Clinical and treatment characteristics of the patient population (N = 625) in relation to CNS relapse
Characteristics . | With CNS relapse, N (%) . | Without CNS relapse, N (%) . | P . |
---|---|---|---|
Gender | .54 | ||
Male | 15 (54) | 355 (59) | |
Female | 13 (46) | 242 (41) | |
Age | .043 | ||
≤60 y | 15 (54) | 208 (35) | |
>60 y | 13 (46) | 389 (65) | |
World Health Organization performance score | .69 | ||
0-1 | 20 (71) | 405 (68) | |
2-4 | 8 (29) | 192 (32) | |
B-symptoms | .16 | ||
Yes | 20 (71) | 355 (59) | |
No | 7 (25) | 230 (39) | |
Missing | 1 (4) | 12 (2) | |
Bulky disease (> 10 cm) | .76 | ||
Yes | 2 (7) | 65 (11) | |
No | 25 (89) | 521 (87) | |
Missing | 1 (4) | 11 (2) | |
Ann Arbor Stage | .59* | ||
I | 0 | 83 (14) | |
II | 8 (29) | 111 (19) | |
III | 5(18) | 138 (23) | |
IV | 15 (54) | 249 (42) | |
Missing | 16 (3) | ||
Bone marrow involvement | .77 | ||
Yes | 5 (18) | 120 (20) | |
No | 23 (82) | 477 (80) | |
Bone involvement | .11 | ||
Yes | 3 (11) | 23 (4) | |
No | 25 (89) | 574 | |
Skin involvement | .009 | ||
Yes | 6 (21) | 37 (6) | |
No | 22 (79) | 560 (94) | |
Pleural involvement | .19 | ||
Yes | 3 (11) | 31 (5) | |
No | 25 (89) | 566 (95) | |
Kidney involvement | 1.0 | ||
Yes | 0 | 4 (1) | |
No | 28 (100) | 593 (99) | |
Testicular involvement | .21 | ||
Yes | 1 (4) | 4 (1) | |
No | 27 (96) | 593 (99) | |
Gastrointestinal involvement | .051 | ||
Yes | 8 (29) | 84 (14) | |
No | 20 (71) | 513 (86) | |
Extranodal involvement | .009 | ||
≤1 | 19 (68) | 519 (87) | |
>1 | 9 (32) | 78 (13) | |
Lactate dehydrogenase | .16 | ||
Normal | 7 (25) | 227 (38) | |
Elevated | 20 (71) | 348 (61) | |
Missing | 1 (4) | 22 (4) | |
International Prognostic Index | |||
0-1 | 6 (22) | 143 (26) | .85 |
2-3 | 16 (59) | 312 (56) | .47 |
4-5 | 5 (19) | 102 (18) | .80 |
Missing | 1 (4) | 40 (7) | |
Histological diagnosis† | |||
ALCL ALK pos | 3 (6) | 48 (94) | |
ALCL ALK neg | 2 (2) | 98 (98) | |
ALCL ALK unknown | 1 (3) | 31 (97) | |
PTCL NOS | 15 (7) | 201 (93) | |
AITL | 3 (3) | 90 (97) | |
EATL | 4 (7) | 52 (93)‡ | |
TCL UNS | 0 | 33 (6) | |
ENKTL | 0 | 26 (4) | |
SPTCL | 0 | 10 (2) | |
HSTCL | 0 | 8 (1) | |
Treatment | |||
CHOP | 18 (64) | 302 (51) | |
CHOEP | 10 (36) | 140 (23) | |
Intensive treatment other than CHOP/CHOEP | — | 35 (6) | |
Palliative chemotherapy | — | 47 (8) | |
Radiotherapy only | — | 12 (2) | |
No treatment or corticosteroids only | — | 61 (10) | |
Intrathecal treatment | 3 (11) | 48 (8) | |
Auto SCT | 5 (18) | 98 (17) | |
Total number of patients | 28 | 597 |
Characteristics . | With CNS relapse, N (%) . | Without CNS relapse, N (%) . | P . |
---|---|---|---|
Gender | .54 | ||
Male | 15 (54) | 355 (59) | |
Female | 13 (46) | 242 (41) | |
Age | .043 | ||
≤60 y | 15 (54) | 208 (35) | |
>60 y | 13 (46) | 389 (65) | |
World Health Organization performance score | .69 | ||
0-1 | 20 (71) | 405 (68) | |
2-4 | 8 (29) | 192 (32) | |
B-symptoms | .16 | ||
Yes | 20 (71) | 355 (59) | |
No | 7 (25) | 230 (39) | |
Missing | 1 (4) | 12 (2) | |
Bulky disease (> 10 cm) | .76 | ||
Yes | 2 (7) | 65 (11) | |
No | 25 (89) | 521 (87) | |
Missing | 1 (4) | 11 (2) | |
Ann Arbor Stage | .59* | ||
I | 0 | 83 (14) | |
II | 8 (29) | 111 (19) | |
III | 5(18) | 138 (23) | |
IV | 15 (54) | 249 (42) | |
Missing | 16 (3) | ||
Bone marrow involvement | .77 | ||
Yes | 5 (18) | 120 (20) | |
No | 23 (82) | 477 (80) | |
Bone involvement | .11 | ||
Yes | 3 (11) | 23 (4) | |
No | 25 (89) | 574 | |
Skin involvement | .009 | ||
Yes | 6 (21) | 37 (6) | |
No | 22 (79) | 560 (94) | |
Pleural involvement | .19 | ||
Yes | 3 (11) | 31 (5) | |
No | 25 (89) | 566 (95) | |
Kidney involvement | 1.0 | ||
Yes | 0 | 4 (1) | |
No | 28 (100) | 593 (99) | |
Testicular involvement | .21 | ||
Yes | 1 (4) | 4 (1) | |
No | 27 (96) | 593 (99) | |
Gastrointestinal involvement | .051 | ||
Yes | 8 (29) | 84 (14) | |
No | 20 (71) | 513 (86) | |
Extranodal involvement | .009 | ||
≤1 | 19 (68) | 519 (87) | |
>1 | 9 (32) | 78 (13) | |
Lactate dehydrogenase | .16 | ||
Normal | 7 (25) | 227 (38) | |
Elevated | 20 (71) | 348 (61) | |
Missing | 1 (4) | 22 (4) | |
International Prognostic Index | |||
0-1 | 6 (22) | 143 (26) | .85 |
2-3 | 16 (59) | 312 (56) | .47 |
4-5 | 5 (19) | 102 (18) | .80 |
Missing | 1 (4) | 40 (7) | |
Histological diagnosis† | |||
ALCL ALK pos | 3 (6) | 48 (94) | |
ALCL ALK neg | 2 (2) | 98 (98) | |
ALCL ALK unknown | 1 (3) | 31 (97) | |
PTCL NOS | 15 (7) | 201 (93) | |
AITL | 3 (3) | 90 (97) | |
EATL | 4 (7) | 52 (93)‡ | |
TCL UNS | 0 | 33 (6) | |
ENKTL | 0 | 26 (4) | |
SPTCL | 0 | 10 (2) | |
HSTCL | 0 | 8 (1) | |
Treatment | |||
CHOP | 18 (64) | 302 (51) | |
CHOEP | 10 (36) | 140 (23) | |
Intensive treatment other than CHOP/CHOEP | — | 35 (6) | |
Palliative chemotherapy | — | 47 (8) | |
Radiotherapy only | — | 12 (2) | |
No treatment or corticosteroids only | — | 61 (10) | |
Intrathecal treatment | 3 (11) | 48 (8) | |
Auto SCT | 5 (18) | 98 (17) | |
Total number of patients | 28 | 597 |
ALCL, anaplastic large cell lymphoma; AITL, angioimmunoblastic T-cell lymphoma; ALK, anaplastic lymphoma kinase; ALK u, anaplastic lymphoma kinase status unknown; Auto SCT, autologous stem cell transplantation; EATL, enteropathy-associated T-cell lymphoma; ENKTL, extranodal NK/T-cell lymphoma, nasal type; HSTCL, hepatosplenic T-cell lymphoma; PTCL NOS, peripheral T-cell lymphoma not otherwise specified; SPTCL, subcutaneous panniculitis-like T-cell lymphoma; TCL U, T-cell lymphoma unspecified.
Stage I-II compared with stage III-IV.
Frequencies given for each histological group.
Including 2 patients with EATL type II.