2022
Clinical value of ALK and CD30 expression in mature systemic T cell lymphomas: analysis from the Czech Lymphoma Study Group database (NIHIL)
JANÍKOVÁ, Andrea, Jozef MICHALKA, Renata CHLOUPKOVÁ, Natasa KOPALOVA, V. CAMPR et. al.Základní údaje
Originální název
Clinical value of ALK and CD30 expression in mature systemic T cell lymphomas: analysis from the Czech Lymphoma Study Group database (NIHIL)
Autoři
JANÍKOVÁ, Andrea (203 Česká republika, garant, domácí), Jozef MICHALKA (703 Slovensko, domácí), Renata CHLOUPKOVÁ (203 Česká republika, domácí), Natasa KOPALOVA (203 Česká republika), V. CAMPR (203 Česká republika), K. KAMARADOVA (203 Česká republika), Leoš KŘEN (203 Česká republika, domácí), D. BELADA (203 Česká republika), K. BENESOVA (203 Česká republika), J. DLOUHA, P. KLENER, V. PROCHÁZKA, H. MOCIKOVA (203 Česká republika), J. DURAS (203 Česká republika) a M. TRNENY (203 Česká republika)
Vydání
Annals of hematology, New York, Springer Verlag, 2022, 0939-5555
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30205 Hematology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 3.500
Kód RIV
RIV/00216224:14110/22:00126151
Organizační jednotka
Lékařská fakulta
UT WoS
000745380700001
Klíčová slova anglicky
Peripheral T cell lymphoma; CD30; ALK; Prognosis
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 28. 6. 2022 10:42, Mgr. Tereza Miškechová
Anotace
V originále
Mature T cell lymphomas (MTCLs) have worse prognosis, and in contrast to B cell lymphomas, there is no universal marker like CD20 with exception of ALK and CD30, which are present in proportion of MTCL only. Up to now, ALK is traditionally associated with good prognosis in ALCLs, and there are some evidences that CD30-positive T cell or B cell lymphomas have better prognosis. In our retrospective, population-based analysis, we analyzed the real clinical value of ALK and CD30 in the most frequent MTCL subtypes. Between 2000 and 2017, we identified 732 patients with newly diagnosed ALCL, AITL, or PTCL-NOS. Among them, 207 ALCL patients were with known ALK, whereas 61 AITL and 238 PTCL-NOS with known CD30 expression. There were 69/207 (33.3%) ALK + ALCLs, who displayed better 5-year PFS (65.6% vs. 36.2%) (p .001) and 5-year OS (71.5% vs. 45.9%) (p .002) compared to ALK -; ALK + patients were significantly younger (median 48 vs. 60 years; p < 0.001). For patients >= 60 years, 5-year PFS (38.5% vs. 31.2%) and 5-year OS (38.5% vs. 39.6%) were similar between ALK + vs. ALK - patients. For AITL and PTCL-NOS, there were 44/61 (72.1%) and 120/238 (50.4%) CD30 + samples, and difference in CD30 expression was significant (p .02). AITL patients had 5-year OS of 43.8% vs. 55.7% (p 0.848) and 5-year PFS of 36.7% vs. 29.4% (p .624) for CD30 + vs. CD30 - patients, whereas PTCL-NOS had 5-year OS of 35.7% vs. 34.3% (p .318) and 5-year PFS of 29.3% vs. 22.5% (p .114) for CD30 + vs. CD30 - cases. We conclude that ALK in ALCLs (>= 60 years) and CD30 expression in PCTL-NOS and AITL have only limited prognostic value.