Additional 5-μm FFPE slides were stained for clinical PD-L1 scoring using the SP142 assay (Ventana Medical Systems Inc., Tucson, AZ, USA). ICs were scored by two blinded pathologists using published guidelines [6, 20], reported as the proportion of tumor area occupied by PD-L1-staining ICs of any intensity. PD-L1 was scored using the recommended standardized cutoffs (IC0- < 1%, IC1- ≥ 1% to < 5%, IC2 ≥ 5% to 10%, and IC3 ≥ 10%) [6]. In metastatic TNBC, anti-PD-L1 therapy (atezolizumab) is approved in combination with nab-paclitaxel for the treatment of PD-L1 tumors, which corresponds with scores of IC1-IC3 [1, 2]. To serve as internal control for sTIL and PD-L1 score, a contemporary cohort of untreated stage I-III biopsy and matched surgical resection samples (n = 14) were analyzed for PD-L1 and sTIL score.
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