Primary breast lymphoma : patient profile, outcome and prognostic factors. A multicentre Rare Cancer Network study
Autor: | Yazid Belkacemi, Pauline Gastelblum, Tan Nguyen, Philip Poortmans, René-Olivier Mirimanoff, Rita Abi Raad, Wendy Jeanneret-Sozzi, Daniel R. Zwahlen, Beat Amsler, Marco Krengli, Philippe Maingon, Mahmut Ozsahin, Alphonse G. Taghian, Sylviane Villette, Ron Epelbaum, Cristina Gutierrez, Pierre Scalliet |
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Přispěvatelé: | UCL - MD/MINT - Département de médecine interne, UCL - (SLuc) Service de radiothérapie oncologique |
Jazyk: | angličtina |
Rok vydání: | 2008 |
Předmět: |
Oncology
Male Cancer Research Lymphoma medicine.medical_treatment Breast Neoplasms - mortality therapy Outcome (game theory) Breast cancer Surgical oncology Mastectomy Aged 80 and over Middle Aged lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Prognosis Combined Modality Therapy Treatment Outcome Female Cancer chemotherapy Biologie Antineoplastic Agents - therapeutic use Breast Neoplasms Male - mortality therapy Research Article Adult medicine.medical_specialty Lymphoma - mortality therapy Radioteràpia Antineoplastic Agents Breast Neoplasms lcsh:RC254-282 Breast Neoplasms Male Càncer de mama Quimioteràpia del càncer Primary Breast Lymphoma Internal medicine Genetics medicine Mastectomia Humans Aged Neoplasm Recurrence Local Radiotherapy Retrospective Studies Survival Analysis Survival analysis business.industry Retrospective cohort study Surgery Cancérologie Radiation therapy business |
Zdroj: | BMC Cancer, Vol. 8, p. 86 (2008) BMC cancer, 8 BMC Cancer, Vol 8, Iss 1, p 86 (2008) Dipòsit Digital de la UB Universidad de Barcelona BMC Cancer BMC Cancer, vol. 8, no. 86, pp. 86 |
Popis: | Background: To asses the clinical profile, treatment outcome and prognostic factors in primary breast lymphoma (PBL). Methods: Between 1970 and 2000, 84 consecutive patients with PBL were treated in 20 institutions of the Rare Cancer Network. Forty-six patients had Ann Arbor stage IE, 33 stage IIE, 1 stage IIIE, 2 stage IVE and 2 an unknown stage. Twenty-one underwent a mastectomy, 39 conservative surgery and 23 biopsy; 51 received radiotherapy (RT) with (n = 37) or without (n = 14) chemotherapy. Median RT dose was 40 Gy (range 12-55 Gy). Results: Ten (12%) patients progressed locally and 43(55%) had a systemic relapse. Central nervous system (CNS) was the site of relapse in 12 (14%) cases. The 5-yr overall survival, lymphoma-specific survival, disease-free survival and local control rates were 53%, 59%, 41% and 87% respectively. In the univariate analyses, favorable prognostic factors were early stage, conservative surgery, RT administration and combined modality treatment. Multivariate analysis showed that early stage and the use of RT were favorable prognostic factors. Conclusion: The outcome of PBL is fair. Local control is excellent with RT or combined modality treatment but systemic relapses, including that in the CNS, occurs frequently. © 2008 Jeanneret-Sozzi et al; licensee BioMed Central Ltd. SCOPUS: ar.j info:eu-repo/semantics/published |
Databáze: | OpenAIRE |
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