1. Limfomul malign difuz cu celulă mare B. Studiu clinic a 98 de cazuri.
- Author
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SALAMAT, HAMED AL and DOBREA, CAMELIA
- Subjects
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LYMPHOMAS , *B cells , *HEPATITIS , *PROGNOSIS , *MEDICAL practice - Abstract
Diffuse large B cell lymphoma (Diffuse Large B-Cell Lymphoma = DLBCL), the most common type of non-Hodgkin lymphoma (NHL) is characterized by a great heterogeneity in terms clinico-evolutionary and molecular histology. We present results of a study of 98 patients diagnosed and treated for DLBCL. Two thirds of patients from urban areas (61.2%), with a predominance of males (M = 63.4%, F = 36.6%), with a ratio M/ F = 2/1. Median age was 61.5 years, half of the subjects with ages between 48.75 and 71.15.3% of patients in the study group at diagnosis associated viral infections, most type hepatitis (HCV- 46.7%, HBV- 33.3%). Extranodal determinations were highlighted in a third of patients, the most common being the bone marrow, the circle Waldayer, stomach, pleuro-pulmonary, soft tissue, bone, brain, etc.. Factors that adversely influenced survival were advanced clinical stage at diagnosis (median survival reached after 54 months compared to 82 months in cases diagnosed in the early stages, this symptom B (correlated with disease relapse P = 0.058), presence of extranodal determinations (median survival of 25 months compared with 33 months in their absence), high levels of serum LDH (P = 0.010), Ki67 proliferation index > 70% (correlated with elevated LDH, P = 0.05) and phenotype of non-germinal center proliferation of tumor (median survival was reached after 48 months compared with 86 months in cases of DLBCL with germinal center phenotype). Association of monoclonal antibodies to PCT significantly improved (P = 0.01) obtaining RC study group. NHL DLBCL remains a group characterized by a great diversity aspect that determines the need to identify new prognostic factors and impact of new therapeutic targets. [ABSTRACT FROM AUTHOR]
- Published
- 2013