Adverse events according to risk groups and stages
. | Risk group, no. . | . | . | . | . | Stage, no. . | . | . | . | . | . | . | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
. | All . | R1 . | R2 . | R3 . | R4 . | I . | II . | III . | IV CNS- . | IV CNS+ . | B-AL CNS- . | B-AL CNS+ . | ||||||||||
No. patients | 505 | 48 | 233 | 82 | 142 | 53 | 119 | 221 | 16 | 17 | 56 | 23 | ||||||||||
Early death of tumor lysis syndrome, | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | ||||||||||
Death unrelated to tumor | 10 | 0 | 1 | 2 | 7 | 0 | 0 | 4 | 1 | 0 | 4 | 1 | ||||||||||
Tumor failure | 39 | 1 § | 10 | 9 | 19 | 16 | 0 | 22 | 0 | 4 | 5 | 7 | ||||||||||
Late event* | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | ||||||||||
Second malignancy† | 3 | 1 | 2 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | ||||||||||
Lost to follow-up‡ | 14 | 0 | 11 | 2 | 1 | 2 | 3 | 8 | 0 | 0 | 0 | 1 |
. | Risk group, no. . | . | . | . | . | Stage, no. . | . | . | . | . | . | . | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
. | All . | R1 . | R2 . | R3 . | R4 . | I . | II . | III . | IV CNS- . | IV CNS+ . | B-AL CNS- . | B-AL CNS+ . | ||||||||||
No. patients | 505 | 48 | 233 | 82 | 142 | 53 | 119 | 221 | 16 | 17 | 56 | 23 | ||||||||||
Early death of tumor lysis syndrome, | 1 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | ||||||||||
Death unrelated to tumor | 10 | 0 | 1 | 2 | 7 | 0 | 0 | 4 | 1 | 0 | 4 | 1 | ||||||||||
Tumor failure | 39 | 1 § | 10 | 9 | 19 | 16 | 0 | 22 | 0 | 4 | 5 | 7 | ||||||||||
Late event* | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | ||||||||||
Second malignancy† | 3 | 1 | 2 | 0 | 0 | 0 | 1 | 2 | 0 | 0 | 0 | 0 | ||||||||||
Lost to follow-up‡ | 14 | 0 | 11 | 2 | 1 | 2 | 3 | 8 | 0 | 0 | 0 | 1 |
Not possible to perform a successful molecular study on clonal differences between the first and the second malignant growths.
Secondary NHL in 2 cases, malignant melanoma in 1 patient.
After event-free follow-up duration of 0.4 to 5.4 years (median, 2.75 years).
Primary in parailiac nodes, combined local and bone marrow relapse 3 months after completion of front-line therapy. The patient is in complete second remission for 34 months following salvage therapy including megadose chemotherapy with autologous stem cell rescue.