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A modified international prognostic index including pretreatment hemoglobin level for early stage extranodal natural killer/T cell lymphoma

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机构: [1]Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China, Guangzhou, Guangdong, Peoples R China [2]Sun Yat Sen Univ, Ctr Canc, Dept Hematol Oncol, Guangzhou 510275, Guangdong, Peoples R China [3]Sun Yat Sen Univ, Ctr Canc, Dept Radiat Oncol, Guangzhou 510275, Guangdong, Peoples R China [4]Sun Yat Sen Univ, Ctr Canc, Dept Med Oncol, Guangzhou 510275, Guangdong, Peoples R China [5]Sun Yat Sen Univ, Affiliated Hosp 1, Dept Radiat Ctr, Guangzhou 510275, Guangdong, Peoples R China
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关键词: NON-HODGKINS-LYMPHOMA NASAL-TYPE CLINICAL-SIGNIFICANCE L-ASPARAGINASE RADIOTHERAPY EXPRESSION ANEMIA CYCLOPHOSPHAMIDE GEMCITABINE OXALIPLATIN

摘要:
In this study, we investigated the prognostic role of pretreatment hemoglobin level in 321 patients with stage I/II extranodal natural killer (NK/T cell lymphoma (ENKTL). Patients with pretreatment hemoglobin level < 120 g/L had significantly inferior progression-free survival (PFS) and overall survival (OS) than those with hemoglobin level >= 120 g/L (p < 0.05). In a multivariate Cox regression model, age, Eastern Cooperative Oncology Group (performance status), lactate dehydrogenase level, Ann Arbor stage and pretreatment hemoglobin level were all independent prognostic factors for PFS and OS (p < 0.05). Using these five parameters, a modified international prognostic index (mIPI) model was constructed. This mIPI could categorize three groups with significantly different PFS and OS (both p < 0.0001) in both the training set and the validation set. In conclusion, this study confirmed the prognostic role of pretreatment hemoglobin level in ENKTL, and a newly modified IPI including pretreatment hemoglobin level could be used to further optimize treatments for patients with stage I/II ENKTL, especially in the era of asparaginase.

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基金编号: 04190101 12ykpy54 B2014158 81400159

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出版当年[2014]版:
大类 | 3 区 医学
小类 | 4 区 血液学 4 区 肿瘤学
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 血液学 4 区 肿瘤学
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出版当年[2013]版:
Q2 HEMATOLOGY Q3 ONCOLOGY
最新[2023]版:
Q3 ONCOLOGY Q3 HEMATOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2013版] 出版当年五年平均 出版前一年[2012版] 出版后一年[2014版]

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第一作者机构: [1]Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China, Guangzhou, Guangdong, Peoples R China [2]Sun Yat Sen Univ, Ctr Canc, Dept Hematol Oncol, Guangzhou 510275, Guangdong, Peoples R China
通讯作者:
通讯机构: [*1]Sun Yat Sen Univ, Dept Radiat Oncol, Ctr Canc, State Key Lab Oncol South China,Collaborat Innova, Guangzhou 510060, Guangdong, Peoples R China
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