Clinical characterization and outcome of primary bone lymphoma: a retrospective study of 61 Chinese patients

Primary bone lymphoma(PBL) is a rare disease. To assess the clinical characteristics, outcome, and prognostic factors of this entity in Chinese population, we retrospectively analyzed 61 PBL patients initially treated in our institution between 1997 and 2014. The median age was 45 years. The most co...

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Veröffentlicht in:Scientific reports 2016-06, Vol.6 (1), p.28834-28834, Article 28834
Hauptverfasser: Zhang, XuanYe, Zhu, Jun, Song, YuQin, Ping, LingYan, Zheng, Wen
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description Primary bone lymphoma(PBL) is a rare disease. To assess the clinical characteristics, outcome, and prognostic factors of this entity in Chinese population, we retrospectively analyzed 61 PBL patients initially treated in our institution between 1997 and 2014. The median age was 45 years. The most common histological subtype was diffuse large B-cell lymphoma (DLBCL) (55.7%), followed by T-cell lymphoma (18.0%). All patients underwent systemic chemotherapy as initial treatment while 24 patients (39.3%) were additionally treated with radiotherapy. The 5-year overall survival (OS) and the 5-year progression-free survival (PFS) rates of 57 cases with completed follow-up were 52.3% and 40.1%, respectively. In further analysis of the primary bone DLBCL (PB-DLBCL) subgroup, the 5-year OS and PFS rates were 53.0% and 47.0%, and a multivariable analysis revealed that baseline Eastern Cooperative Oncology Group (ECOG) score and response to initial treatment (complete remission versus no complete remission) were independent prognostic factors for both OS and PFS. The proportion of T-cell lymphoma is higher in China than in western populations. High baseline ECOG scores (≥2) and unachieved CR in initial therapy were factors for poor PB-DLBCL prognosis. The role of radiotherapy and rituximab in PLB therapy remains to be confirmed in further investigation.
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To assess the clinical characteristics, outcome, and prognostic factors of this entity in Chinese population, we retrospectively analyzed 61 PBL patients initially treated in our institution between 1997 and 2014. The median age was 45 years. The most common histological subtype was diffuse large B-cell lymphoma (DLBCL) (55.7%), followed by T-cell lymphoma (18.0%). All patients underwent systemic chemotherapy as initial treatment while 24 patients (39.3%) were additionally treated with radiotherapy. The 5-year overall survival (OS) and the 5-year progression-free survival (PFS) rates of 57 cases with completed follow-up were 52.3% and 40.1%, respectively. 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subjects 13
13/56
692/308/409
692/699/2743/316
Adolescent
Adult
Aged
Aged, 80 and over
Asian Continental Ancestry Group
Bone marrow
Bone Neoplasms - drug therapy
Bone Neoplasms - mortality
Bone Neoplasms - pathology
Bone Neoplasms - radiotherapy
Chemotherapy
China
Combined Modality Therapy
Disease-Free Survival
Female
Humanities and Social Sciences
Humans
Kaplan-Meier Estimate
Lymphatic system
Lymphoma
Lymphoma, Large B-Cell, Diffuse - drug therapy
Lymphoma, Large B-Cell, Diffuse - mortality
Lymphoma, Large B-Cell, Diffuse - pathology
Lymphoma, Large B-Cell, Diffuse - radiotherapy
Lymphoma, T-Cell - drug therapy
Lymphoma, T-Cell - mortality
Lymphoma, T-Cell - pathology
Lymphoma, T-Cell - radiotherapy
Male
Medical prognosis
Middle Aged
multidisciplinary
Multivariate Analysis
Neoplasm Staging
Positron Emission Tomography Computed Tomography
Prognosis
Radiation therapy
Rare diseases
Remission (Medicine)
Remission Induction
Retrospective Studies
Rituximab - therapeutic use
Science
Survival analysis
Tomography
Tomography, X-Ray Computed
Treatment Outcome
Ultrasonic imaging
Young Adult
title Clinical characterization and outcome of primary bone lymphoma: a retrospective study of 61 Chinese patients
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