Dynamics of Tumor-Infiltrating Lymphocytes as Indicators of Neoadjuvant Therapy Response in Luminal Breast Cancer - Summary - MDSpire

Dynamics of Tumor-Infiltrating Lymphocytes as Indicators of Neoadjuvant Therapy Response in Luminal Breast Cancer

  • By

  • Esma Uguztemur

  • Merve Dogan

  • February 27, 2026

  • 0 min

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Objective:

To evaluate the association of baseline stromal TIL levels and delta-TIL with pCR and progression-free survival (PFS) in patients with luminal breast cancer treated with neoadjuvant chemotherapy, highlighting their significance in treatment outcomes.

Key Findings:
  • Higher baseline TIL levels were associated with improved response to NAC.
  • Delta-TIL may provide additional prognostic information beyond classical pathological parameters.
  • The independent prognostic significance of TIL dynamics in HR+/HER2− breast cancer remains controversial, particularly regarding its impact on treatment decisions.
Interpretation:

Dynamic changes in TIL levels during therapy may correlate with treatment response and survival outcomes, suggesting a need for further research in HR+/HER2− breast cancer to inform clinical practice.

Limitations:
  • The study is retrospective and may be subject to selection bias, potentially affecting the reliability of the findings.
  • Limited sample size may affect the generalizability of findings to broader populations.
  • Variability in TIL assessment methods could influence results, complicating comparisons across studies.
Conclusion:

Further investigation is warranted to clarify the relationship between TIL dynamics and clinical outcomes in HR+/HER2− breast cancer, with potential implications for personalized treatment strategies.

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