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ESMO 2025 | How can tumor lymphoid structures guide treatment in sarcomas?

Florent Peyraud, MD, PhD, Institut Bergonié, Bordeaux, France, discusses the potential of tumor lymphoid structures (TLS) as a biomarker to guide therapeutic strategies for patients with sarcomas, highlighting its promise in predicting response to checkpoint inhibitors and improving quality of life. Current treatment options for sarcomas are limited, with few targeted therapies available, and TLS could offer a new approach to identifying patients who may benefit from immune checkpoint inhibitors. This interview took place at the European Society for Medical Oncology (ESMO) 2025 Congress in Berlin, Germany.

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Transcript

We are convinced that looking at TLS within tumors in a routine could change the therapeutic strategies for patients with sarcomas. We have only limited options for sarcomas and depending on the histotype, there is only a few targeted therapies like VEGFR inhibitors or palliative chemotherapies. Using the TLS as a biomarker offers the possibility of a good response to immune checkpoint inhibition and some patients also have long responses, so also a good quality of life...

We are convinced that looking at TLS within tumors in a routine could change the therapeutic strategies for patients with sarcomas. We have only limited options for sarcomas and depending on the histotype, there is only a few targeted therapies like VEGFR inhibitors or palliative chemotherapies. Using the TLS as a biomarker offers the possibility of a good response to immune checkpoint inhibition and some patients also have long responses, so also a good quality of life. So this is a really interesting strategy for these patients.

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