1. Absolute lymphocyte count is a novel prognostic indicator in extranodal natural killer/T-cell lymphoma, nasal type.
- Author
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Huang, J. J., Jiang, W. Q., Lin, T. Y., Huang, Y., Xu, R. H., Huang, H. Q., and Li, Z. M.
- Subjects
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LYMPHOCYTES , *KILLER cells , *T-cell lymphoma , *RETROSPECTIVE studies , *REGRESSION analysis , *HEALTH outcome assessment , *DIAGNOSIS - Abstract
Background: Extranodal natural killer (NK)/T-cell lymphoma (ENKL) is a heterogeneous entity with poor survival, requiring risk stratification in affected patients. We proposed absolute lymphocyte count (ALC) as a new prognostic factor in ENKL.Patients and methods: We retrospectively analyzed 128 patients newly diagnosed with ENKL. Independent prognostic factors of survival were determined by Cox regression analysis.Results: Patients with low ALC (<1.0 × 109/l) at diagnosis tended to have more adverse clinical features. Patients with high ALC (≥1.0 × 109/l) at diagnosis had better overall survival (OS; P < 0.0001) and progression-free survival (PFS; P<0.0001), and achieved higher complete remission rates (P=0.001). Multivariate analysis with known prognostic factors showed that ALC, B symptoms and advanced stage were independent predictors for OS and PFS. Using the International Prognostic Index, Prognostic Index for Peripheral T-cell lymphoma unspecified, or Korean Prognostic Index for nasal NK/T-cell lymphoma, the majority of patients were in the low-risk category (with no or one adverse factor). ALC was helpful to differentiate the low-risk patients with different survival outcomes (P < 0.0001).Conclusions: Our data suggest that ALC at diagnosis is a novel, powerful predictor of prognosis in ENKL. Immune status at diagnosis might have an important influence on survival in patients with ENKL. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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