Mantle cell lymphoma, response to treatment and prognosis in 45 patients

被引:0
作者
Sorigue, Marc [1 ]
Sancho, Juan-Manuel [1 ]
Garcia, Olga [1 ]
Vila, Jordi [1 ]
Moreno, Miriam [1 ]
Ribera, Josep-Maria [1 ]
机构
[1] Univ Autonoma Barcelona, Hosp Germans Trias & Pujol, Inst Recerca Josep Carreras, ICO,Serv Hematol Clin, E-08193 Barcelona, Spain
来源
MEDICINA CLINICA | 2016年 / 147卷 / 01期
关键词
Mantle cell lymphoma; High-dose cytarabine; Prognosis; CLINICAL-PRACTICE GUIDELINES; PROGRESSION-FREE SURVIVAL; FOLLOW-UP; MULTICENTER; RITUXIMAB; DIAGNOSIS; TRIAL;
D O I
10.1016/j.medcli.2016.03.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and purpose: Mantle cell lymphoma (MCL) is a rare lymphoproliferative disorder, with frequent relapses and a poor prognosis. This study analyzes response to treatment and prognosis in a series of MCL patients. Patients and method: Retrospective study of MCL patients diagnosed in a single institution between 1996 and 2013. The cohort was divided according to the treatment received. Results: Forty-five patients were included (32 male) with a median age of 66 years old. Twenty-one received intensive chemotherapy or chemoimmunotherapy (based on high-dose cytarabine), 13 semi intensive (without high-dose cytarabine), 8 not intensive and 3 did not require treatment. Overall response rate was 85% in the intensive and 77% in the semi-intensive treatment groups. In multivariate analysis, intensive treatment was correlated with a longer progression-free survival (hazard ratio 9.8 [95% CI 2.7-35.5], P = .001) and overall survival (4.5 [1.2-17.8], P = .03). Conclusions: In this retrospective series of MCL patients, intensive treatment was correlated with better outcomes than the other treatment modalities. (C) 2016 Elsevier Espana, S.L.U. All rights reserved.
引用
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页码:18 / 21
页数:4
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