Diffuse large cell lymphoma. Prognostic factors with treatment Conference Paper


Authors: Straus, D. J.; Wong, G.; Yahalom, J.; Varsos, G.; Gulati, S.; Clarkson, B.
Title: Diffuse large cell lymphoma. Prognostic factors with treatment
Conference Title: 2nd Vicenza International Workshop of Hematology
Abstract: Five successive chemotherapy protocols for stages II, III and IV diffuse large cell lymphoma (DLCL) have resulted in identical overall survivals. Between 35% to 45% of patients survived. In a multivariate analysis employing the Weibull model 3 factors were associated with shortened survival: bulky mediastinal and/or retroperitoneal disease, elevated serum LDH and advanced age. In young patients with bulky mediastinal and/or retroperitoneal disease and high serum LDH, autologous bone marrow transplantation following high dose chemotherapy and radiation therapy (RT) as part of the initial-treatment have produced more promising results. In a randomized trial, a significantly longer disease-free survival was found for patients with stages I or IE diffuse lymphomas with RT followed by adjuvant chemotherapy than with RT alone.
Keywords: adult; cancer survival; survival analysis; major clinical study; prednisone; clinical feature; cancer localization; doxorubicin; cancer combination chemotherapy; treatment planning; conference paper; combined modality therapy; cytarabine; methotrexate; paraaortic lymph node; antineoplastic combined chemotherapy protocols; cyclophosphamide; vincristine; patient monitoring; pathology; age; cancer regression; folinic acid; bleomycin; lactate dehydrogenase; multivariate analysis; large cell lymphoma; lactate dehydrogenase blood level; middle age; retroperitoneal disease; lymphoma, large-cell, diffuse; prognosis; human; male; female; priority journal
Journal Title Leukemia
Volume: 5
Issue: Suppl. 1
Conference Dates: 1991 May 29-31
Conference Location: Vicenze, Italy
ISBN: 0887-6924
Publisher: Nature Publishing Group  
Date Published: 1991-01-01
Start Page: 32
End Page: 36
Language: English
PUBMED: 1890863
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
Citation Impact
MSK Authors
  1. Joachim Yahalom
    625 Yahalom
  2. David J Straus
    356 Straus
  3. Bayard Clarkson
    220 Clarkson
  4. Subhash C. Gulati
    129 Gulati
  5. George Y. Wong
    89 Wong