s3>USA</s3>
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<sZ>16 aut.</sZ>
<sZ>17 aut.</sZ>
<sZ>22 aut.</sZ>
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<s1>Women's College Hospital</s1>
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<sZ>8 aut.</sZ>
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<s1>The University of Sydney</s1>
<s2>Sydney, New South Wales</s2>
<s3>AUS</s3>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="06">
<s1>Menzies Research Institute</s1>
<s2>Tasmania</s2>
<s3>AUS</s3>
<sZ>12 aut.</sZ>
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<fA14 i1="07">
<s1>University of California</s1>
<s2>Irvine</s2>
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<fA14 i1="08">
<s1>University of Southern California</s1>
<s2>Los Angeles, CA</s2>
<s3>USA</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="09">
<s1>Center for Cancer Prevention</s1>
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<sZ>9 aut.</sZ>
<sZ>10 aut.</sZ>
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<s1>International Agency for Research on Cancer</s1>
<s2>Lyon</s2>
<s3>FRA</s3>
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<s1>University of Pennsylvania</s1>
<s2>Philadelphia, PA</s2>
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<s1>University of New Mexico</s1>
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<sZ>18 aut.</sZ>
<sZ>19 aut.</sZ>
<sZ>23 aut.</sZ>
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<s1>New Jersey Department of Health</s1>
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<s0>Purpose Although most hospital-based studies suggest more favorable survival with tumor-infiltrating lymphocytes (TILs) present in primary melanomas, it is uncertain whether TILs provide prognostic information beyond existing melanoma staging definitions. We addressed the issue in an international population-based study of patients with single and multiple primary melanomas. Patients and Methods On the basis of the Genes, Environment and Melanoma (GEM) study, we conducted follow-up of 2,845 patients diagnosed from 1998 to 2003 with 3,330 invasive primary melanomas centrally reviewed for TIL grade (absent, nonbrisk, or brisk). The odds of TIL grades associated with clinicopathologic features and survival by TIL grade were examined. Results Independent predictors (P< .05) for nonbrisk TIL grade were site, histologic subtype, and Breslow thickness, and for brisk TIL grade, they were age, site, Breslow thickness, and radial growth phase. Nonbrisk and brisk TIL grades were each associated with lower American Joint Committee on Cancer (AJCC) tumor stage compared with TIL absence (P
<sub>trend</sub>
< .001). Death as a result of melanoma was 30% less with nonbrisk TIL grade (hazard ratio [HR], 0.7; 95% CI, 0.5 to 1.0) and 50% less with brisk TIL grade (HR, 0.5; 95% CI, 0.3 to 0.9) relative to TIL absence, adjusted for age, sex, site, and AJCC tumor stage. Conclusion At the population level, higher TIL grade of primary melanoma is associated with a lower risk of death as a result of melanoma independently of tumor characteristics currently used for AJCC tumor stage. We conclude that TIL grade deserves further prospective investigation to determine whether it should be included in future AJCC staging revisions.</s0>
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<s5>02</s5>
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<s5>02</s5>
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<s5>03</s5>
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<s5>03</s5>
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<s0>Association</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Association</s0>
<s5>05</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Asociación</s0>
<s5>05</s5>
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<s0>Origine ethnique</s0>
<s5>06</s5>
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<s5>06</s5>
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<s5>06</s5>
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<s0>Survie</s0>
<s5>08</s5>
</fC03>
<fC03 i1="06" i2="X" l="ENG">
<s0>Survival</s0>
<s5>08</s5>
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<fC03 i1="06" i2="X" l="SPA">
<s0>Sobrevivencia</s0>
<s5>08</s5>
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<fC03 i1="07" i2="X" l="FRE">
<s0>Gène</s0>
<s5>09</s5>
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<fC03 i1="07" i2="X" l="ENG">
<s0>Gene</s0>
<s5>09</s5>
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<s0>Gen</s0>
<s5>09</s5>
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<fC03 i1="08" i2="X" l="FRE">
<s0>Génétique</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="ENG">
<s0>Genetics</s0>
<s5>11</s5>
</fC03>
<fC03 i1="08" i2="X" l="SPA">
<s0>Genética</s0>
<s5>11</s5>
</fC03>
<fC03 i1="09" i2="X" l="FRE">
<s0>Environnement</s0>
<s5>12</s5>
</fC03>
<fC03 i1="09" i2="X" l="ENG">
<s0>Environment</s0>
<s5>12</s5>
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<fC03 i1="09" i2="X" l="SPA">
<s0>Medio ambiente</s0>
<s5>12</s5>
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<fC03 i1="10" i2="X" l="FRE">
<s0>Cancérologie</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="ENG">
<s0>Cancerology</s0>
<s5>17</s5>
</fC03>
<fC03 i1="10" i2="X" l="SPA">
<s0>Cancerología</s0>
<s5>17</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Tumeur maligne</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Malignant tumor</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Tumor maligno</s0>
<s2>NM</s2>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Cancer</s0>
<s2>NM</s2>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Cáncer</s0>
<s2>NM</s2>
</fC07>
<fN21>
<s1>006</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
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<server>
<NO>PASCAL 14-0010513 INIST</NO>
<ET>Tumor-Infiltrating Lymphocyte Grade in Primary Melanomas Is Independently Associated With Melanoma-Specific Survival in the Population-Based Genes, Environment and Melanoma Study</ET>
<AU>THOMAS (Nancy E.); BUSAM (Klaus J.); FROM (Lynn); KRICKER (Anne); ARMSTRONG (Bruce K.); ANTON-CULVER (Hoda); GRUBER (Stephen B.); GALLAGHER (Richard P.); ZANETTI (Roberto); ROSSO (Stefano); DWYER (Terence); VENN (Alison); KANETSKY (Peter A.); GROBEN (Pamela A.); HONGLIN HAO; ORLOW (Irene); REINER (Anne S.); LI LUO; PAINE (Susan); OLLILA (David W.); WILCOX (Homer); BEGG (Colin B.); BERWICK (Marianne)</AU>
<AF>University of North Carolina/Chapel Hill, NC/Etats-Unis (1 aut., 14 aut., 15 aut., 20 aut.); Memorial Sloan-Kettering Cancer Center/New York, NY/Etats-Unis (2 aut., 16 aut., 17 aut., 22 aut.); Women's College Hospital/Toronto, Ontario/Canada (3 aut.); British Columbia Cancer Research Centre/Vancouver, British Columbia/Canada (8 aut.); The University of Sydney/Sydney, New South Wales/Australie (4 aut., 5 aut.); Menzies Research Institute/Tasmania/Australie (12 aut.); University of California/Irvine/Etats-Unis (6 aut.); University of Southern California/Los Angeles, CA/Etats-Unis (7 aut.); Center for Cancer Prevention/Torino/Italie (9 aut., 10 aut.); International Agency for Research on Cancer/Lyon/France (11 aut.); University of Pennsylvania/Philadelphia, PA/Etats-Unis (13 aut.); University of New Mexico/Albuquerque, NM/Etats-Unis (18 aut., 19 aut., 23 aut.); New Jersey Department of Health/Trenton, NJ/Etats-Unis (21 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Journal of clinical oncology; ISSN 0732-183X; Etats-Unis; Da. 2013; Vol. 31; No. 33; Pp. 4252-4259; Bibl. 34 ref.</SO>
<LA>Anglais</LA>
<EA>Purpose Although most hospital-based studies suggest more favorable survival with tumor-infiltrating lymphocytes (TILs) present in primary melanomas, it is uncertain whether TILs provide prognostic information beyond existing melanoma staging definitions. We addressed the issue in an international population-based study of patients with single and multiple primary melanomas. Patients and Methods On the basis of the Genes, Environment and Melanoma (GEM) study, we conducted follow-up of 2,845 patients diagnosed from 1998 to 2003 with 3,330 invasive primary melanomas centrally reviewed for TIL grade (absent, nonbrisk, or brisk). The odds of TIL grades associated with clinicopathologic features and survival by TIL grade were examined. Results Independent predictors (P< .05) for nonbrisk TIL grade were site, histologic subtype, and Breslow thickness, and for brisk TIL grade, they were age, site, Breslow thickness, and radial growth phase. Nonbrisk and brisk TIL grades were each associated with lower American Joint Committee on Cancer (AJCC) tumor stage compared with TIL absence (P
<sub>trend</sub>
< .001). Death as a result of melanoma was 30% less with nonbrisk TIL grade (hazard ratio [HR], 0.7; 95% CI, 0.5 to 1.0) and 50% less with brisk TIL grade (HR, 0.5; 95% CI, 0.3 to 0.9) relative to TIL absence, adjusted for age, sex, site, and AJCC tumor stage. Conclusion At the population level, higher TIL grade of primary melanoma is associated with a lower risk of death as a result of melanoma independently of tumor characteristics currently used for AJCC tumor stage. We conclude that TIL grade deserves further prospective investigation to determine whether it should be included in future AJCC staging revisions.</EA>
<CC>002B04C; 002B08A</CC>
<FD>Mélanome malin; Lymphocyte infiltrant tumeur; Primaire; Association; Origine ethnique; Survie; Gène; Génétique; Environnement; Cancérologie</FD>
<FG>Tumeur maligne; Cancer</FG>
<ED>Malignant melanoma; Tumor infiltrating lymphocyte; Primary; Association; Ethnic origin; Survival; Gene; Genetics; Environment; Cancerology</ED>
<EG>Malignant tumor; Cancer</EG>
<SD>Melanoma maligno; Linfocito infiltrando tumor; Primario; Asociación; Origen étnico; Sobrevivencia; Gen; Genética; Medio ambiente; Cancerología</SD>
<LO>INIST-20094.354000507427000120</LO>
<ID>14-0010513</ID>
</server>
</inist>
</record>

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