Absolute monocyte/lymphocyte count prognostic score is independent of immunohistochemically determined cell of origin in predicting survival in diffuse large B-cell lymphoma

被引:47
作者
Porrata, Luis F. [1 ]
Ristow, Kay [1 ]
Habermann, Thomas M. [1 ]
Ozsan, Nazan [3 ]
Dogan, Ahmet [2 ]
Macon, William [2 ]
Colgan, Joseph P. [1 ]
Witzig, Thomas E. [1 ]
Inwards, David J. [1 ]
Ansell, Stephen M. [1 ]
Micallef, Ivana N. [1 ]
Johnston, Patrick B. [1 ]
Nowakowski, Grzegorz S. [1 ]
Thompson, Carrie [1 ]
Markovic, Svetomir N. [1 ]
机构
[1] Mayo Clin, Div Hematol, Dept Med, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Lab Med & Pathol, Rochester, MN 55905 USA
[3] Ege Univ, Dept Pathol, Izmir, Turkey
关键词
Lymphoma and Hodgkin disease; survival; monocyte/lymphocyte prognostic score; NON-HODGKINS-LYMPHOMA; RITUXIMAB ERA; EXPRESSION; CHEMOTHERAPY; IMMUNOCHEMOTHERAPY; SUBTYPES; MODELS; TUMOR; CHOP;
D O I
10.3109/10428194.2012.690605
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The absolute monocyte/lymphocyte count prognostic score (AMC/ALC score) has not been directly compared with the cell of origin (COO) to predict overall survival (OS) and progression-free survival (PFS) in diffuse large B-cell lymphoma (DLBCL). Thus, we retrospectively examined a new cohort of 99 patients with DLBCL treated from 2008 to 2010, (1) to validate whether AMC/ALC score affects survival, (2) to investigate whether AMC/ALC score is independent of COO to predict survival and (3) to assess whether AMC/ALC score can further stratify clinical outcomes by COO. By univariate analysis, the AMC/ALC score was a predictor for OS and PFS. On multivariate analysis performed including the COO and the International Prognostic Index, AMC/ALC score remained an independent predictor for OS and PFS. The AMC/ALC score was able to further stratify DLBCL clinical outcomes by COO. The AMC/ALC score was independent of COO and added to its ability to identify patients with high-risk disease.
引用
收藏
页码:2159 / 2165
页数:7
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