Table 2.

Summary of childhood and adolescent patients with HSTCL, 2017 to 2024

Patient numberReferenceAge (y)/sexComorbiditiesTreatmentTransplant typeOutcome
14  10/M None HR BFM induction, CR
Reinduction with IT MTX, vincristine, idarubicin, asparaginase, and dexamethasone after relapse 4 mo later 
N/A Alive 
15  5/F Unknown ICE + 1 additional unspecified line of therapy, AD Allo, CR Alive 
15  8/M Unknown ICE + 1 additional unspecified line of therapy, AD Allo, CR Relapsed at unknown time posttransplant Died of HSTCL 
15  9/M Unknown ICE + 1 additional unspecified line of therapy, CR Allo, CR Alive 
15  4/F Unknown ICE plus 1 additional unspecified line of therapy, CR Allo, CR Alive 
16  10/M None Inter-B-NHL 2010 Group C1 (no rituximab), AD
ICE, AD
GEM-P with daratumumab, AD
UKALL regimen B, AD 
N/A Died of HSTCL 
17  10/F None 4-drug B-ALL induction followed by bendamustine and maintenance with lenalidomide and celecoxib, CR N/A Alive 
17  16/M None CHOEP, AD
ICE + bortezomib, AD 
N/A Died of HSTCL 
18  3/F History of short stature, microcephaly Tokyo Children’s Cancer Study Group L09-1603 induction, AD
FLAG, CR 
Allo, CR Alive 
10 19  3/F History of mixed phenotype acute leukemia ICE, alemtuzumab, radiation therapy, AD N/A Died at 107 d of follow-up 
11 19  4/M None None N/A Died 
12 19  21/M None ICE, CR Allo, CR Lost to follow-up after transplant 
13 20  17/F None Splenectomy, ICE, PD
Pralatrexate-CHP, PR 
Allo, CR Died after transplant due to complications from human metapneumovirus pneumonia 
14 21  14/F Turner syndrome, Crohn disease (prior 6-MP treatment) ICE, CR Allo, CR Alive 1 y after transplant 
15 22  15/F Crohn disease (prior 6-MP, MTX treatment) ICE, PR N/A Died 2 mo after diagnosis of disseminated HSTCL and multiorgan system failure 
16 23  20/M Crohn disease (prior thiopurine treatment) Chemotherapy NOS Unknown Died of HSTCL 
17 23  18/M Ulcerative colitis (prior thiopurine treatment) Chemotherapy NOS Unknown Died of HSTCL 
18 23  23/M Ulcerative colitis (prior thiopurine treatment) Chemotherapy NOS Unknown Died of HSTCL 
Patient numberReferenceAge (y)/sexComorbiditiesTreatmentTransplant typeOutcome
14  10/M None HR BFM induction, CR
Reinduction with IT MTX, vincristine, idarubicin, asparaginase, and dexamethasone after relapse 4 mo later 
N/A Alive 
15  5/F Unknown ICE + 1 additional unspecified line of therapy, AD Allo, CR Alive 
15  8/M Unknown ICE + 1 additional unspecified line of therapy, AD Allo, CR Relapsed at unknown time posttransplant Died of HSTCL 
15  9/M Unknown ICE + 1 additional unspecified line of therapy, CR Allo, CR Alive 
15  4/F Unknown ICE plus 1 additional unspecified line of therapy, CR Allo, CR Alive 
16  10/M None Inter-B-NHL 2010 Group C1 (no rituximab), AD
ICE, AD
GEM-P with daratumumab, AD
UKALL regimen B, AD 
N/A Died of HSTCL 
17  10/F None 4-drug B-ALL induction followed by bendamustine and maintenance with lenalidomide and celecoxib, CR N/A Alive 
17  16/M None CHOEP, AD
ICE + bortezomib, AD 
N/A Died of HSTCL 
18  3/F History of short stature, microcephaly Tokyo Children’s Cancer Study Group L09-1603 induction, AD
FLAG, CR 
Allo, CR Alive 
10 19  3/F History of mixed phenotype acute leukemia ICE, alemtuzumab, radiation therapy, AD N/A Died at 107 d of follow-up 
11 19  4/M None None N/A Died 
12 19  21/M None ICE, CR Allo, CR Lost to follow-up after transplant 
13 20  17/F None Splenectomy, ICE, PD
Pralatrexate-CHP, PR 
Allo, CR Died after transplant due to complications from human metapneumovirus pneumonia 
14 21  14/F Turner syndrome, Crohn disease (prior 6-MP treatment) ICE, CR Allo, CR Alive 1 y after transplant 
15 22  15/F Crohn disease (prior 6-MP, MTX treatment) ICE, PR N/A Died 2 mo after diagnosis of disseminated HSTCL and multiorgan system failure 
16 23  20/M Crohn disease (prior thiopurine treatment) Chemotherapy NOS Unknown Died of HSTCL 
17 23  18/M Ulcerative colitis (prior thiopurine treatment) Chemotherapy NOS Unknown Died of HSTCL 
18 23  23/M Ulcerative colitis (prior thiopurine treatment) Chemotherapy NOS Unknown Died of HSTCL 

6-MP: 6-mercaptopurine; AD, active disease; Allo, Allogeneic HSCT; B-ALL, B-cell acute lymphoblastic leukemia; BFM, Berlin-Frankfurt-Münster; CHOEP, cyclophosphamide, doxorubicin, vincristine, etoposide, prednisone; CHP, cyclophosphamide, doxorubicin, prednisone; F, female; FLAG, fludarabine, cytarabine, granulocyte colony-stimulating factor; GEM-P, gemcitabine, cisplatin and methylprednisolone; HR, high risk; IT, intrathecal; M, male; MTX, methotrexate; N/A, not applicable; NOS, not otherwise specified; PD, progressive disease; PR, partial response.

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