Katano Atsuto, Yamashita Hideomi
Radiology, University of Tokyo Hospital, Tokyo, JPN.
Cureus. 2023 Jan 29;15(1):e34348. doi: 10.7759/cureus.34348. eCollection 2023 Jan.
Background Nasal extranodal natural killer (NK)/T-cell lymphoma (ENKTL) is a rare type of lymphoma with characteristic histological features. Although radiotherapy can achieve a high response rate, long-term efficacy and safety are yet to be established. Methodology Using electronic health records, we identified relevant patients treated at our hospital from August 2005 to August 2015. We enrolled patients with pathologically confirmed ENKTL treated with curative intent radiotherapy. Results We included 13 patients who underwent definitive radiotherapy in the analysis, comprising 11 males and 2 females and a median age of 53 years (range: 28-73). The median follow-up period was 113.4 months. The overall survival at 5 and 10 years was 92.3% (95% confidence interval [CI]: 57-99 %) and 68.4% (95% CI: 29-89 %), respectively. The most common radiation-related late-term toxicity was sinus disorder (Grade 1-2) in 11 patients (85%). Radiation-related grade 3 to 5 toxicities were not observed. Conclusion The present retrospective study elucidated the long-term safety and effectiveness of curative intent radiotherapy in patients with localized ENKTL.
背景 鼻型结外自然杀伤(NK)/T细胞淋巴瘤(ENKTL)是一种具有特征性组织学特征的罕见淋巴瘤类型。尽管放射治疗可取得较高的缓解率,但长期疗效和安全性尚未确立。方法 使用电子健康记录,我们识别出2005年8月至2015年8月在我院接受治疗的相关患者。我们纳入了接受根治性放疗的病理确诊ENKTL患者。结果 我们在分析中纳入了13例接受根治性放疗的患者,其中男性11例,女性2例,中位年龄53岁(范围:28 - 73岁)。中位随访期为113.4个月。5年和10年总生存率分别为92.3%(95%置信区间[CI]:57 - 99%)和68.4%(95%CI:29 - 89%)。最常见的与放疗相关的晚期毒性是11例患者(85%)出现鼻窦疾病(1 - 2级)。未观察到与放疗相关的3至5级毒性。结论 本回顾性研究阐明了根治性放疗对局限性ENKTL患者的长期安全性和有效性。