Early Relapse Is Associated with High Serum Soluble Interleukin-2 Receptor after the Sixth Cycle of R-CHOP Chemotherapy in Patients with Advanced Diffuse Large B-Cell Lymphoma

The clinical significance of serum soluble interleukin-2 receptor (sIL2R) levels was retrospectively assessed in patients with advanced diffuse large B-cell lymphoma (DLBCL). Twenty-one patients, who were newly-diagnosed with advanced DLBCL (stage III and IV) between 2006 and 2009, were evaluated. T...

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Veröffentlicht in:Anticancer research 2012-11, Vol.32 (11), p.5051-5057
Hauptverfasser: YAMAUCHI, Takahiro, MATSUDA, Yasufumi, YOSHIDA, Akira, URASAKI, Yoshimasa, IWASAKI, Hiromichi, UEDA, Takanori, TAKAI, Mihoko, TASAKI, Toshiki, TAI, Katsunori, HOSONO, Naoko, NEGORO, Eiju, IKEGAYA, Satoshi, TAKAGI, Kazutaka, KISHI, Shinji
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container_issue 11
container_start_page 5051
container_title Anticancer research
container_volume 32
creator YAMAUCHI, Takahiro
MATSUDA, Yasufumi
YOSHIDA, Akira
URASAKI, Yoshimasa
IWASAKI, Hiromichi
UEDA, Takanori
TAKAI, Mihoko
TASAKI, Toshiki
TAI, Katsunori
HOSONO, Naoko
NEGORO, Eiju
IKEGAYA, Satoshi
TAKAGI, Kazutaka
KISHI, Shinji
description The clinical significance of serum soluble interleukin-2 receptor (sIL2R) levels was retrospectively assessed in patients with advanced diffuse large B-cell lymphoma (DLBCL). Twenty-one patients, who were newly-diagnosed with advanced DLBCL (stage III and IV) between 2006 and 2009, were evaluated. The median follow-up period was 37 months. All patients received 6-8 cycles of chemotherapy with rituximab in combination with doxorubicin, cyclophosphamide, vincristine, and prednisolone (CHOP)-like regimens and attained complete remission. Although all patients reached complete remission, six patients experienced disease relapse within 1 year after treatment completion. The overall survival was significantly poorer in patients with relapse than in patients with durable remission. The sIL2R levels after the sixth cycle of treatment were significantly higher in the relapse group than in the non-relapse group. Thus, the present study suggests sIL2R levels to be a valuable predictor for the prognosis of patients with advanced DLBCL.
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Twenty-one patients, who were newly-diagnosed with advanced DLBCL (stage III and IV) between 2006 and 2009, were evaluated. The median follow-up period was 37 months. All patients received 6-8 cycles of chemotherapy with rituximab in combination with doxorubicin, cyclophosphamide, vincristine, and prednisolone (CHOP)-like regimens and attained complete remission. Although all patients reached complete remission, six patients experienced disease relapse within 1 year after treatment completion. The overall survival was significantly poorer in patients with relapse than in patients with durable remission. The sIL2R levels after the sixth cycle of treatment were significantly higher in the relapse group than in the non-relapse group. Thus, the present study suggests sIL2R levels to be a valuable predictor for the prognosis of patients with advanced DLBCL.</abstract><cop>Attiki</cop><pub>International Institute of Anticancer Research</pub><pmid>23155278</pmid><tpages>7</tpages></addata></record>
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subjects Aged
Aged, 80 and over
Antibodies, Monoclonal, Murine-Derived
Antineoplastic Combined Chemotherapy Protocols
B-cell lymphoma
Biological and medical sciences
Biomarkers, Tumor - analysis
Biomarkers, Tumor - blood
Chemotherapy
Cyclophosphamide
Doxorubicin
Enzyme-Linked Immunosorbent Assay
Female
Hematologic and hematopoietic diseases
Humans
Interleukin 2
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoma, Large B-Cell, Diffuse - blood
Lymphoma, Large B-Cell, Diffuse - drug therapy
Lymphoma, Large B-Cell, Diffuse - pathology
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local - blood
Neoplasm Recurrence, Local - drug therapy
Neoplasm Recurrence, Local - pathology
Neoplasm Staging
Prednisolone
Prednisone
Prognosis
Receptors, Interleukin-2 - analysis
Receptors, Interleukin-2 - blood
Remission
Retrospective Studies
rituximab
Survival
Tumors
Vincristine
title Early Relapse Is Associated with High Serum Soluble Interleukin-2 Receptor after the Sixth Cycle of R-CHOP Chemotherapy in Patients with Advanced Diffuse Large B-Cell Lymphoma
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