岑洪, 胡晓桦, 周文献, 谭晓虹, 陆永奎. 163例外周T细胞淋巴瘤-非特指型患者的临床特征及预后分析[J]. 中国肿瘤临床, 2007, 34(17): 982-985.
引用本文: 岑洪, 胡晓桦, 周文献, 谭晓虹, 陆永奎. 163例外周T细胞淋巴瘤-非特指型患者的临床特征及预后分析[J]. 中国肿瘤临床, 2007, 34(17): 982-985.
Cen Hong, Hu Xiaohua, Zhou Wenxian, Tan Xiaohong, Lu Yongkui. Clinical Characteristics and Treatment Response of 163 Patients with Peripheral T-cell Lymphoma Unspecified[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(17): 982-985.
Citation: Cen Hong, Hu Xiaohua, Zhou Wenxian, Tan Xiaohong, Lu Yongkui. Clinical Characteristics and Treatment Response of 163 Patients with Peripheral T-cell Lymphoma Unspecified[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(17): 982-985.

163例外周T细胞淋巴瘤-非特指型患者的临床特征及预后分析

Clinical Characteristics and Treatment Response of 163 Patients with Peripheral T-cell Lymphoma Unspecified

  • 摘要: 目的 :阐明中国人群中外周T细胞淋巴瘤-非特指型(PTCL-U)患者的临床特征,并探讨其与预后的关系。 方法 :回顾性分析2002年1月~2006年12月期间收治的初治PTCL-U患者163例,分析其临床特征,采用卡方检验(Chi-square test),比较不同临床特征与完全缓解率之间的关系。 结果 :PTCL-U患者的中位年龄39岁;男女比例为2.4:1;74.85%的患者有结外侵犯,最常见的结外侵犯部位是咽淋巴环(鼻咽、扁桃体和软腭);完全缓解率43.56%;Ⅲ~Ⅳ期、乳酸脱氢酶高、出现结外侵犯、体能状况差、巨大包块者完全缓解率低;性别、年龄、B症状及是否放疗与完全缓解率无显著性相关;国际预后指数(IPI)不同的患者,其完全缓解率有显著性差异。 结论 :中国人群中PTCL-U常发生于年轻男性患者,大部分患者伴有结外侵犯,完全缓解率低,可以利用IPI指数预测其疗效与预后。

     

    Abstract: Objective :To analyze the clinical characteristics and treatment response of 163 caseswith peripheral T-cell lymphoma unspecified (PTCL-U) and to explore the association between its clin-ical characteristics and prognosis. Methods :163 cases with PTCL-U treated between January 2002and December 2006 in Guangxi Cancer Hospital were retrospectively analyzed.The association betweenclinical features and the probability of attaining complete remission (CR) was evaluated by Chi-squaretest. Results :The median age of patients was 39 years, and the male-to-female ratio was 2.4:1.Theextranodal involvement rate was 74.85% and Waldeyer's ring was the most frequent site.The CR ratewas 43.56% and the factors associated with a lower probability of achieving CR were advanced disease(stage III-IV),the presence of extranodal involvement, poor performance status (PS), high LDH levels,bulky disease and International Prognostic Index (IPI). Conclusion :There is a preponderance of malesand a low CR rate in cases with PTCL-U. IPI is shown to be of highly significant prognostic value.

     

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