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血清β2-微球蛋白水平在未另行特指的外周T细胞淋巴瘤患者中的预后意义

Prognostic significance of serum β2-microglobulin levels in patients with peripheral T-cell lymphoma not otherwise specified.

作者信息

Kim Hyung-Don, Cho Hyungwoo, Sohn Byeong Seok, Park Chan-Sik, Huh Jooryung, Ryu Jin Sook, Lee Sang-Wook, Yoon Sang Eun, Kim Seok Jin, Ko Young Hyeh, Kim Won Seog, Suh Cheolwon

机构信息

Department of Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Busan, South Korea.

出版信息

Leuk Lymphoma. 2022 Jan;63(1):124-130. doi: 10.1080/10428194.2021.1971220. Epub 2021 Oct 26.

Abstract

We aimed to investigate the prognostic value of serum β2-microglobulin in patients with peripheral T-cell lymphoma-not otherwise specified (PTCL-NOS). A cohort study of PTCL-NOS patients ( = 147) was conducted. An elevated serum β2-microglobulin level was associated with the presence of previously identified predictors of a poor prognosis for PTCL-NOS. Patients with an elevated serum β2-microglobulin level exhibited a significantly worse progression-free survival (PFS) and overall survival (OS). Multivariate analyses revealed that an elevated serum β2-microglobulin level was independently associated with a shorter PFS and OS. A new prognostic index incorporating the serum β2-microglobulin level allowed for the stratification of patients into three distinct risk subgroups. The index was validated to stratify patients with distinct survival outcomes in an independent cohort of PTCL-NOS ( = 89). In conclusion, serum β2-microglobulin level is an independent prognostic factor in patients with PTCL-NOS. Our β2-microglobulin-based prognostic index for PTCL-NOS deserves further investigation and validation.

摘要

我们旨在研究血清β2-微球蛋白在外周T细胞淋巴瘤非特指型(PTCL-NOS)患者中的预后价值。对147例PTCL-NOS患者进行了一项队列研究。血清β2-微球蛋白水平升高与先前确定的PTCL-NOS预后不良预测因素的存在相关。血清β2-微球蛋白水平升高的患者无进展生存期(PFS)和总生存期(OS)明显更差。多因素分析显示,血清β2-微球蛋白水平升高与较短的PFS和OS独立相关。一个纳入血清β2-微球蛋白水平的新预后指数可将患者分为三个不同的风险亚组。该指数在一个独立的89例PTCL-NOS队列中得到验证,可对具有不同生存结果的患者进行分层。总之,血清β2-微球蛋白水平是PTCL-NOS患者的一个独立预后因素。我们基于β2-微球蛋白的PTCL-NOS预后指数值得进一步研究和验证。

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