Clinical Impact of Extranodal Metabolic Tumor Volume in 240 Diffuse Large B cell Lymphoma Patients with Extranodal Involvement

The present study is to investigate whether extranodal (EN) metabolic tumor volume (MTV) would have a specific clinical meaning for survival in EN diffuse large B cell lymphoma (DLBCL) patients. Two hundred forty DLBCL patients with EN involvement received 18F-fluorodeoxygenase (FDG) positron emissi...

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Veröffentlicht in:Annals of hematology 2021-05, Vol.100 (5), p.1221-1229
Hauptverfasser: Song, Moo-Kon, Chung, Joo-Seop, Lim, Sung-Nam, Lee, Won-Sik, Lee, Sang-Min, Kim, Seong-Jang, Shim, Hye-Kyung, Lee, Seok-Mo
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container_end_page 1229
container_issue 5
container_start_page 1221
container_title Annals of hematology
container_volume 100
creator Song, Moo-Kon
Chung, Joo-Seop
Lim, Sung-Nam
Lee, Won-Sik
Lee, Sang-Min
Kim, Seong-Jang
Shim, Hye-Kyung
Lee, Seok-Mo
description The present study is to investigate whether extranodal (EN) metabolic tumor volume (MTV) would have a specific clinical meaning for survival in EN diffuse large B cell lymphoma (DLBCL) patients. Two hundred forty DLBCL patients with EN involvement received 18F-fluorodeoxygenase (FDG) positron emission tomography/computed tomography (PET/CT) were enrolled. Survival analysis revealed that low EN MTV (PFS [progression-free survival], HR = 0.278, 95% CI = 0.127–0.807, p = 0.001; OS [overall survival], HR = 0.320, 95% CI = 0.145–0.703, p = 0.003), low total MTV (PFS, HR = 0.194, 95% CI = 0.085–0.445, p < 0.001; OS, HR = 0.213, 95% CI = 0.092–0.491, p < 0.007), and high National Cancer Center Network-International Prognostic Index score (PFS, HR = 3.152, 95% CI = 1.732–5.734, p < 0.001; OS, HR = 2.457, 95% CI = 1.363–4.430, p = 0.003) were independently associated with survivals in the patients. Our data showed that EN MTV is a useful and novel prognostic parameter for predicting survival in DLBCL patients with EN involvement.
doi_str_mv 10.1007/s00277-021-04498-9
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Two hundred forty DLBCL patients with EN involvement received 18F-fluorodeoxygenase (FDG) positron emission tomography/computed tomography (PET/CT) were enrolled. Survival analysis revealed that low EN MTV (PFS [progression-free survival], HR = 0.278, 95% CI = 0.127–0.807, p = 0.001; OS [overall survival], HR = 0.320, 95% CI = 0.145–0.703, p = 0.003), low total MTV (PFS, HR = 0.194, 95% CI = 0.085–0.445, p &lt; 0.001; OS, HR = 0.213, 95% CI = 0.092–0.491, p &lt; 0.007), and high National Cancer Center Network-International Prognostic Index score (PFS, HR = 3.152, 95% CI = 1.732–5.734, p &lt; 0.001; OS, HR = 2.457, 95% CI = 1.363–4.430, p = 0.003) were independently associated with survivals in the patients. 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subjects Adult
Aged
Extranodal Extension - diagnostic imaging
Female
Hematology
Humans
Lymphoma
Lymphoma, Large B-Cell, Diffuse - diagnostic imaging
Lymphoma, Large B-Cell, Diffuse - metabolism
Lymphoma, Large B-Cell, Diffuse - pathology
Male
Medicine
Medicine & Public Health
Metabolism
Middle Aged
Oncology
Original Article
Positron-Emission Tomography
Prognosis
Retrospective Studies
Survival Analysis
Tomography
Tumor Burden
title Clinical Impact of Extranodal Metabolic Tumor Volume in 240 Diffuse Large B cell Lymphoma Patients with Extranodal Involvement
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