Clinical features, outcome and prognostic factors of 87 patients with angioimmunoblastic T cell lymphoma in Taiwan
We retrospectively analyzed 87 patients with angioimmunoblastic T cell lymphoma (AITL) in Taiwan. The median age was 68 (range 18–89) years. Of these patients, 74 % was at an advanced stage. The most common extra-nodal site involved was bone marrow (36 %). Of these patients, 77 % were International...
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Veröffentlicht in: | International journal of hematology 2016-08, Vol.104 (2), p.256-265 |
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creator | Kao, Hsiao-Wen Lin, Tung-Liang Shih, Lee-Yung Dunn, Po Kuo, Ming-Chung Hung, Yu-Shin Wu, Jin-Hou Tang, Tzung-Chih Chang, Hung Kuo, Tseng-tong Ou, Che-Wei Wang, Po-Nan |
description | We retrospectively analyzed 87 patients with angioimmunoblastic T cell lymphoma (AITL) in Taiwan. The median age was 68 (range 18–89) years. Of these patients, 74 % was at an advanced stage. The most common extra-nodal site involved was bone marrow (36 %). Of these patients, 77 % were International Prognostic Index (IPI) >1 and 79 % had a prognostic index for peripheral T-cell lymphoma (PIT) >1. Of 75 patients who received systemic chemotherapy, the complete remission rate was 60 %, the relapse rate was 47 %, and the 2-year progression-free survival rate was 37.4 %. The 2-year overall survival (OS) rate for all patients was 51.9 %. By multivariate analysis, bone marrow involvement (
P
1 (
P
= 0.007) were independent adverse factors for OS. A simplified prognostic index efficiently stratified patients into the following three groups: 2-year OS rates 79.8 % (0 factor), 28.3 % (1 factor), and 10.2 % (2 factors) by using bone marrow involvement and ECOG >1 (
P
1, IPI >1 and PIT >1 had adverse impact on OS. The usefulness of this simplified prognostic index needs further validation. |
doi_str_mv | 10.1007/s12185-016-2010-6 |
format | Article |
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P
< 0.001) and ECOG >1 (
P
= 0.007) were independent adverse factors for OS. A simplified prognostic index efficiently stratified patients into the following three groups: 2-year OS rates 79.8 % (0 factor), 28.3 % (1 factor), and 10.2 % (2 factors) by using bone marrow involvement and ECOG >1 (
P
< 0.001). In conclusion, AITL patients were older and had poorer prognosis in Taiwan. Bone marrow involvement, EOCG >1, IPI >1 and PIT >1 had adverse impact on OS. The usefulness of this simplified prognostic index needs further validation.</description><identifier>ISSN: 0925-5710</identifier><identifier>EISSN: 1865-3774</identifier><identifier>DOI: 10.1007/s12185-016-2010-6</identifier><identifier>PMID: 27095042</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antineoplastic Agents - therapeutic use ; Bone marrow ; Bone Marrow Diseases - pathology ; Chemotherapy ; Hematology ; Humans ; Immunoblastic Lymphadenopathy - diagnosis ; Immunoblastic Lymphadenopathy - drug therapy ; Immunoblastic Lymphadenopathy - mortality ; Lymphocytes ; Lymphocytes T ; Lymphoma ; Lymphoma, T-Cell, Peripheral - diagnosis ; Lymphoma, T-Cell, Peripheral - drug therapy ; Lymphoma, T-Cell, Peripheral - mortality ; Medical prognosis ; Medicine ; Medicine & Public Health ; Middle Aged ; Multivariate analysis ; Oncology ; Original Article ; Patients ; Prognosis ; Remission ; Remission Induction ; Retrospective Studies ; Severity of Illness Index ; Survival ; Survival Analysis ; T-cell lymphoma ; Taiwan</subject><ispartof>International journal of hematology, 2016-08, Vol.104 (2), p.256-265</ispartof><rights>The Japanese Society of Hematology 2016</rights><rights>The Japanese Society of Hematology 2016.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-b5ec4007f87ed8f27014ace6c2e6194a7a7d13686255e6318dad9218ce95ab503</citedby><cites>FETCH-LOGICAL-c457t-b5ec4007f87ed8f27014ace6c2e6194a7a7d13686255e6318dad9218ce95ab503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12185-016-2010-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12185-016-2010-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27095042$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kao, Hsiao-Wen</creatorcontrib><creatorcontrib>Lin, Tung-Liang</creatorcontrib><creatorcontrib>Shih, Lee-Yung</creatorcontrib><creatorcontrib>Dunn, Po</creatorcontrib><creatorcontrib>Kuo, Ming-Chung</creatorcontrib><creatorcontrib>Hung, Yu-Shin</creatorcontrib><creatorcontrib>Wu, Jin-Hou</creatorcontrib><creatorcontrib>Tang, Tzung-Chih</creatorcontrib><creatorcontrib>Chang, Hung</creatorcontrib><creatorcontrib>Kuo, Tseng-tong</creatorcontrib><creatorcontrib>Ou, Che-Wei</creatorcontrib><creatorcontrib>Wang, Po-Nan</creatorcontrib><title>Clinical features, outcome and prognostic factors of 87 patients with angioimmunoblastic T cell lymphoma in Taiwan</title><title>International journal of hematology</title><addtitle>Int J Hematol</addtitle><addtitle>Int J Hematol</addtitle><description>We retrospectively analyzed 87 patients with angioimmunoblastic T cell lymphoma (AITL) in Taiwan. The median age was 68 (range 18–89) years. Of these patients, 74 % was at an advanced stage. The most common extra-nodal site involved was bone marrow (36 %). Of these patients, 77 % were International Prognostic Index (IPI) >1 and 79 % had a prognostic index for peripheral T-cell lymphoma (PIT) >1. Of 75 patients who received systemic chemotherapy, the complete remission rate was 60 %, the relapse rate was 47 %, and the 2-year progression-free survival rate was 37.4 %. The 2-year overall survival (OS) rate for all patients was 51.9 %. By multivariate analysis, bone marrow involvement (
P
< 0.001) and ECOG >1 (
P
= 0.007) were independent adverse factors for OS. A simplified prognostic index efficiently stratified patients into the following three groups: 2-year OS rates 79.8 % (0 factor), 28.3 % (1 factor), and 10.2 % (2 factors) by using bone marrow involvement and ECOG >1 (
P
< 0.001). In conclusion, AITL patients were older and had poorer prognosis in Taiwan. Bone marrow involvement, EOCG >1, IPI >1 and PIT >1 had adverse impact on OS. The usefulness of this simplified prognostic index needs further validation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Bone marrow</subject><subject>Bone Marrow Diseases - pathology</subject><subject>Chemotherapy</subject><subject>Hematology</subject><subject>Humans</subject><subject>Immunoblastic Lymphadenopathy - diagnosis</subject><subject>Immunoblastic Lymphadenopathy - drug therapy</subject><subject>Immunoblastic Lymphadenopathy - mortality</subject><subject>Lymphocytes</subject><subject>Lymphocytes T</subject><subject>Lymphoma</subject><subject>Lymphoma, T-Cell, Peripheral - diagnosis</subject><subject>Lymphoma, T-Cell, Peripheral - drug therapy</subject><subject>Lymphoma, T-Cell, Peripheral - mortality</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Oncology</subject><subject>Original Article</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Remission</subject><subject>Remission Induction</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Survival</subject><subject>Survival Analysis</subject><subject>T-cell lymphoma</subject><subject>Taiwan</subject><issn>0925-5710</issn><issn>1865-3774</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU1v1DAQhi1ERZfCD-CCLHHhQMqME3_kiFZ8SZV6Wc6W13G2rhJ7sR1V_fd1ugUhJPBlDn7mnXfmJeQNwiUCyI8ZGSreAIqGAUIjnpENKsGbVsruOdlAz3jDJcI5eZnzLQBK6OQLcs4k9Bw6tiFpO_ngrZno6ExZkssfaFyKjbOjJgz0mOIhxFy8paOxJaZM40iVpEdTvAsl0ztfbip68NHP8xLifjKP-I5aN010up-PN3E21Ae6M_7OhFfkbDRTdq-f6gX58eXzbvutubr--n376aqxHZel2XNnu7rlqKQb1FgtY2esE5Y5gX1npJEDtkIJxrkTLarBDH29h3U9N3sO7QV5f9KtO_xcXC569nn1ZIKLS9aoEHtgLYiKvvsLvY1LCtWdZqLnUtXX_Y9atbAFjrxSeKJsijknN-pj8rNJ9xpBr7HpU2y6xqbX2PQ6_-2T8rKf3fC741dOFWAnINevcHDpj9H_VH0AaPGhlA</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Kao, Hsiao-Wen</creator><creator>Lin, Tung-Liang</creator><creator>Shih, Lee-Yung</creator><creator>Dunn, Po</creator><creator>Kuo, Ming-Chung</creator><creator>Hung, Yu-Shin</creator><creator>Wu, Jin-Hou</creator><creator>Tang, Tzung-Chih</creator><creator>Chang, Hung</creator><creator>Kuo, Tseng-tong</creator><creator>Ou, Che-Wei</creator><creator>Wang, Po-Nan</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20160801</creationdate><title>Clinical features, outcome and prognostic factors of 87 patients with angioimmunoblastic T cell lymphoma in Taiwan</title><author>Kao, Hsiao-Wen ; Lin, Tung-Liang ; Shih, Lee-Yung ; Dunn, Po ; Kuo, Ming-Chung ; Hung, Yu-Shin ; Wu, Jin-Hou ; Tang, Tzung-Chih ; Chang, Hung ; Kuo, Tseng-tong ; Ou, Che-Wei ; Wang, Po-Nan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-b5ec4007f87ed8f27014ace6c2e6194a7a7d13686255e6318dad9218ce95ab503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Agents - 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The median age was 68 (range 18–89) years. Of these patients, 74 % was at an advanced stage. The most common extra-nodal site involved was bone marrow (36 %). Of these patients, 77 % were International Prognostic Index (IPI) >1 and 79 % had a prognostic index for peripheral T-cell lymphoma (PIT) >1. Of 75 patients who received systemic chemotherapy, the complete remission rate was 60 %, the relapse rate was 47 %, and the 2-year progression-free survival rate was 37.4 %. The 2-year overall survival (OS) rate for all patients was 51.9 %. By multivariate analysis, bone marrow involvement (
P
< 0.001) and ECOG >1 (
P
= 0.007) were independent adverse factors for OS. A simplified prognostic index efficiently stratified patients into the following three groups: 2-year OS rates 79.8 % (0 factor), 28.3 % (1 factor), and 10.2 % (2 factors) by using bone marrow involvement and ECOG >1 (
P
< 0.001). In conclusion, AITL patients were older and had poorer prognosis in Taiwan. Bone marrow involvement, EOCG >1, IPI >1 and PIT >1 had adverse impact on OS. The usefulness of this simplified prognostic index needs further validation.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27095042</pmid><doi>10.1007/s12185-016-2010-6</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Antineoplastic Agents - therapeutic use Bone marrow Bone Marrow Diseases - pathology Chemotherapy Hematology Humans Immunoblastic Lymphadenopathy - diagnosis Immunoblastic Lymphadenopathy - drug therapy Immunoblastic Lymphadenopathy - mortality Lymphocytes Lymphocytes T Lymphoma Lymphoma, T-Cell, Peripheral - diagnosis Lymphoma, T-Cell, Peripheral - drug therapy Lymphoma, T-Cell, Peripheral - mortality Medical prognosis Medicine Medicine & Public Health Middle Aged Multivariate analysis Oncology Original Article Patients Prognosis Remission Remission Induction Retrospective Studies Severity of Illness Index Survival Survival Analysis T-cell lymphoma Taiwan |
title | Clinical features, outcome and prognostic factors of 87 patients with angioimmunoblastic T cell lymphoma in Taiwan |
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