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Towards the introduction of the ‘Immunoscore’ in the classification of malignant tumours

2013· review· en· 1,347 citations· W1859257957 on OpenAlex· 10.1002/path.4287

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A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

Canadian affiliationAn author listed a Canadian institution. This is the only route the usual frame has.

Machine scores (provisional)

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

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Opus teacher head0.076
GPT teacher head0.344
Teacher spread
0.269 · how far apart the two teachers sit on this one work
Validation status
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Abstract

The American Joint Committee on Cancer/Union Internationale Contre le Cancer (AJCC/UICC) TNM staging system provides the most reliable guidelines for the routine prognostication and treatment of colorectal carcinoma. This traditional tumour staging summarizes data on tumour burden (T), the presence of cancer cells in draining and regional lymph nodes (N) and evidence for distant metastases (M). However, it is now recognized that the clinical outcome can vary significantly among patients within the same stage. The current classification provides limited prognostic information and does not predict response to therapy. Multiple ways to classify cancer and to distinguish different subtypes of colorectal cancer have been proposed, including morphology, cell origin, molecular pathways, mutation status and gene expression-based stratification. These parameters rely on tumour-cell characteristics. Extensive literature has investigated the host immune response against cancer and demonstrated the prognostic impact of the in situ immune cell infiltrate in tumours. A methodology named 'Immunoscore' has been defined to quantify the in situ immune infiltrate. In colorectal cancer, the Immunoscore may add to the significance of the current AJCC/UICC TNM classification, since it has been demonstrated to be a prognostic factor superior to the AJCC/UICC TNM classification. An international consortium has been initiated to validate and promote the Immunoscore in routine clinical settings. The results of this international consortium may result in the implementation of the Immunoscore as a new component for the classification of cancer, designated TNM-I (TNM-Immune).

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The record

Venue
The Journal of Pathology
Topic
Cancer Immunotherapy and Biomarkers
Field
Medicine
Canadian institutions
Princess Margaret Cancer CentreUniversity Health NetworkOntario Institute for Cancer Research
Funders
National Cancer InstituteLabex Immuno-OncologyCancer Research InstituteQatar National Research FundInstitut National de la Santé et de la Recherche MédicaleInstitut National Du CancerAssistance publique-Hôpitaux de ParisFonds National de la Recherche LuxembourgEuropean CommissionPathological Society of Great Britain and IrelandNational Center for Advancing Translational SciencesJapan Association for Chemical InnovationSociety for Immunotherapy of Cancer
Keywords
MedicineOncologyColorectal cancerCancer stagingCancerStage (stratigraphy)Internal medicineImmune systemTNM staging systemNeoplasm stagingImmunologyBiology
Has abstract in OpenAlex
yes