Primary central nervous system lymphoma in daily practice and the role of autologous stem cell transplantation in relapsed disease: A retrospective multicenter study

被引:2
作者
Erkurt, Mehmet Ali [1 ]
Berber, Ilhami [1 ]
Tekgunduz, Emre [2 ]
Dogu, Mehmet Hilmi [3 ]
Korkmaz, Serdal [4 ]
Demir, Cengiz [5 ]
Yilmaz, Mehmet [6 ]
Akay, Olga Meltem [7 ]
Pala, Cigdem [8 ]
Bilen, Yusuf [9 ]
Kaya, Emin [1 ]
Sari, Ismail [3 ]
Sencan, Mehmet [10 ]
Kuku, Irfan [1 ]
Altuntas, Fevzi [2 ,11 ]
Dal, Mehmet Sinan [2 ]
Aydogdu, Ismet [12 ]
机构
[1] Inonu Univ, Fac Med, Dept Hematol, TR-44069 Malatya, Turkey
[2] Ankara Oncol Hosp, Hematol & HCT Clin, Ankara, Turkey
[3] Pamukkale Univ, Fac Med, Dept Hematol, Denizli, Turkey
[4] Kayseri Trainer & Res Hosp, Div Hematol, Kayseri, Turkey
[5] Yuzuncu Yil Univ, Fac Med, Dept Hematol, Van, Turkey
[6] Antep Univ, Fac Med, Dept Hematol, Gaziantep, Turkey
[7] Osmangazi Univ, Fac Med, Dept Hematol, Eskisehir, Turkey
[8] Erciyes Univ, Fac Med, Dept Hematol, Kayseri, Turkey
[9] Ataturk Univ, Fac Med, Dept Hematol, Erzurum, Turkey
[10] Cumhuriyet Univ, Fac Med, Dept Hematol, Sivas, Turkey
[11] Yildirim Beyazit Univ, Fac Med, Dept Internal Med, Div Hematol, Ankara, Turkey
[12] Celal Bayar Univ, Fac Med, Dept Hematol, Manisa, Turkey
关键词
Autologous stem cell transplantation; CNS lymphoma; PCNSL; Methotrexate; High-dose chemotherapy; PRIMARY CNS LYMPHOMA; HIGH-DOSE METHOTREXATE; WHOLE-BRAIN RADIOTHERAPY; RECURRENT PRIMARY CNS; INTENSIVE CHEMOTHERAPY; PHASE-II; IMMUNOCOMPETENT PATIENTS; DEFERRED RADIOTHERAPY; INTRAOCULAR LYMPHOMA; DIAGNOSIS;
D O I
10.1016/j.transci.2016.01.018
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We investigated the course of 54 patients presenting with primary central nervous system lymphoma, who were treated in daily practice. The patients were treated with chemotherapy and/or radiotherapy and/or intrathecal chemotherapy. At a median follow-up period of 23 months (range 1-71), median relapse-free survival (RFS) and overall survival (OS) were not reached. Estimated 2-year RFS and OS rates were 42% and 48%, respectively. Ten relapsed PCNSL patients underwent ASCT. Complete remission rate of these patients was 40%, with 20% treatment-related mortality. Estimated 2-year RFS and OS rates were 37% and 40%, respectively. The prognosis of patients with PCNSL, who received off-study treatment, is still dismal. (c) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:80 / 84
页数:5
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