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PDL1 (Immunotherapy) Tests Test

A PD-L1 test measures how much of a protein called PD-L1 is on your cancer cells. High levels may mean that immunotherapy could help your immune system fight the cancer.

What this test measures

A PD-L1 test uses a sample of cancerous tumor tissue to measure how much of a protein called programmed-death ligand 1 (PD-L1) is found on the cancer cells.

What your results mean

Reference ranges vary by laboratory and by your age and sex. MedlinePlus does not publish a single normal range for this test — always read your result against the range printed on your own lab report and discuss it with your provider.

Higher-than-normal results

High levels of PD-L1 may mean that your cancer can be treated with immunotherapy, such as immune checkpoint inhibitors, which help your immune system attack cancer cells.

Lower-than-normal results

Low levels of PD-L1 mean that immunotherapy likely won't help, and your provider will consider other cancer treatments.

Frequently asked questions

What is a PD-L1 test?

It measures how much PD-L1 protein is on your cancer cells to help decide if immunotherapy might work.

How is the test done?

A sample of your cancerous tumor tissue is used to measure PD-L1 levels.

What does a positive result mean?

It means your tumor has enough PD-L1 that you may benefit from immunotherapy medicines like pembrolizumab, nivolumab, or atezolizumab.

What does a negative result mean?

It means your tumor doesn't have enough PD-L1, so immunotherapy likely won't help. Your provider will consider other treatments.

What are CPS and TPS scores?

CPS (Combined Positive Score) measures PD-L1 on tumor cells and T-cells. TPS (Tumor Proportion Score) measures the percentage of tumor cells with high PD-L1. Different tests use different scores.

Sources

Last updated . Information is aggregated from official public sources and is not a substitute for professional medical care.