Clinical presentation, treatment, and outcomes of patients with central nervous system involvement in extranodal natural killer/T-cell lymphoma Journal Article


Authors: Nevel, K. S.; Pentsova, E.; Daras, M.
Article Title: Clinical presentation, treatment, and outcomes of patients with central nervous system involvement in extranodal natural killer/T-cell lymphoma
Abstract: Extranodal natural killer (NK)/T-cell lymphoma (ENKTCL) is a rare type of Non-Hodgkin’s lymphoma which rarely metastasizes to the central nervous system (CNS). Ten of 60 patients (16.7%) with ENKTCL followed at Memorial Sloan Kettering Cancer Center (MSKCC) were diagnosed with CNS involvement between 1995 and 2016. Eight patients had systemic disease at the time of CNS diagnosis; one patient never developed systemic disease and another was in remission at the time of CNS relapse. Median overall survival was 3.8 months; at time of this report 9 patients have died and one who underwent autologous stem cell transplant (ASCT) is alive 27 months after CNS diagnosis. Five patients achieved a complete response in the CNS; one is still alive, one died of systemic disease, and three died of infection. CNS ENKTCL portends a grim prognosis, with no standard treatment. Prospective study on ASCT and immunotherapy in CNS ENKTCL is warranted. © 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
Keywords: central nervous system metastasis; leptomeningeal metastasis; central nervous system lymphoma; extranodal natural killer/t-cell lymphoma; natural killer/t-cell lymphoma
Journal Title: Leukemia and Lymphoma
Volume: 60
Issue: 7
ISSN: 1042-8194
Publisher: Taylor & Francis Group  
Date Published: 2019-01-01
Start Page: 1677
End Page: 1684
Language: English
DOI: 10.1080/10428194.2018.1551541
PUBMED: 30648449
PROVIDER: scopus
PMCID: PMC7580871
DOI/URL:
Notes: Source: Scopus
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MSK Authors
  1. Elena Pentsova
    132 Pentsova
  2. Mariza Daras
    27 Daras
  3. Kathryn Sara Nevel
    18 Nevel