Prognostic impact of diffuse large B-cell lymphoma subgroups in patients undergoing autologous SCT

被引:0
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作者
A E Hallack Neto
F L Dulley
S A Coelho Siqueira
L F Pracchia
M Belesso
R Saboya
D Sturaro
J U Amigo-Filho
A Mendrone Junior
D A F Chamone
J Pereira
机构
[1] School of Medicine,Department of Hematology
[2] Sao Paulo University,Department of Hematology
[3] School of Medicine,Department of Pathological Anatomy
[4] Juiz de Fora Federal University,undefined
[5] School of Medicine,undefined
[6] Sao Paulo University,undefined
来源
关键词
lymphoma; autologous BMT; germinal center;
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摘要
A total of 53 patients aged 18–60 years with high-intermediate or high-risk diffuse large B-cell lymphoma (DLBCL) were evaluated to analyze the impact of the cell of origin. Of 53 patients, 16 underwent autologous SCT (ASCT) in first remission and the rest received conventional chemotherapy. Immunohistochemistry was evaluated in 47 cases 17 were of germinal center (GC) origin and 30 were of non-GC origin. There was no survival difference between the two groups. Overall survival (OS) and disease-free survival (DFS) at 3 years were 93 and 83%, respectively, for the 14 patients who underwent ASCT. Their DFS was significantly better than that of patients who achieved CR but did not undergo ASCT. We conclude that ASCT is safe and improves the DFS of high-intermediate and high-risk DLBCL, regardless of the cell of origin. This observation should be confirmed in a larger study.
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页码:323 / 325
页数:2
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