Prevalence of HCV infection in nongastric marginal zone B-cell lymphoma of MALT

Background: Hepatitis C virus (HCV) infection is frequently associated with B-cell non-Hodgkin's lymphomas. We investigated the prevalence of HCV infection in nongastric marginal zone lymphomas of mucosa-associated lymphoid tissue (MALT) in order to define the relationship between the viral inf...

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Veröffentlicht in:Annals of oncology 2007-02, Vol.18 (2), p.346-350
Hauptverfasser: Arcaini, L., Burcheri, S., Rossi, A., Paulli, M., Bruno, R., Passamonti, F., Brusamolino, E., Molteni, A., Pulsoni, A., Cox, M.C., Orsucci, L., Fabbri, A., Frezzato, M., Voso, M.T., Zaja, F., Montanari, F., Merli, M., Pascutto, C., Morra, E., Cortelazzo, S., Lazzarino, M.
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container_end_page 350
container_issue 2
container_start_page 346
container_title Annals of oncology
container_volume 18
creator Arcaini, L.
Burcheri, S.
Rossi, A.
Paulli, M.
Bruno, R.
Passamonti, F.
Brusamolino, E.
Molteni, A.
Pulsoni, A.
Cox, M.C.
Orsucci, L.
Fabbri, A.
Frezzato, M.
Voso, M.T.
Zaja, F.
Montanari, F.
Merli, M.
Pascutto, C.
Morra, E.
Cortelazzo, S.
Lazzarino, M.
description Background: Hepatitis C virus (HCV) infection is frequently associated with B-cell non-Hodgkin's lymphomas. We investigated the prevalence of HCV infection in nongastric marginal zone lymphomas of mucosa-associated lymphoid tissue (MALT) in order to define the relationship between the viral infection and the presenting features, treatment, and outcome. Methods: We retrospectively studied 172 patients with a histological diagnosis of marginal zone B-cell lymphoma of MALT, except for stomach, and with available HCV serology, among a series of 208 patients. Results: HCV infection was documented in 60 patients (35%). Most HCV-positive patients (97%) showed a single MALT organ involvement. HCV-positive patients showed a more frequent involvement of skin (35%), salivary glands (25%), and orbit (15%). The majority of stage IV HCV-positive patients (71%) had a single MALT site with bone marrow involvement. The overall response rate was similar in HCV-positive (93%) and HCV-negative patients (87%). Overall survival (OS) and event-free survival (EFS) did not differ according to HCV infection. In multivariate analysis, advanced disease (stage III–IV) was associated with a poorer OS (P = 0.0001), irrespective of HCV serostatus. Conclusions: This study shows that nongastric marginal zone lymphomas are characterized by a high prevalence of HCV infection. Patients with involvement of a single MALT site have the highest prevalence of HCV. HCV-positive nongastric lymphomas of MALT show an indolent course similar to HCV-negative patients and seem an ideal target for exploiting the antilymphoma activity of antiviral treatments.
doi_str_mv 10.1093/annonc/mdl388
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We investigated the prevalence of HCV infection in nongastric marginal zone lymphomas of mucosa-associated lymphoid tissue (MALT) in order to define the relationship between the viral infection and the presenting features, treatment, and outcome. Methods: We retrospectively studied 172 patients with a histological diagnosis of marginal zone B-cell lymphoma of MALT, except for stomach, and with available HCV serology, among a series of 208 patients. Results: HCV infection was documented in 60 patients (35%). Most HCV-positive patients (97%) showed a single MALT organ involvement. HCV-positive patients showed a more frequent involvement of skin (35%), salivary glands (25%), and orbit (15%). The majority of stage IV HCV-positive patients (71%) had a single MALT site with bone marrow involvement. The overall response rate was similar in HCV-positive (93%) and HCV-negative patients (87%). Overall survival (OS) and event-free survival (EFS) did not differ according to HCV infection. In multivariate analysis, advanced disease (stage III–IV) was associated with a poorer OS (P = 0.0001), irrespective of HCV serostatus. Conclusions: This study shows that nongastric marginal zone lymphomas are characterized by a high prevalence of HCV infection. Patients with involvement of a single MALT site have the highest prevalence of HCV. HCV-positive nongastric lymphomas of MALT show an indolent course similar to HCV-negative patients and seem an ideal target for exploiting the antilymphoma activity of antiviral treatments.</description><identifier>ISSN: 0923-7534</identifier><identifier>EISSN: 1569-8041</identifier><identifier>DOI: 10.1093/annonc/mdl388</identifier><identifier>PMID: 17071937</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Antibodies, Viral - analysis ; Antineoplastic agents ; Biological and medical sciences ; Biomarkers - analysis ; Female ; Gastric Mucosa - virology ; Hematologic and hematopoietic diseases ; Hepacivirus - isolation &amp; purification ; Hepatitis C - pathology ; Hepatitis C - virology ; Hepatitis C virus ; Human viral diseases ; Humans ; infectious agents ; Infectious diseases ; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis ; Lymphoma, B-Cell, Marginal Zone - pathology ; Lymphoma, B-Cell, Marginal Zone - virology ; Male ; MALT lymphoma ; marginal zone ; Medical sciences ; Middle Aged ; Pharmacology. Drug treatments ; Prevalence ; Retrospective Studies ; Survival Rate ; Viral diseases ; Viral hepatitis</subject><ispartof>Annals of oncology, 2007-02, Vol.18 (2), p.346-350</ispartof><rights>2007 European Society for Medical Oncology</rights><rights>2007 INIST-CNRS</rights><rights>Copyright Springer Science &amp; Business Media Feb 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c570t-892d761b71e5528a03765b319a5f8b0ef898744254563e776db8cd72258dea293</citedby><cites>FETCH-LOGICAL-c570t-892d761b71e5528a03765b319a5f8b0ef898744254563e776db8cd72258dea293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18550865$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17071937$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arcaini, L.</creatorcontrib><creatorcontrib>Burcheri, S.</creatorcontrib><creatorcontrib>Rossi, A.</creatorcontrib><creatorcontrib>Paulli, M.</creatorcontrib><creatorcontrib>Bruno, R.</creatorcontrib><creatorcontrib>Passamonti, F.</creatorcontrib><creatorcontrib>Brusamolino, E.</creatorcontrib><creatorcontrib>Molteni, A.</creatorcontrib><creatorcontrib>Pulsoni, A.</creatorcontrib><creatorcontrib>Cox, M.C.</creatorcontrib><creatorcontrib>Orsucci, L.</creatorcontrib><creatorcontrib>Fabbri, A.</creatorcontrib><creatorcontrib>Frezzato, M.</creatorcontrib><creatorcontrib>Voso, M.T.</creatorcontrib><creatorcontrib>Zaja, F.</creatorcontrib><creatorcontrib>Montanari, F.</creatorcontrib><creatorcontrib>Merli, M.</creatorcontrib><creatorcontrib>Pascutto, C.</creatorcontrib><creatorcontrib>Morra, E.</creatorcontrib><creatorcontrib>Cortelazzo, S.</creatorcontrib><creatorcontrib>Lazzarino, M.</creatorcontrib><title>Prevalence of HCV infection in nongastric marginal zone B-cell lymphoma of MALT</title><title>Annals of oncology</title><addtitle>Ann Oncol</addtitle><description>Background: Hepatitis C virus (HCV) infection is frequently associated with B-cell non-Hodgkin's lymphomas. We investigated the prevalence of HCV infection in nongastric marginal zone lymphomas of mucosa-associated lymphoid tissue (MALT) in order to define the relationship between the viral infection and the presenting features, treatment, and outcome. Methods: We retrospectively studied 172 patients with a histological diagnosis of marginal zone B-cell lymphoma of MALT, except for stomach, and with available HCV serology, among a series of 208 patients. Results: HCV infection was documented in 60 patients (35%). Most HCV-positive patients (97%) showed a single MALT organ involvement. HCV-positive patients showed a more frequent involvement of skin (35%), salivary glands (25%), and orbit (15%). The majority of stage IV HCV-positive patients (71%) had a single MALT site with bone marrow involvement. The overall response rate was similar in HCV-positive (93%) and HCV-negative patients (87%). Overall survival (OS) and event-free survival (EFS) did not differ according to HCV infection. In multivariate analysis, advanced disease (stage III–IV) was associated with a poorer OS (P = 0.0001), irrespective of HCV serostatus. Conclusions: This study shows that nongastric marginal zone lymphomas are characterized by a high prevalence of HCV infection. Patients with involvement of a single MALT site have the highest prevalence of HCV. HCV-positive nongastric lymphomas of MALT show an indolent course similar to HCV-negative patients and seem an ideal target for exploiting the antilymphoma activity of antiviral treatments.</description><subject>Antibodies, Viral - analysis</subject><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - analysis</subject><subject>Female</subject><subject>Gastric Mucosa - virology</subject><subject>Hematologic and hematopoietic diseases</subject><subject>Hepacivirus - isolation &amp; purification</subject><subject>Hepatitis C - pathology</subject><subject>Hepatitis C - virology</subject><subject>Hepatitis C virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>infectious agents</subject><subject>Infectious diseases</subject><subject>Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis</subject><subject>Lymphoma, B-Cell, Marginal Zone - pathology</subject><subject>Lymphoma, B-Cell, Marginal Zone - virology</subject><subject>Male</subject><subject>MALT lymphoma</subject><subject>marginal zone</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pharmacology. 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Malignant lymphomas. Malignant reticulosis. Myelofibrosis</topic><topic>Lymphoma, B-Cell, Marginal Zone - pathology</topic><topic>Lymphoma, B-Cell, Marginal Zone - virology</topic><topic>Male</topic><topic>MALT lymphoma</topic><topic>marginal zone</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pharmacology. 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We investigated the prevalence of HCV infection in nongastric marginal zone lymphomas of mucosa-associated lymphoid tissue (MALT) in order to define the relationship between the viral infection and the presenting features, treatment, and outcome. Methods: We retrospectively studied 172 patients with a histological diagnosis of marginal zone B-cell lymphoma of MALT, except for stomach, and with available HCV serology, among a series of 208 patients. Results: HCV infection was documented in 60 patients (35%). Most HCV-positive patients (97%) showed a single MALT organ involvement. HCV-positive patients showed a more frequent involvement of skin (35%), salivary glands (25%), and orbit (15%). The majority of stage IV HCV-positive patients (71%) had a single MALT site with bone marrow involvement. The overall response rate was similar in HCV-positive (93%) and HCV-negative patients (87%). Overall survival (OS) and event-free survival (EFS) did not differ according to HCV infection. In multivariate analysis, advanced disease (stage III–IV) was associated with a poorer OS (P = 0.0001), irrespective of HCV serostatus. Conclusions: This study shows that nongastric marginal zone lymphomas are characterized by a high prevalence of HCV infection. Patients with involvement of a single MALT site have the highest prevalence of HCV. HCV-positive nongastric lymphomas of MALT show an indolent course similar to HCV-negative patients and seem an ideal target for exploiting the antilymphoma activity of antiviral treatments.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>17071937</pmid><doi>10.1093/annonc/mdl388</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record>
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subjects Antibodies, Viral - analysis
Antineoplastic agents
Biological and medical sciences
Biomarkers - analysis
Female
Gastric Mucosa - virology
Hematologic and hematopoietic diseases
Hepacivirus - isolation & purification
Hepatitis C - pathology
Hepatitis C - virology
Hepatitis C virus
Human viral diseases
Humans
infectious agents
Infectious diseases
Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
Lymphoma, B-Cell, Marginal Zone - pathology
Lymphoma, B-Cell, Marginal Zone - virology
Male
MALT lymphoma
marginal zone
Medical sciences
Middle Aged
Pharmacology. Drug treatments
Prevalence
Retrospective Studies
Survival Rate
Viral diseases
Viral hepatitis
title Prevalence of HCV infection in nongastric marginal zone B-cell lymphoma of MALT
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