Table 2.

Treatment-related data and outcome of 18 patients with SLVL and HCV infection


Course of SLVL with HCV therapy (n = 18) 

 
    Mean follow-up, mo   62.3  
    Complete remission   14 (78%)  
    Partial remission   4 (22%)  
    Persistent positive B-cell clonality   14 (100%)  
    Persistent positive MC   18 (100%)  
Interferon alone (n = 8)  
    Complete response   7 (87%)  
    Partial response   1 (13%)  
    No response   0  
    Relapse   1 (13%)  
Interferon plus ribavirin (n = 10)  
    Complete response   7 (70%)  
    Partial response   3 (30%)  
    No response   0  
    Relapse   0  
Time to response, mo  
    Negative HCV RNA   3.9 ± 3.4  
    Decrease spleen size   4.2 ± 3.5  
    Decrease villous lymphocytes count   2.8 ± 2.7  
Side effects  4 (22%)  
    Flulike symptoms   2  
    Encephalopathy   1  
    Thrombocytopenia   1  
Dose reduction  
    IFN-α   2 (11%)  
    Ribavirin   0  
    Discontinuation   0  
Death  3 (17%)  
    Myocardial infarction   1  
    Hepatocellular carcinoma   1  
    Sepsis
 
1
 

Course of SLVL with HCV therapy (n = 18) 

 
    Mean follow-up, mo   62.3  
    Complete remission   14 (78%)  
    Partial remission   4 (22%)  
    Persistent positive B-cell clonality   14 (100%)  
    Persistent positive MC   18 (100%)  
Interferon alone (n = 8)  
    Complete response   7 (87%)  
    Partial response   1 (13%)  
    No response   0  
    Relapse   1 (13%)  
Interferon plus ribavirin (n = 10)  
    Complete response   7 (70%)  
    Partial response   3 (30%)  
    No response   0  
    Relapse   0  
Time to response, mo  
    Negative HCV RNA   3.9 ± 3.4  
    Decrease spleen size   4.2 ± 3.5  
    Decrease villous lymphocytes count   2.8 ± 2.7  
Side effects  4 (22%)  
    Flulike symptoms   2  
    Encephalopathy   1  
    Thrombocytopenia   1  
Dose reduction  
    IFN-α   2 (11%)  
    Ribavirin   0  
    Discontinuation   0  
Death  3 (17%)  
    Myocardial infarction   1  
    Hepatocellular carcinoma   1  
    Sepsis
 
1
 
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