JANÍKOVÁ, Andrea, Jozef MICHALKA, Renata CHLOUPKOVÁ, Natasa KOPALOVA, V. CAMPR, K. KAMARADOVA, Leoš KŘEN, D. BELADA, K. BENESOVA, J. DLOUHA, P. KLENER, V. PROCHÁZKA, H. MOCIKOVA, J. DURAS and M. TRNENY. Clinical value of ALK and CD30 expression in mature systemic T cell lymphomas: analysis from the Czech Lymphoma Study Group database (NIHIL). Annals of hematology. New York: Springer Verlag, 2022, vol. 101, No 4, p. 789-798. ISSN 0939-5555. Available from: https://dx.doi.org/10.1007/s00277-022-04759-1.
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Basic information
Original name Clinical value of ALK and CD30 expression in mature systemic T cell lymphomas: analysis from the Czech Lymphoma Study Group database (NIHIL)
Authors JANÍKOVÁ, Andrea (203 Czech Republic, guarantor, belonging to the institution), Jozef MICHALKA (703 Slovakia, belonging to the institution), Renata CHLOUPKOVÁ (203 Czech Republic, belonging to the institution), Natasa KOPALOVA (203 Czech Republic), V. CAMPR (203 Czech Republic), K. KAMARADOVA (203 Czech Republic), Leoš KŘEN (203 Czech Republic, belonging to the institution), D. BELADA (203 Czech Republic), K. BENESOVA (203 Czech Republic), J. DLOUHA, P. KLENER, V. PROCHÁZKA, H. MOCIKOVA (203 Czech Republic), J. DURAS (203 Czech Republic) and M. TRNENY (203 Czech Republic).
Edition Annals of hematology, New York, Springer Verlag, 2022, 0939-5555.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 30205 Hematology
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 3.500
RIV identification code RIV/00216224:14110/22:00126151
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s00277-022-04759-1
UT WoS 000745380700001
Keywords in English Peripheral T cell lymphoma; CD30; ALK; Prognosis
Tags 14110212, 14110230, 14119612, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 28/6/2022 10:42.
Abstract
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.
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