Table 1

Clinical and biological features of test and validation SMZL series

VariablesTest cohort N (%)Validation cohort N (%)
Material analyzed obtained from spleen 90/98 (92%) 36/36 (100%) 
Material analyzed obtained from peripheral blood 8/98 (8%) 0/36 (0%) 
Age, y (median, range) 68 (30-91) 66 (52-77) 
Sex (male) 49/92 (53%) 7/23 (30%) 
B symptoms 14/45 (31%) 4/22 (18%) 
Bone marrow involvement 50/52 (96%) 31/31 (100%) 
Peripheral blood involvement 29/44 (66%) 21/23 (91%) 
Stage (III, IV) 58/59 (98%) 23/23 (100%) 
IILSS (high + intermediate) 22/36 (61%) 8/19 (42%) 
NOTCH2 mutation status 7/37 (19%) 6/33 (18%) 
Notch pathway mutation status 12/37 (32%) 6/33 (18%) 
NF-κB pathway mutation status 8/31 (26%) 4/21 (19%) 
DNA-remodeling genes mutation status 2/3 (67%) 0/2 (0%) 
TP53 mutation status 4/31 (13%) 2/21 (10%) 
7q31-32 loss 14/66 (21%) 11/36 (31%) 
17p loss 10/66 (15%) 6/36 (17%) 
High-M phenotype 21/98 (21%) 12/36 (33%) 
KM3 phenotype 28/98 (29%) 12/36 (33%) 
IGHV1-02 usage 12/65 (18%) 4/22 (18%) 
LDH increased 15/40 (38%) 4/22 (18%) 
HCV status 6/48 (13%) 7/36 (19%) 
Histologic transformation to high-grade lymphoma 2/43 (5%) 3/17 (18%) 
Dead 28/91 (31%) 6/36 (17%) 
Overall survival, mo (median, range) 69.20 (3-223) 58.10 (2-194) 
Splenectomy 34/50 (68%) 3/24 (13%) 
Treatment with CHT 22/49 (45%) 17/24 (44%) 
GEP available 10/98 (10%) 0/36 (0%) 
VariablesTest cohort N (%)Validation cohort N (%)
Material analyzed obtained from spleen 90/98 (92%) 36/36 (100%) 
Material analyzed obtained from peripheral blood 8/98 (8%) 0/36 (0%) 
Age, y (median, range) 68 (30-91) 66 (52-77) 
Sex (male) 49/92 (53%) 7/23 (30%) 
B symptoms 14/45 (31%) 4/22 (18%) 
Bone marrow involvement 50/52 (96%) 31/31 (100%) 
Peripheral blood involvement 29/44 (66%) 21/23 (91%) 
Stage (III, IV) 58/59 (98%) 23/23 (100%) 
IILSS (high + intermediate) 22/36 (61%) 8/19 (42%) 
NOTCH2 mutation status 7/37 (19%) 6/33 (18%) 
Notch pathway mutation status 12/37 (32%) 6/33 (18%) 
NF-κB pathway mutation status 8/31 (26%) 4/21 (19%) 
DNA-remodeling genes mutation status 2/3 (67%) 0/2 (0%) 
TP53 mutation status 4/31 (13%) 2/21 (10%) 
7q31-32 loss 14/66 (21%) 11/36 (31%) 
17p loss 10/66 (15%) 6/36 (17%) 
High-M phenotype 21/98 (21%) 12/36 (33%) 
KM3 phenotype 28/98 (29%) 12/36 (33%) 
IGHV1-02 usage 12/65 (18%) 4/22 (18%) 
LDH increased 15/40 (38%) 4/22 (18%) 
HCV status 6/48 (13%) 7/36 (19%) 
Histologic transformation to high-grade lymphoma 2/43 (5%) 3/17 (18%) 
Dead 28/91 (31%) 6/36 (17%) 
Overall survival, mo (median, range) 69.20 (3-223) 58.10 (2-194) 
Splenectomy 34/50 (68%) 3/24 (13%) 
Treatment with CHT 22/49 (45%) 17/24 (44%) 
GEP available 10/98 (10%) 0/36 (0%) 

CHT, chemotherapy; GEP, gene expression profiling; HCV, hepatitis C virus; IILSS, Intergruppo Italiano Linfomi Score for SMZL, including hemoglobin, LDH and albumin levels; LDH, lactate dehydrogenase.

The majority of patient samples were splenic biopsies (94%, 126/134) and 8 of 134 cases represented peripheral blood specimens (6%).

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