Prognostic Role of the Red Blood Cell Distribution Width (RDW) in Hodgkin Lymphoma

被引：33

作者：

Herraez, Ines ^{[1
,2
,3
]}

Bento, Leyre ^{[2
,3
]}

Del Campo, Raquel ^{[1
,2
]}

Sas, Adriana ^{[2
,3
]}

Ramos, Rafael ^{[2
,4
]}

Ibarra, Javier ^{[2
,5
]}

Mestre, Francesc ^{[2
,6
]}

Alemany, Regina ^{[2
,7
]}

Bargay, Joan ^{[1
,2
]}

Sampol, Antonia ^{[2
,3
]}

Gutierrez, Antonio ^{[2
,3
]}

机构：

[1] Son Llatzer Univ Hosp, Dept Hematol, Palma De Mallorca 07198, Spain

[2] Hlth Res Inst Balearic Isl IdISBa Iun, Palma De Mallorca 07120, Spain

[3] Son Espases Univ Hosp, Dept Hematol, Palma De Mallorca 07120, Spain

[4] Son Espases Univ Hosp, Dept Pathol, Palma De Mallorca 07120, Spain

[5] Son Llatzer Univ Hosp, Dept Pathol, Palma De Mallorca 07198, Spain

[6] Son Espases Univ Hosp, Dept Radiotherapy, Palma De Mallorca 07120, Spain

[7] Univ Balearic Isl, Dept Biol, Palma De Mallorca 07122, Spain

来源：

CANCERS | 2020年 / 12卷 / 11期

关键词：

Hodgkin lymphoma; RDW; risk factors; survival; secondary malignancies; CANCER; ANEMIA;

D O I：

10.3390/cancers12113262

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Simple Summary The red blood cell distribution width (RDW) increases in inflammatory conditions and is described as having a prognostic role in different types of cancer. As Hodgkin lymphoma (HL) has a proinflammatory background, we aim to study the prognostic role of RDW in HL. We report in a large retrospective series of homogenously treated HL, for the first time, that RDW is a simple, cheap, and easily available prognostic factor in HL, that identifies a group with worse EFS, OS, and a higher potential incidence of secondary malignancies. RDW seems to be related to most adverse prognostic factors in HL and this may make RDW a good candidate to be included in current or new prognostic scores for HL. The red blood cell distribution width (RDW) is a parameter available from an automated blood count, which measures the degree of heterogeneity of erythrocyte volume and increases in inflammatory conditions. The prognostic role of RDW has been described in different types of cancers. Hodgkin lymphoma (HL) is a hematological malignancy, known to have a proinflammatory background. We aim to study the prognostic role of RDW in HL. We retrospectively analyzed 264 patients with HL from two hospitals in the Balearic Islands between 1990 and 2018. Higher levels of RDW were independently related to anemia, B-symptoms, and low albumin. In age >= 45 years, the presence of lymphopenia and higher RDW were independently associated with worse event-free survival (EFS) and overall survival (OS). Long-term incidence of secondary malignancies was significantly higher in patients with higher RDW, particularly lung cancer. In conclusion, we report for the first time that RDW is a simple, cheap, and easily available prognostic factor in HL that identifies a group with worse EFS, OS, and a higher potential incidence of secondary malignancies. RDW seems to be related to most adverse prognostic factors in HL, making RDW an excellent candidate to be included in prognostic scores for HL.

引用

页码：1 / 11

页数：11