“…In addition to histopathological parameters, other factors such as peripheral blood immune cell composition also correlated survival of MPE patients (e.g., "N", the serum neutrophils to lymphocytes ratio as part of the LENT scoring system) [2,11]. Furthermore, in the microenvironment of solid tumors, the immune score-which is based on the immune cell type, density, and location of where lymphocytes infiltrate-is a novel prognostic factor [12,13]. Therefore, we hypothesized that immune cells in a liquid tumor microenvironment may also exert prognostic function, in particular due to direct contact unhindered by stromal desmoplastic fibroblasts and collagen fibers, respectively [14].…”