PDL1 and IDO-2 Immunohistochemistry in Bronchoalveolar Lavage Versus Bronchoscopic Biopsy of Non-Small Cell Lung Cancer

Faculty Medicine Year: 2026
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Cytopathology John Wiley & Sons Volume:
Keywords : PDL1 , IDO-2 Immunohistochemistry , Bronchoalveolar Lavage Versus Bronchoscopic Biopsy    
Abstract:
ABSTRACT Objectives: Cytology specimens are less invasive than tissue biopsies, and in some cases of non-small cell lung cancer (NSCLC), they may be the only available material. The expression of programmed death ligand-1 (PD-L1) and indoleamine 2-3 dioxygenase 2 (IDO-2) predicts the response to new treatment modalities. The aim of the study was to investigate the validity of cell blocks prepared from cytology for evaluation of PD-L1 and IDO-2 expression in NSCLC and to compare the expression of these markers in cell blocks and the corresponding tissue sample. Material: This cross-sectional study included 32 specimens of bronchoalveolar lavage (BAL) cytology and their cell block preparations. Among them, 20 cases also had bronchoscopic biopsy. PD-L1 and IDO-2 immune staining were done for all cases. Results: A statistically significant association is observed between high PD-L1 expression and both tumour size (p = 0.00014) and grade (p = 0.00001). High IDO-2 expression is associated with low TILs (p = 0.03). Results of PD-L1 and IDO-2 expression in bronchoscopic biopsy and cell block preparations of the same cases showed no statistical difference (p = 0.246). Conclusion: There was no significant difference in PD-L1 and IDO-2 expression between cytological and bronchoscopic biopsies
   
     
 
       

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