96例外周T细胞非霍奇金淋巴瘤预后分析
Clinical Analysis of Prognosis for 96 Patients with Peripheral T-cell Lymphoma
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摘要: 目的:分析外周T细胞淋巴瘤的临床特征、近期疗效、远期生存及预后因素。方法:对96例患者的临床特征、治疗效果及预后因素进行分析。外周T细胞淋巴瘤-非特异型(PTCL-U)66例,间变大细胞性淋巴瘤(ALCL)6例,NK/T淋巴廇(NK/TCL)17例,肠道T细胞性淋巴瘤(ITCL)5例,血管免疫母T细胞性淋巴瘤(AITCL)2例。结果:96例患者中89例接受CHOP方案为主的联合化疗,有效率(RR)为88.8%,完全缓解(CR)率为57.3%。中位随访时间30(2~98)个月,死亡52例,中位生存期31.9个月,1、3、5年生存率分别为83.3%、42.7%、35.1%。多因素分析结果显示,IPI评分是PTCL的独立预后指标(P<0.05)。结论:外周T细胞淋巴瘤常规化疗近期疗效尚可,但远期生存率低,预后不良,需进一步探索新的治疗策略。Abstract: Objective: To summarize and analyze the clinical characteristics, treatment outcome,overall survival rates and prognosis of peripheral T-cell lymphoma (PTCL) patients. Methods: Data from 96 patients with PTCL were analyzed retrospectively. Results: Histopathological subgroups included 66 PTCL-unspecified (PTCL-U) cases, 6 anaplastic large cell lymphoma (ALCL) cases, 17 angiocentric lymphoma (NK/T-cell lymphoma, NK/TCL) cases, 5 intestinal T-cell lymphoma cases and 2 angioimmunoblastic T -cell lymphoma cases. Most of the patients were treated with combined chemotherapy (CHOP regimen). Overall response rate was 88.8% with 57.3% complete remission (CR)rates for 89 evaluable patients. The median survival time (MST) was 31.9 months. The 1-, 3-, and 5-year overall survival (OS) rates were 83.3%, 42.7% and 35.1%, respectively. Multivariate analysis showed that IPI score was an independent prognostic factor for PTCL (P<0.05). Conclusion: Althoughconventional chemotherapy yields high response rates for PTCL, the long-term survival is still poor.Further investigation for optional treatment is needed.