Table 2.

A selection of prognostic scores proposed for MZLs

ScoreSubtypeParametersCategories
IIL score SMZL Hemoglobin <12 g/dL
LDH > ULN
Albumin <3.5 g/dL 
Low-risk (0 factor): 5-y CSS 88%
Intermediate-risk (1 factor): 5-y CSS 73%
High-risk: (2-3 factors): 5-y CSS 50% 
HPLL score76  SMZL Hemoglobin
Platelets
LDH
Extrahilar lymphadenopathy 
Low-risk (0 factor): 5-y LSS 94%
Intermediate-risk (1 factor): 5-y LSS 78%
High-risk group (2-3 factors): 5-y LSS 69% 
HPLL score simplified11  SMZL Hemoglobin <9.5 g/dL
Platelets <80 × 109/l
LDH > ULN
Extrahilar lymphadenopathy 
Group A (0 factor): 5-y LSS 95%
Group B (1-2 factors): 5-y LSS 87%
Group C (3-4 factors): 5-y LSS 68%
 
MALT-IPI10  EMZL Age >70  y
Stage III/IV
LDH > ULN 
Low-risk (0 factor): 5-y EFS 70%
Intermediate-risk (1 factor): 5-y EFS 78%
High-risk group (2-3 factors): 5-y EFS 69 
POD24 (early POD)12,13 EMZL
SMZL
Disseminated MZL 
Lymphoma progression within 24 mo from diagnosis (yes or no) FIL study (all MZL)12 : No: 3-y OS 88%
Yes: 3-y OS 53%
IELSG study (EMZL)13 : No: 10-y OS 85%
Yes: 10-y OS 64% 
ScoreSubtypeParametersCategories
IIL score SMZL Hemoglobin <12 g/dL
LDH > ULN
Albumin <3.5 g/dL 
Low-risk (0 factor): 5-y CSS 88%
Intermediate-risk (1 factor): 5-y CSS 73%
High-risk: (2-3 factors): 5-y CSS 50% 
HPLL score76  SMZL Hemoglobin
Platelets
LDH
Extrahilar lymphadenopathy 
Low-risk (0 factor): 5-y LSS 94%
Intermediate-risk (1 factor): 5-y LSS 78%
High-risk group (2-3 factors): 5-y LSS 69% 
HPLL score simplified11  SMZL Hemoglobin <9.5 g/dL
Platelets <80 × 109/l
LDH > ULN
Extrahilar lymphadenopathy 
Group A (0 factor): 5-y LSS 95%
Group B (1-2 factors): 5-y LSS 87%
Group C (3-4 factors): 5-y LSS 68%
 
MALT-IPI10  EMZL Age >70  y
Stage III/IV
LDH > ULN 
Low-risk (0 factor): 5-y EFS 70%
Intermediate-risk (1 factor): 5-y EFS 78%
High-risk group (2-3 factors): 5-y EFS 69 
POD24 (early POD)12,13 EMZL
SMZL
Disseminated MZL 
Lymphoma progression within 24 mo from diagnosis (yes or no) FIL study (all MZL)12 : No: 3-y OS 88%
Yes: 3-y OS 53%
IELSG study (EMZL)13 : No: 10-y OS 85%
Yes: 10-y OS 64% 

CSS, cause-specific survival; EFS, event-free survival; HPLL, hemoglobin, platelet count, LDH, extrahilar lymphadenopathy; IIL, Integruppo Italiano Linfomi; LSS, lymphoma-specific survival; POD, progression of disease; ULN, upper level of normal.

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