2016
Non-Hodgkin lymphoma and pre-existing conditions: spectrum, clinical characteristics and outcome in 213 children and adolescents
ATTARBASCHI, Andishe, Elisa CARRARO, Ousama ABLA, Shlomit BARZILAI-BIRENBOIM, Simon BOMKEN et. al.Základní údaje
Originální název
Non-Hodgkin lymphoma and pre-existing conditions: spectrum, clinical characteristics and outcome in 213 children and adolescents
Autoři
ATTARBASCHI, Andishe (40 Rakousko), Elisa CARRARO (380 Itálie), Ousama ABLA (124 Kanada), Shlomit BARZILAI-BIRENBOIM (376 Izrael), Simon BOMKEN (826 Velká Británie a Severní Irsko), Laurence BRUGIERES (250 Francie), Eva BUBANSKA (703 Slovensko), Birgit BURKHARDT (276 Německo), Alan k.S. CHIANG (344 Hongkong), Monika CSOKA (348 Maďarsko), Alina FEDOROVA (112 Bělorusko), Janez JAZBEC (705 Slovinsko), Edita KABICKOVA (203 Česká republika), Zdenka KŘENOVÁ (203 Česká republika, garant, domácí), Jelena LAZIC (688 Srbsko), Jan LOEFFEN (528 Nizozemské království), Georg MANN (40 Rakousko), Felix NIGGLI (756 Švýcarsko), Natalia MIAKOVA (643 Rusko), Tomoo OSUMI (392 Japonsko), Leila RONCERAY (40 Rakousko), Anne UYTTEBROECK (56 Belgie), Denise WILLIAMS (826 Velká Británie a Severní Irsko), Wilhelm WOESSMANN (276 Německo), Grazyna WROBEL (616 Polsko) a Marta PILLON (380 Itálie)
Vydání
Haematologica, Pavia, Ferrata Storti Foundation, 2016, 0390-6078
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30200 3.2 Clinical medicine
Stát vydavatele
Itálie
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 7.702
Kód RIV
RIV/00216224:14110/16:00092612
Organizační jednotka
Lékařská fakulta
UT WoS
000392584400018
Klíčová slova anglicky
Non-Hodgkin lymphoma
Štítky
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 4. 4. 2017 13:46, Soňa Böhmová
Anotace
V originále
Children and adolescents with pre-existing conditions such as DNA repair defects or other primary immunodeficiencies have an increased risk of non-Hodgkin lymphoma. However, large-scale data on patients with non-Hodgkin lymphoma and their entire spectrum of pre-existing conditions are scarce. A retrospective multinational study was conducted by means of questionnaires sent out to the national study groups or centers, by the two largest consortia in childhood non-Hodgkin lymphoma, the European Intergroup for Childhood non-Hodgkin Lymphoma, and the international Berlin-Frankfurt-Münster Study Group. The study identified 213 patients with non-Hodgkin lymphoma and a pre-existing condition. Four subcategories were established: a) cancer predisposition syndromes (n=124, 58%); b) primary immunodeficiencies not further specified (n=27, 13%); c) genetic diseases with no increased cancer risk (n=40, 19%); and d) non-classifiable conditions (n=22, 10%). Seventy-nine of 124 (64%) cancer predispositions were reported in groups with more than 20 patients: ataxia telangiectasia (n=32), Nijmegen breakage syndrome (n=26), constitutional mismatch repair deficiency (n=21). For the 151 patients with a known cancer risk, 5-year event-free survival and overall survival rates were 40%±4% and 51%±4%, respectively. Five-year cumulative incidences of progression/relapse and treatment-related death as a first event were 22%±4% and 24%±4%, respectively. Ten-year incidence of second malignancy was 24%±5% and 7-year overall survival of the 21 patients with a second malignancy was 41%±11%. Patients with non-Hodgkin lymphoma and pre-existing conditions have an inferior survival rate with a large proportion of therapy-related deaths compared to patients with non-Hodgkin lymphoma and no pre-existing conditions. They may require special vigilance when receiving standard or modified/reduced-intensity chemotherapy or when undergoing allogeneic stem cell transplantation.