Yang Qiu-Shi, Zhao Shi-Hua, Jiang Yan, Jiang Tian-You, Yuan Shun-Zong, Su Hang
Deparment of Lymphoma, Affillated Hospital, Academy of Military Medical Sciences , Beijing 100071, China.
Deparment of Lymphoma, Affillated Hospital, Academy of Military Medical Sciences , Beijing 100071, China. E-mail:
Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2017 Oct;25(5):1390-1396. doi: 10.7534/j.issn.1009-2137.2017.05.019.
To investigate the clinical characteristics, treatment and prognostic factors of patients with extranodal NK/T cell lymphoma.
The clinical data of patients with extranodal NK/T cell lymphoma admitted in the Hospital Affiliated to the Academy of Military Medical Science from June 2006 to June 2016 were retrospectively analyzed. The clinical features, therapeutic efficacy and prognosis-related factors were clarified.
A total of 84 patients with extranodal NK/T cell lymphoma with complete clinical data were collected, with a median follow-up of 21 months (1-123 months), the overall survival (OS) and progression free survival (PFS) were 58.9% and 52.1% years, respectively. Univariate analysis showed that anemia, the copy number of EBV-DNA, LDH level, IPI score, ECOG score, Ann Arbor staging, complete remission after the initial therapy were statistically significant for both OS and PFS of the patients, and chemotherapy regimens were only statistically significant for PFS. Multivariate analysis showed that complete remission after the initial therapy, LDH level and ECOG score were statistically significant for both OS and PFS in patients with NK/T cell lymphoma.
LDH level, ECOG score and complete remission after the initial therapy are independent prognostic factors for patients with extranodal NK/T cell lymphoma.
探讨结外NK/T细胞淋巴瘤患者的临床特征、治疗及预后因素。
回顾性分析2006年6月至2016年6月在军事医学科学院附属医院收治的结外NK/T细胞淋巴瘤患者的临床资料。明确其临床特征、治疗效果及预后相关因素。
共收集84例临床资料完整的结外NK/T细胞淋巴瘤患者,中位随访时间为21个月(1 - 123个月),总生存(OS)率和无进展生存(PFS)率分别为58.9%和52.1%。单因素分析显示,贫血、EBV - DNA拷贝数、乳酸脱氢酶(LDH)水平、国际预后指数(IPI)评分、美国东部肿瘤协作组(ECOG)评分、Ann Arbor分期、初始治疗后完全缓解对患者的OS和PFS均有统计学意义,化疗方案仅对PFS有统计学意义。多因素分析显示,初始治疗后完全缓解、LDH水平及ECOG评分对NK/T细胞淋巴瘤患者的OS和PFS均有统计学意义。
LDH水平、ECOG评分及初始治疗后完全缓解是结外NK/T细胞淋巴瘤患者的独立预后因素。