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ESMO 2025 | The emerging role of tertiary lymphoid structures as a sarcoma biomarker

Florent Peyraud, MD, PhD, Institut Bergonié, Bordeaux, France, provides an overview of the role of tertiary lymphoid structures (TLS) in tumors, which have been linked to a favorable prognosis in solid tumors. Studies have confirmed the association between TLS-positive tumors and improved outcomes with immunotherapy, leading to plans to use this biomarker to select patients with TLS-positive sarcomas for immunotherapy treatment. This interview took place at the European Society for Medical Oncology (ESMO) 2025 Congress in Berlin, Germany.

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Transcript

The tertiary lymphoid structure or TLS are lymphoid organs that form within tumors and they have been historically associated with a good prognosis in solid tumors. Recently in sarcomas, we identified the subpopulation of patients with TLS-positive tumors and different studies, retrospective studies, and then prospective trials confirm its role in responsiveness to immune checkpoint inhibition in soft tissue sarcomas...

The tertiary lymphoid structure or TLS are lymphoid organs that form within tumors and they have been historically associated with a good prognosis in solid tumors. Recently in sarcomas, we identified the subpopulation of patients with TLS-positive tumors and different studies, retrospective studies, and then prospective trials confirm its role in responsiveness to immune checkpoint inhibition in soft tissue sarcomas. So we intend to use this biomarker to offer immunotherapy to patients with TLS-positive sarcomas.

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