Primary renal lymphoma: A population‐based analysis using the SEER program (1973‐2015)

Objective Primary renal lymphoma (PRL) is defined as a non‐Hodgkin lymphoma (NHL) restricted to kidneys without extensive nodal disease. The literature on epidemiology and outcome in PRL is limited to case reports and small case series. Methods We utilized Surveillance, Epidemiology, and End Result...

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Veröffentlicht in:European journal of haematology 2020-05, Vol.104 (5), p.390-399
Hauptverfasser: Taneja, Alankrita, Kumar, Vivek, Chandra, Abhinav B.
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creator Taneja, Alankrita
Kumar, Vivek
Chandra, Abhinav B.
description Objective Primary renal lymphoma (PRL) is defined as a non‐Hodgkin lymphoma (NHL) restricted to kidneys without extensive nodal disease. The literature on epidemiology and outcome in PRL is limited to case reports and small case series. Methods We utilized Surveillance, Epidemiology, and End Result database (1984‐2015) to study the demographic, clinical, and pathological characteristics of PRL. We conducted analysis to assess factors associated with overall survival (OS) and cause‐specific survival (CSS). Results A total of 599 (0.17% of all NHL) patients were eligible for the study. The age‐adjusted incidence was 0.035/100,000 population and is increasing. The median age was 72 years, and most of the patients were Caucasians and were males. Most of the patients had unilateral tumors, and diffuse large B‐cell lymphoma (DLBCL) was the most common histologic type. The median OS was 112 months, while median CSS was not reached. Age ≥ 60 years was the strongest independent risk factor for worse OS and CSS, while non‐DLBCL histology was associated with better OS and CSS. Discussion Primary renal lymphoma is a rare lymphoma with increasing incidence in more recent years. In this study, we describe demographic, clinical, and pathological characteristics of PRL and factors affecting survival among these patients.
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The literature on epidemiology and outcome in PRL is limited to case reports and small case series. Methods We utilized Surveillance, Epidemiology, and End Result database (1984‐2015) to study the demographic, clinical, and pathological characteristics of PRL. We conducted analysis to assess factors associated with overall survival (OS) and cause‐specific survival (CSS). Results A total of 599 (0.17% of all NHL) patients were eligible for the study. The age‐adjusted incidence was 0.035/100,000 population and is increasing. The median age was 72 years, and most of the patients were Caucasians and were males. Most of the patients had unilateral tumors, and diffuse large B‐cell lymphoma (DLBCL) was the most common histologic type. The median OS was 112 months, while median CSS was not reached. Age ≥ 60 years was the strongest independent risk factor for worse OS and CSS, while non‐DLBCL histology was associated with better OS and CSS. Discussion Primary renal lymphoma is a rare lymphoma with increasing incidence in more recent years. In this study, we describe demographic, clinical, and pathological characteristics of PRL and factors affecting survival among these patients.</description><identifier>ISSN: 0902-4441</identifier><identifier>EISSN: 1600-0609</identifier><identifier>DOI: 10.1111/ejh.13360</identifier><identifier>PMID: 31769538</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Case reports ; Child ; Child, Preschool ; Epidemiology ; Female ; History, 20th Century ; History, 21st Century ; Humans ; Incidence ; Infant ; Kaplan-Meier Estimate ; Kidney Neoplasms - diagnosis ; Kidney Neoplasms - epidemiology ; Kidney Neoplasms - history ; Kidneys ; Lymphoma ; Lymphoma - diagnosis ; Lymphoma - epidemiology ; Lymphoma - history ; Male ; Middle Aged ; Non-Hodgkin's lymphoma ; non‐hodgkin lymphoma ; Original ; Population Surveillance ; primary lymphoma ; primary renal lymphoma ; Prognosis ; Proportional Hazards Models ; rare lymphomas ; renal lymphoma ; Retrospective Studies ; Risk factors ; SEER Program ; Tumors ; Young Adult</subject><ispartof>European journal of haematology, 2020-05, Vol.104 (5), p.390-399</ispartof><rights>2020 The Authors. published by John Wiley &amp; Sons Ltd</rights><rights>2020 The Authors. 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The literature on epidemiology and outcome in PRL is limited to case reports and small case series. Methods We utilized Surveillance, Epidemiology, and End Result database (1984‐2015) to study the demographic, clinical, and pathological characteristics of PRL. We conducted analysis to assess factors associated with overall survival (OS) and cause‐specific survival (CSS). Results A total of 599 (0.17% of all NHL) patients were eligible for the study. The age‐adjusted incidence was 0.035/100,000 population and is increasing. The median age was 72 years, and most of the patients were Caucasians and were males. Most of the patients had unilateral tumors, and diffuse large B‐cell lymphoma (DLBCL) was the most common histologic type. The median OS was 112 months, while median CSS was not reached. Age ≥ 60 years was the strongest independent risk factor for worse OS and CSS, while non‐DLBCL histology was associated with better OS and CSS. 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subjects Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Case reports
Child
Child, Preschool
Epidemiology
Female
History, 20th Century
History, 21st Century
Humans
Incidence
Infant
Kaplan-Meier Estimate
Kidney Neoplasms - diagnosis
Kidney Neoplasms - epidemiology
Kidney Neoplasms - history
Kidneys
Lymphoma
Lymphoma - diagnosis
Lymphoma - epidemiology
Lymphoma - history
Male
Middle Aged
Non-Hodgkin's lymphoma
non‐hodgkin lymphoma
Original
Population Surveillance
primary lymphoma
primary renal lymphoma
Prognosis
Proportional Hazards Models
rare lymphomas
renal lymphoma
Retrospective Studies
Risk factors
SEER Program
Tumors
Young Adult
title Primary renal lymphoma: A population‐based analysis using the SEER program (1973‐2015)
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