Hypercalcemia is associated with a poor prognosis in lymphoma a retrospective monocentric matched-control study and extensive review of published reported cases
Autor: | Amélie Foucault, Philippe Colombat, Nicolas Vallet, Alban Villate, Olivier Herault, Emmanuel Gyan, Chantal Barin-Le Guellec, Marjan Ertault, Thomas Chalopin, Julien Lejeune, Martin Eloit, Jean-Baptiste Delaye, Laurianne Drieu La Rochelle |
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Rok vydání: | 2020 |
Předmět: |
Male
medicine.medical_specialty Gastroenterology Disease-Free Survival 03 medical and health sciences 0302 clinical medicine Autologous stem-cell transplantation Risk Factors Internal medicine medicine Humans Autografts Aged Retrospective Studies Hematology business.industry General Medicine Middle Aged medicine.disease Hodgkin's lymphoma Confidence interval Lymphoma Non-Hodgkin's lymphoma Survival Rate 030220 oncology & carcinogenesis Cohort Hypercalcemia Female Lymphoma Large B-Cell Diffuse business Diffuse large B-cell lymphoma Stem Cell Transplantation 030215 immunology |
Zdroj: | Annals of Hematology. 99:229-239 |
ISSN: | 1432-0584 0939-5555 |
DOI: | 10.1007/s00277-019-03890-w |
Popis: | The prognostic significance of hypercalcemia in lymphoma has only been studied on small series to date. We conducted a retrospective, monocentric, matched-control study that aimed to compare the outcome of patients diagnosed with any histological subtype of lymphoma associated with hypercalcemia, at diagnosis or relapse, with a group of controls matched for histological and prognostic factors. Sixty-two and 118 comparable patients treated between 2000 and 2016 were included in hypercalcemia and control cohorts, respectively. Hypercalcemia was found mainly at diagnosis (71%) in higher-risk patients (prognosis scores ≥ 3, 76%) and those with diffuse large B cell lymphoma (67.7%), stage III/IV disease (91.9%), and elevated LDH (90.3%). Two-year progression-free survival (PFS) was shorter in the hypercalcemia than control cohort [30.1% (95% confidence interval (95% CI) 18.3–41.9) vs 63.9% (95% CI 5.1–72.7), p |
Databáze: | OpenAIRE |
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