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Clinical characteristics and outcome of isolated extracerebral relapses of primary central nervous system lymphoma: a case series
Hematological oncology, 2011-03, Vol.29 (1), p.10-16
Provencher, Sawyna
Ferlay, Céline
Alaoui-Slimani, Khaoula
Devidas, Alain
Lepretre, Stephane
de Prijck, Bernard
Sebban, Catherine
de la Fouchardiere, Arnaud
Chassagne-Clement, Catherine
Ketterer, Nicolas
Thyss, Antoine
Delannoy, André
Tilly, Hervé
Biron, Pierre
Blay, Jean-Yves
Ghesquières, Hervé
2011
Details
Autor(en) / Beteiligte
Provencher, Sawyna
Ferlay, Céline
Alaoui-Slimani, Khaoula
Devidas, Alain
Lepretre, Stephane
de Prijck, Bernard
Sebban, Catherine
de la Fouchardiere, Arnaud
Chassagne-Clement, Catherine
Ketterer, Nicolas
Thyss, Antoine
Delannoy, André
Tilly, Hervé
Biron, Pierre
Blay, Jean-Yves
Ghesquières, Hervé
Titel
Clinical characteristics and outcome of isolated extracerebral relapses of primary central nervous system lymphoma: a case series
Ist Teil von
Hematological oncology, 2011-03, Vol.29 (1), p.10-16
Ort / Verlag
Chichester, UK: John Wiley & Sons, Ltd
Erscheinungsjahr
2011
Link zum Volltext
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
There is very limited data on isolated systemic relapses of primary central nervous system lymphomas (PCNSL). We retrospectively reviewed the clinical characteristics and outcome of 10 patients with isolated systemic disease among 209 patients with PCNSL mainly treated with methotrexate‐based chemotherapy (CT) with or without radiation therapy (RT). Isolated systemic relapse remained rare (4.8%, 10/209 patients). Median time from initial diagnosis to relapse was 33 months (range, 3–94). Sites of relapse were mostly extranodal. Three patients presented with early extra‐cerebral (EC) relapse 3, 5 and 8 months from the beginning of initial treatment, respectively, and 7 patients had later relapses (range, 17–94 months). Treatment at relapse included surgery alone, RT alone, CT with or without radiotherapy, or CT with autologous stem cell transplantation (ASCT). Median overall survival (OS) after relapse was 15.5 months (range, 5.8–24.5) compared to 4.6 months (range, 3.6–6.5) for patients with central nervous system (CNS) relapse (p = 0.35). In conclusion, isolated systemic relapses exist but are infrequent. Early EC relapse suggests the presence of systemic disease undetectable by conventional evaluation at initial diagnosis. Patient follow‐up must be prolonged because systemic relapse can occur as late as 10 years after initial diagnosis. Whether EC relapses of PCNSL have a better prognosis than CNS relapses needs to be assessed in a larger cohort. Copyright © 2010 John Wiley & Sons, Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 0278-0232, 1099-1069
eISSN: 1099-1069
DOI: 10.1002/hon.944
Titel-ID: cdi_proquest_miscellaneous_855911131
Format
–
Schlagworte
Adult
,
Aged
,
Aged, 80 and over
,
aggressive non hodgkin's lymphoma
,
Autografts
,
Central Nervous System Neoplasms - mortality
,
Central Nervous System Neoplasms - therapy
,
Combined Modality Therapy
,
Female
,
Humans
,
Lymphoma, Non-Hodgkin - mortality
,
Lymphoma, Non-Hodgkin - therapy
,
Male
,
Methotrexate - therapeutic use
,
Middle Aged
,
primary CNS lymphoma
,
Recurrence
,
systemic relapse
,
Treatment Outcome
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