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Clinical characteristics, treatment patterns, and survival outcomes of 1031 patients with peripheral T cell lymphoma in china: a multicenter, real-world study

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机构: [1]Southern Med Univ, Guangdong Acad Med Sci, Guangdong Prov Peoples Hosp, Lymphoma Div, Guangzhou, Peoples R China [2]Fujian Med Univ, Union Hosp, Dept Radiat Oncol, Fuzhou, Peoples R China [3]Hainan Med Univ, Hainan Gen Hosp, Hainan Affiliated Hosp, Dept Hematol, Haikou 570311, Hainan, Peoples R China [4]Guangxi Med Univ, Affiliated Hosp 1, Dept Med Oncol, 6 Shuangyong Rd, Qingxiu Dist, Nanning, Peoples R China [5]Jinan Univ, Clin Med Coll 2, Shenzhen, Peoples R China [6]South China Univ Technol, Sch Med, Guangzhou, Peoples R China [7]Southern Med Univ, Guangdong Prov Peoples Hosp, Guangdong Acad Med Sci, Dept Pathol, Guangzhou, Peoples R China [8]First Peoples Hosp Yunnan Prov, Dept Hematol, Kunming, Peoples R China [9]Kunming Med Univ, Affiliated Hosp 1, Dept Hematol, Kunming, Peoples R China [10]Southern Med Univ, Nanfang Hosp, Dept Hematol, Guangzhou, Peoples R China [11]Peking Univ, Shenzhen Hosp, Dept Hematol, Shenzhen, Peoples R China [12]Fujian Prov Hosp, Dept Hematol, Fuzhou, Peoples R China [13]Huizhou Cent Peoples Hosp, Dept Hematol, Huizhou, Peoples R China [14]Cent South Univ, Hunan Canc Hosp, Affiliated Canc Hosp, Dept Lymphoma & Hematol,Xiangya Sch Med, Changsha, Hunan, Peoples R China [15]Southern Med Univ, Shunde Hosp, Dept Hematol, Foshan, Peoples R China [16]Southern Med Univ, Affiliated Dongguan Peoples Hosp, Dept Hematol, Dongguan, Peoples R China [17]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Hematol, Guangzhou, Peoples R China [18]Panyu Cent Hosp, Dept Hematol, Guangzhou, Peoples R China [19]Guangzhou Univ Tradit Chinese Med, Affiliated Hosp 1, Dept Hematol, Guangzhou, Peoples R China [20]Fujian Med Univ, Affiliated Hosp 1, Dept Hematol, Fuzhou, Peoples R China [21]Guangdong Med Univ, Affiliated Hosp, Canc Ctr, Zhanjiang, Peoples R China [22]Zhuhai Peoples Hosp, Dept Hematol, Zhuhai, Peoples R China [23]Sun Yat Sen Univ, Zhongshan Hosp, Dept Hematol, Zhongshan, Peoples R China [24]Jinan Univ, Southern Univ Sci & Technol, Affiliated Hosp 1, Shenzhen Peoples Hosp,Clin Med Coll 2,Dept Hemato, Shenzhen, Guangdong, Peoples R China [25]Fujian Med Univ Union Hosp, Fujian Inst Hematol, Fujian Prov Key Lab Hematol, Fuzhou, Peoples R China
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关键词: Peripheral T-cell lymphomas Clinical features Treatment Survival outcomes

摘要:
Background The data about the clinical features and outcomes of Chinese patients with peripheral T-cell lymphomas (PTCLs) are limited. Method This retrospective study included 1031 patients of PTCL from January 2014 to March 2022 at 21 centers in China. The clinical features, treatment patterns, and survival outcomes of the Chinese PTCL population were reported. Results Among the 1031 patients, 937 patients had mature T or NK cell lymphoma (91.2%). The most common subtype was extranodal NK/T-cell lymphoma, nasal type (35.5%). The median age was 52 years, most patients had stage III-IV, and fewer patients had infiltrated bone marrow. Approximately 50% of PTCL patients received anthracycline-based chemotherapies. After a median of 25.9 months of follow-up, the median overall survival (OS) and first-line progression-free survival (1 L PFS) were 83.8 and 30.5 months, respectively. Besides, the OS and 1 L PFS were significantly different among the majority of common subtypes (P < 0.05). Multivariate analysis confirmed that age, lactate dehydrogenase level, beta-2 microglobulin level, Eastern Cooperative Oncology Group Performance Status, and histologic subtypes were independent prognostic factors for survival. The CD30 was expressed across all subtypes (P < 0.05). Patients with the AITL subtype who were CD30-negative had significantly better survival outcomes than those with CD30-positive (median OS of 32.8 vs. 15.0 months, P = 0.02; median 1 L PFS of 11.0 vs. 5.2 months, P < 0.01). Conclusions We revealed the clinical characteristics and outcomes of PTCL patients in the real world in China, which may provide novel data on prognostic factors and primary treatment of PTCLs, applicable to routine clinical practice.

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大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢 4 区 肿瘤学
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出版当年[2024]版:
Q2 ONCOLOGY Q3 ENDOCRINOLOGY & METABOLISM
最新[2024]版:
Q2 ONCOLOGY Q3 ENDOCRINOLOGY & METABOLISM

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第一作者机构: [1]Southern Med Univ, Guangdong Acad Med Sci, Guangdong Prov Peoples Hosp, Lymphoma Div, Guangzhou, Peoples R China
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