PROGNOSTIC FACTORS OF MARGINAL ZONE B-CELL LYMPHOMA

Nguyễn Quang Hưng1,, Vũ Đức Bình1, Lê Quang Tường1, Lê Quang Chiêm1, Trần Thị Hồng Nhung1, Nguyễn Hà Thanh1,2
1 National Institute of Hematology and Blood Transfusion
2 Hanoi Medical University

Main Article Content

Abstract

A cross-sectional descriptive study was conducted to analyze some prognostic factors of marginal zone B-cell lymphoma at the National Institute of Hematology and Blood Transfusion. The study population included 86 patients with newly diagnosed marginal zone B-cell lymphoma (MZL). The study results showed that the likelihood of patients at stage III-IV was higher when they were 60 years old, had syndrome B, hemoglobin concentration decreases <120 g/l, platelet count <150 G/L, abnormal white blood cell count (>10 or <4 G/L), increased lymphocyte count >3G/L, bone marrow biopsy results with marrow invasion, LDH increased >460U/l, B2M increased >2.2U/l, Ki67 index increased >30%. The likelihood of patients with marrow invasion was higher when hemoglobin levels decreased<120 g/l, platelet counts decreased<150 G/L, lymphocyte counts increased>3G/L, LDH increased>460U /l, B2M increased >2.2U/l, Ki67 index increased >30%. There was a correlation between the prognostic indicators of the disease: hemoglobin levels, LDH, B2M and Ki67.

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References

1. Steven H Swerdlow, Elias Campo, N Lee Harris và các cộng sự. (2008), WHO classification of tumours of haematopoietic and lymphoid tissues, Vol. 2, International agency for research on cancer Lyon, France.
2. Shigeo Nakamura và Maurilio Ponzoni (2020), "Marginal zone B-cell lymphoma: lessons from Western and Eastern diagnostic approaches", Pathology, 52(1), tr. 15-29.
3. James R Cerhan và Thomas M Habermann (2021), "Epidemiology of Marginal Zone Lymphoma", Annals of Lymphoma, 5, tr. 1-19.
4. E Zucca, L Arcaini, Christian Buske và các cộng sự. (2020), "Marginal zone lymphomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up✰", Annals of oncology, 31(1), tr. 17-29.
5. Elaine S Jaffe (2009), "The 2008 WHO classification of lymphomas: implications for clinical practice and translational research", ASH Education Program Book, 2009(1), tr. 523-531.
6. E Sabattini, F Bacci, C Sagramoso và các cộng sự. (2010), "WHO classification of tumours of haematopoietic and lymphoid tissues in 2008: an overview", Pathologica, 102(3), tr. 83-87.
7. S. Y. Oh, W. S. Kim, J. S. Kim và các cộng sự. (2010), "Stage IV marginal zone B-cell lymphoma--prognostic factors and the role of rituximab: Consortium for Improving Survival of Lymphoma (CISL) study", Cancer Sci, 101(11), tr. 2443-7.
8. W. Knauf, W. Abenhardt, M. Koenigsmann và các cộng sự. (2021), "Rare lymphomas in routine practice - Treatment and outcome in marginal zone lymphoma in the prospective German Tumour Registry Lymphatic Neoplasms", Hematol Oncol, 39(3), tr. 313-325.
9. Ali Mazloom, L. Jeffrey Medeiros, Peter W. McLaughlin và các cộng sự. (2010), "Marginal zone lymphomas", Cancer, 116(18), tr. 4291-4298.
10. S. Teckie, S. Qi, M. Chelius và các cộng sự. (2017), "Long-term outcome of 487 patients with early-stage extra-nodal marginal zone lymphoma", Ann Oncol, 28(5), tr. 1064-1069.