Five FFPE slides from specimens, with observed TLS in the H&E-stained sections, were subjected to multispectral immunohistochemical (mIHC) staining29 30 (link) using the Opal color kit (PerkinElmer, Hopkinton, Massachusetts, USA), according to the manufacturer’s instructions, to provide simultaneous detection of adaptive immune system cell types, such as CD4+ T cells, CD8+ T cells, CD20+ B cells, and CD45RO+ memory T cells. Cell nuclei were stained with DAPI. Multiplexed color slides were imaged with a PerkinElmer Vectra automated multispectral microscope at 100× magnification and analyzed using PerkinElmer inForm Analysis Software.