Table 3

Clinicopathologic features of adults with stage I follicular lymphomas (cohort 2)

BCL2-N/HPI (n = 13)Other stage I (n = 15)P
Clinical features    
    Age, y (median) 37 (18-61) 62 (39-82) .0005 
    M:F 8:5 7:8 .47 
    Head and neck site 8/13 (62) 6/15 (40) .27 
Histologic features    
    Diffuse areas 1/13 (8) 7/15 (47) .04 
    Marginal zone differentiation 1/13 (8) 0/15 (0) .46 
    Follicle size > 2 mm diameter 5/12 (42) 3/15 (20) .40 
    > 50% “Starry-sky” follicles 7/12 (58) 0/15 (0) .001 
    Histologic grade 3* 8/13 (62) 1/15 (7) .004 
Treatment    
    Excision only 0/9 (0) 1/15 (7) ND 
    Radiation therapy only 2/9 (22) 7/15 (47)  
    Chemotherapy (at initial diagnosis or after radiation therapy) 7/9 (78) 7/15 (47)  
Outcome    
    Relapse or progression 0/13 (0) 11/15 (73) < .0001 
    Persistent disease at latest follow-up 0/13 (0) 6/15 (40) .02 
    Died from disease 0/13 (0) 1/15 (7) 1.0 
BCL2-N/HPI (n = 13)Other stage I (n = 15)P
Clinical features    
    Age, y (median) 37 (18-61) 62 (39-82) .0005 
    M:F 8:5 7:8 .47 
    Head and neck site 8/13 (62) 6/15 (40) .27 
Histologic features    
    Diffuse areas 1/13 (8) 7/15 (47) .04 
    Marginal zone differentiation 1/13 (8) 0/15 (0) .46 
    Follicle size > 2 mm diameter 5/12 (42) 3/15 (20) .40 
    > 50% “Starry-sky” follicles 7/12 (58) 0/15 (0) .001 
    Histologic grade 3* 8/13 (62) 1/15 (7) .004 
Treatment    
    Excision only 0/9 (0) 1/15 (7) ND 
    Radiation therapy only 2/9 (22) 7/15 (47)  
    Chemotherapy (at initial diagnosis or after radiation therapy) 7/9 (78) 7/15 (47)  
Outcome    
    Relapse or progression 0/13 (0) 11/15 (73) < .0001 
    Persistent disease at latest follow-up 0/13 (0) 6/15 (40) .02 
    Died from disease 0/13 (0) 1/15 (7) 1.0 

BCL2-N indicates no BCL2 gene rearrangement or gain by FISH; F, female; HPI, high (> 30%) Ki67 proliferation index; M, male; and ND, not done.

*

Includes 1 grade 3B case.

Treatment modality unknown for 4 patients in the BCL2-N/HPI group.

One patient received rituximab monotherapy at relapse.

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