Comprehensive analysis of relapsed-refractory mature B-cell non-Hodgkin lymphoma in children and adolescents

被引:0
作者
Mato, Sara [1 ,2 ]
Carita, Lorenzo
Colmenero, Ariadna [1 ,2 ]
Andres, Mara [3 ]
Balague, Olga [4 ,5 ]
Andion, Maitane [6 ]
Astigarraga, Itziar [7 ,8 ]
Celis, Veronica [9 ]
Mendoza, Carmen [10 ]
Guerra-Garcia, Pilar [11 ]
Valero, Lorena [12 ]
Galera, Ana [13 ]
Tallon, Maria [14 ]
Pol, Melina [1 ]
Castrejon-de-Anta, Natalia [2 ,4 ]
Frauenfeld, Leonie [1 ]
Garcia, Noelia [1 ]
Campo, Elias [1 ,2 ,4 ,5 ]
Salaverria, Itziar [1 ,5 ]
Verdu-Amoros, Jaime [5 ,15 ]
机构
[1] Inst Invest Biomed August Pi i Sunyer IDIBAPS, Rossello 153, Barcelona 08036, Spain
[2] Univ Barcelona, Barcelona, Spain
[3] Hosp Univ & Politecn La Fe Valencia, Valencia, Spain
[4] Hosp Clin Barcelona, Hematopathol Sect, Lab Pathol, Barcelona, Spain
[5] Ctr Invest Biomed Red Canc CIBERONC, Madrid, Spain
[6] Hosp Univ Nino Jesus, Paediat Oncol Dept, Madrid, Spain
[7] Cruces Univ Hosp, Biocruces Bizkaia Hlth Res Inst, Dept Pediat, Bizkaia, Bizkaia, Spain
[8] Univ Basque Country, Baracaldo, Spain
[9] Hosp St Joan de Deu, Pediat Canc Ctr Barcelona, Barcelona, Spain
[10] Complejo Asistencial Univ Salamanca, Paediat Hematooncol Dept, Salamanca, Spain
[11] Hosp Univ La Paz, Inst Invest Sanitaria Hosp Univ La Paz IdiPAZ, Paediat Haematol & Oncol Dept, Translat Res Paediat Oncol, Madrid, Spain
[12] Hosp Universitari Vall dHebron, Paediat Oncol & Hematol Dept, Barcelona, Spain
[13] Hosp Clin Univ Virgen de la Arrixaca, Dept Oncol, Murcia, Spain
[14] Alvaro Cunqueiro Hosp, Haematooncol Unit, Vigo, Spain
[15] Hosp Clin Univ, INCLIVA, Biomed Res Inst, Dept Paediat Haematol & Oncol, Ave Blasco Ibanez 17, Valencia 46010, Spain
关键词
Burkitt lymphoma; NHL; paediatric lymphoma; refractory; relapse; TP53; BURKITT-LYMPHOMA; PROGNOSTIC-FACTORS; LEUKEMIA; RITUXIMAB;
D O I
10.1111/bjh.20012
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The outcome of B-cell non-Hodgkin lymphoma (B-NHL) in children and adolescents has improved significantly over recent decades due to risk-adapted strategies and the use of immunotherapy. However, refractory or relapsed (R/R) B-NHL remains extremely difficult to cure (<30%). This retrospective study of 45 patients with R/R B-NHL reflects the limited benefit associated with reintroducing rituximab in second-line strategies, the importance of achieving complete remission before stem cell transplantation and the potential role of TP53 as a biomarker in R/R B-NHL. TP53 mutations were identified in 44% of tumours and associated with a worse 3-year overall survival (15% vs. 80%; p = 0.048).
引用
收藏
页码:1390 / 1396
页数:7
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