Artikel ; Online: Absolute monocyte count as a prognostic parameter in diffuse large B cell lymphoma.
2020 Band 147, Heft 12, Seite(n) 1553–1560
Abstract: Background Prognosis of patients with Diffuse Large B Cell Lymphoma (DLBCL) is highly variable, and despite the use of modern immunochemotherapy regimens, almost 50% of patients will eventually relapse. Standard risk models, like the International ... ...
Abstract | Background Prognosis of patients with Diffuse Large B Cell Lymphoma (DLBCL) is highly variable, and despite the use of modern immunochemotherapy regimens, almost 50% of patients will eventually relapse. Standard risk models, like the International Prognostic Index or the Revised International Prognostic Index (R_IPI) incorporate patient and tumor characteristics but do not consider variables related to host adaptive immunity which have been shown to be of significant prognostic value in non-Hodgkin lymphomas. Aim To analyze the prognostic significance of the absolute monocyte count at diagnosis in diffuse large-B-cell lymphoma in a retrospective setting. Material and Methods We reviewed data of 171 patients with DLBCL treated with Rituximab-based immunochemotherapy at two reference public Hospitals in Montevideo-Uruguay. The outcome measures were overall and relapse free survival. Results The absolute monocyte count, analyzed as a dichotomized variable predicted progression-free and overall survival in low risk patients according to the R-IPI score. Worse outcomes were observed in those with high monocyte count al diagnosis. Conclusions Absolute monocyte count could help in the identification of high-risk patients otherwise expected to have a good prognosis according to traditional scores. |
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Mesh-Begriff(e) | Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antineoplastic Combined Chemotherapy Protocols ; Female ; Humans ; Immunotherapy ; Leukocyte Count ; Lymphoma, Large B-Cell, Diffuse/blood ; Lymphoma, Large B-Cell, Diffuse/drug therapy ; Male ; Middle Aged ; Monocytes ; Prognosis ; Retrospective Studies ; Young Adult |
Sprache | Englisch |
Erscheinungsdatum | 2020-03-18 |
Erscheinungsland | Chile |
Dokumenttyp | Journal Article |
ZDB-ID | 732136-3 |
ISSN | 0717-6163 ; 0034-9887 |
ISSN (online) | 0717-6163 |
ISSN | 0034-9887 |
DOI | 10.4067/S0034-98872019001201553 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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