Central nervous system involvement in anaplastic large cell lymphoma in childhood: Results from a multicentre European and Japanese study

被引:29
作者
Williams, Denise [1 ]
Mori, Tetsuya [2 ]
Reiter, Alfred [3 ]
Woessman, Wilhelm [3 ]
Rosolen, Angelo [4 ]
Wrobel, Grazyna [5 ]
Zsiros, Jozsef [6 ]
Uyttebroeck, Anne [7 ]
Marky, Ildiko [8 ]
Le Deley, Marie-Cecile [9 ,10 ]
Brugieres, Laurence [11 ]
机构
[1] Cambridge Univ Hosp NHS Trust, Dept Pediat Oncol, Cambridge CB2 0QQ, England
[2] Natl Ctr Child Hlth & Dev, Dept Paediat, Tokyo, Japan
[3] Univ Giessen, Nonhodgkin Lymphoma Berlin Frankfurt Muenster Stu, Dept Pediat Hematol & Oncol, D-35390 Giessen, Germany
[4] Univ Hosp, Dept Pediat, Padua, Italy
[5] Med Univ, Dept Bone Marrow Transplantat Children Oncol & He, Wroclaw, Poland
[6] Univ Amsterdam, Acad Med Ctr, Emma Kinderziekenhuis, Dept Paediat Oncol, NL-1105 AZ Amsterdam, Netherlands
[7] Univ Hosp, Dept Pediat Hematol Oncol, Louvain, Belgium
[8] Univ Gothenburg, Dept Pediat, Gothenburg, Sweden
[9] Inst Gustave Roussy, Biostat & Epidemiol Unit, Villejuif, France
[10] Univ Paris Sud, F-94275 Le Kremlin Bicetre, France
[11] Inst Gustave Roussy, Dept Pediat Oncol, Villejuif, France
关键词
anaplastic large cell lymphoma; childhood; CNS disease; lymphohistiocytic; non-Hodgkin lymphoma; NON-HODGKIN-LYMPHOMA; PEDIATRIC-ONCOLOGY; CHILDREN; ADOLESCENTS; TRIAL; CHEMOTHERAPY; VINBLASTINE; CRIZOTINIB;
D O I
10.1002/pbc.24591
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
In an international study of systemic childhood ALCL, 12/463 patients had CNS involvement, three of which had isolated CNS disease. Comparative analysis of CNS positive and negative patients showed no difference in ALK positivity, immunophenotype, presence of B symptoms or other sites of disease. The lymphohistiocytic variant was over represented in the CNS positive group (36% vs. 5%). With multi-agent chemotherapy, including high dose methotrexate, Ara-C and intrathecal treatment, the event free and overall survival of the CNS positive group at 5 years were 50% (95%CI, 25-75%) and 74% (45-91%), respectively with a median follow up of 4.1 years. Pediatr Blood Cancer 2013;60:E118-E121. (c) 2013 Wiley Periodicals, Inc.
引用
收藏
页码:E118 / E121
页数:4
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