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Presence of multiple abnormal immunologic markers is an independent prognostic factor of diffuse large B-cell lymphoma

Autoimmune diseases (ADs) increase the risk of non-Hodgkin's lymphoma and contribute to poor prognosis of patients. However, the association between immunologic markers and clinical outcome has rarely been investigated. This study aims to analyze the prognostic value of pretreatment immunologic...

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Published in:Frontiers of medicine 2019-02, Vol.13 (1), p.94-103
Main Authors: Cao, Yiwen, Liu, Zhenhua, Wu, Wen, Qian, Ying, Shi, Qin, Shen, Rong, Ouyang, Binshen, Xu, Pengpeng, Cheng, Shu, Ye, Jin, Lu, Yiming, Wang, Chaofu, Yang, Chengde, Wang, Li, Zhao, Weili
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Language:English
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Summary:Autoimmune diseases (ADs) increase the risk of non-Hodgkin's lymphoma and contribute to poor prognosis of patients. However, the association between immunologic markers and clinical outcome has rarely been investigated. This study aims to analyze the prognostic value of pretreatment immunologic markers in newly diagnosed patients with diffuse large B-cell lymphoma (DLBCL). We retrospectively reviewed the data on 502 patients with DLBCL treated in our institution from January 2013 to March 2018. Survival functions were estimated using Kaplan-Meier method and Cox regression model. The 3-year progression free survival (PFS) and overall survival (OS) rates were 70.2% and 80.9%, respectively, and the complete remission (CR) rate was 78.1%. Among the patients, those with multiple (≥3) abnormal immunologic markers had significantly shorter 3-year PFS (52.7% vs. 77.3%, P
ISSN:2095-0217
2095-0225
DOI:10.1007/s11684-019-0680-1