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Clinical outcome and prognosis of patients with primary sinonasal tract diffuse large B-cell lymphoma treated with rituximab-cyclophosphamide, doxorubicin, vincristine and prednisone chemotherapy: a study by the Consortium for Improving Survival of Lymphoma

Abstract We evaluated the clinical outcomes and relapse patterns of 80 patients with primary sinonasal tract diffuse large B-cell lymphoma (SN-DLBCL) treated with rituximab-cyclophosphamide, doxorubicin, vincristine and prednisone (R-CHOP) chemotherapy at 22 institutions. A total of 59 (73.8%) patie...

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Published in:Leukemia & lymphoma 2015-04, Vol.56 (4), p.1020-1026
Main Authors: Lee, Gyeong-Won, Go, Se-Il, Kim, Seok-Hyun, Hong, Junshik, Kim, Yu Ri, Oh, Sukjoong, Kim, Sung-Yong, Do, Young Rok, Lee, Hyewon, Lee, Soon Il, Bae, Sung Hwa, Oh, Sung Yong, Song, Moo Kon, Lee, Won-Sik, Lee, Bohee, Kim, Jin Seok, Kim, Min Kyoung, Kang, Hye Jin, Ahn, Jae-Sook, Yhim, Ho-Young, Kim, Hyo Jung, Kim, Seok Jin, Kim, Won Seog, Suh, Cheolwon
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cited_by cdi_FETCH-LOGICAL-c418t-37aa38391c906faece6e1cc81951f94369c039d0413df989d2a2dc845ee1bde13
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creator Lee, Gyeong-Won
Go, Se-Il
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Lee, Hyewon
Lee, Soon Il
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description Abstract We evaluated the clinical outcomes and relapse patterns of 80 patients with primary sinonasal tract diffuse large B-cell lymphoma (SN-DLBCL) treated with rituximab-cyclophosphamide, doxorubicin, vincristine and prednisone (R-CHOP) chemotherapy at 22 institutions. A total of 59 (73.8%) patients received R-CHOP chemotherapy alone, whereas 21 (26.3%) were treated with R-CHOP followed by involved field radiotherapy (IFRT). In 73 patients with Ann Arbor stage I-II disease, no significant difference was found in the response rate or overall survival (OS) between R-CHOP alone (n = 52) and R-CHOP followed by IFRT (n = 21). Among 11 relapsed patients in this study, the most common pattern of relapse was local (n = 8, 11.8%), whereas central nervous system (CNS) relapse was observed in only one (1.9%) patient. These results suggest that patients with primary SN-DLBCL treated with R-CHOP have a relatively low CNS relapse rate and better OS compared to previous studies before the introduction of R.
doi_str_mv 10.3109/10428194.2014.946027
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A total of 59 (73.8%) patients received R-CHOP chemotherapy alone, whereas 21 (26.3%) were treated with R-CHOP followed by involved field radiotherapy (IFRT). In 73 patients with Ann Arbor stage I-II disease, no significant difference was found in the response rate or overall survival (OS) between R-CHOP alone (n = 52) and R-CHOP followed by IFRT (n = 21). Among 11 relapsed patients in this study, the most common pattern of relapse was local (n = 8, 11.8%), whereas central nervous system (CNS) relapse was observed in only one (1.9%) patient. 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A total of 59 (73.8%) patients received R-CHOP chemotherapy alone, whereas 21 (26.3%) were treated with R-CHOP followed by involved field radiotherapy (IFRT). In 73 patients with Ann Arbor stage I-II disease, no significant difference was found in the response rate or overall survival (OS) between R-CHOP alone (n = 52) and R-CHOP followed by IFRT (n = 21). Among 11 relapsed patients in this study, the most common pattern of relapse was local (n = 8, 11.8%), whereas central nervous system (CNS) relapse was observed in only one (1.9%) patient. These results suggest that patients with primary SN-DLBCL treated with R-CHOP have a relatively low CNS relapse rate and better OS compared to previous studies before the introduction of R.</abstract><cop>United States</cop><pub>Informa Healthcare</pub><pmid>25039351</pmid><doi>10.3109/10428194.2014.946027</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Aged, 80 and over
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Cyclophosphamide - administration & dosage
Diffuse large cell lymphomas
Disease-Free Survival
Doxorubicin - administration & dosage
Female
Humans
Lymphoma, Large B-Cell, Diffuse - drug therapy
Lymphoma, Large B-Cell, Diffuse - pathology
Male
Middle Aged
Multivariate Analysis
nasal cavities
Neoplasm Recurrence, Local
Neoplasm Staging
paranasal sinus
Paranasal Sinus Neoplasms - drug therapy
Prednisone - administration & dosage
Prognosis
rituximab
Rituximab - administration & dosage
Treatment Outcome
Vincristine - administration & dosage
title Clinical outcome and prognosis of patients with primary sinonasal tract diffuse large B-cell lymphoma treated with rituximab-cyclophosphamide, doxorubicin, vincristine and prednisone chemotherapy: a study by the Consortium for Improving Survival of Lymphoma
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