Table 2.

Comparison of clinical characteristics of patients with AH-MCL (blastoid vs pleomorphic MCL), including all patients, AH-DN, and AH-t

CharacteristicBlastoid (n = 152)Pleomorphic (n = 31)P
Age, median (range), y 65 (31-95) 65 (39-85) .46 
Sex, male/female, n (%) 113 (74)/39 (26) 24 (77)/7 (23) .71 
AH-MCL category, n (%)    
 AH-DN/AH-t 93 (61)/59 (39) 15 (48)/16 (52) .18 
PS-ECOG, n (%)   .51 
 0 30 (20) 10 (32)  
 1 87 (58) 16 (52)  
 2 24 (16) 3 (10)  
 3 4 (3) 1 (3)  
 4 5 (3) 1 (3)  
B symptoms, yes/no, n (%) 30 (20)/121 (80) 5 (17)/26 (83) .63 
Leukemic phase, yes/no, n (%) 43 (28)/108 (72) 6 (20)/24 (80) .34 
Bone marrow involved by MCL, yes/no, n (%) 93 (69)/41 (31) 13 (52)/12 (48) .09 
CNS involvement, yes/no, n (%) 5 (3)/147 (97) 3 (10)/28 (90) .136 
Light chain type, κ/λ, n (%) 74 (59)/51 (41) 16 (67)/8 (33) .49 
Ki-67, median (range), % 70 (10-100) 70 (30-100) .76 
LDH above the ULN, yes/no, median (range), IU/L 68 (46)/80 (54) 11 (41)/16 (59) .61 
SOX-11 expression (±), n (%) 23 (77)/7 (23) 7 (100)/0 (0) .30 
WBC, median (range), 103/µL 6 (1-205) 6 (2-98) .71 
Serum LDH, median (range), IU/L 581 (202-42 000) 564 (314-5122) .82 
Serum β2-microglobulin, median (range), mg/dL 3 (1-19) 3 (2-12) .57 
Hemoglobin, median (range), g/dL 12 (7-16) 12 (7-15) .94 
Platelet count, median (range), 103/µL 162 (8-500) 171 (12-615) .56 
Absolute monocyte count, median (range), 103/µL 0.56 (0.07-25) 0.62 (0.17-5) .08 
Absolute lymphocyte count, median (range), 103/µL 1 (0.10-75) 1 (0.16-78) .74 
First-line treatments, n (%)   .138 
 R-HCVAD based 48 (36) 11 (39)  
 R-HCVAD based and SCT consolidation 14 (10) 0 (0)  
 R-chemotherapy 32 (24) 5 (18)  
 R-chemotherapy and SCT consolidation 7 (5) 0 (0)  
 R-lenalidomide with/without other agents 6 (4) 2 (7)  
 R-lenalidomide with/without other agents and SCT 0 (0) 1 (4)  
 Ibrutinib/other BTK inhibitor 11 (8) 5 (18)  
 Ibrutinib/other BTK inhibitor and SCT consolidation 3 (2) 0 (0)  
 Miscellaneous 14 (10) 4 (14)  
Response to first-line treatment, CR/no CR, n (%) 76 (57)/58 (43) 14 (50)/14 (50) .51 
CharacteristicBlastoid (n = 152)Pleomorphic (n = 31)P
Age, median (range), y 65 (31-95) 65 (39-85) .46 
Sex, male/female, n (%) 113 (74)/39 (26) 24 (77)/7 (23) .71 
AH-MCL category, n (%)    
 AH-DN/AH-t 93 (61)/59 (39) 15 (48)/16 (52) .18 
PS-ECOG, n (%)   .51 
 0 30 (20) 10 (32)  
 1 87 (58) 16 (52)  
 2 24 (16) 3 (10)  
 3 4 (3) 1 (3)  
 4 5 (3) 1 (3)  
B symptoms, yes/no, n (%) 30 (20)/121 (80) 5 (17)/26 (83) .63 
Leukemic phase, yes/no, n (%) 43 (28)/108 (72) 6 (20)/24 (80) .34 
Bone marrow involved by MCL, yes/no, n (%) 93 (69)/41 (31) 13 (52)/12 (48) .09 
CNS involvement, yes/no, n (%) 5 (3)/147 (97) 3 (10)/28 (90) .136 
Light chain type, κ/λ, n (%) 74 (59)/51 (41) 16 (67)/8 (33) .49 
Ki-67, median (range), % 70 (10-100) 70 (30-100) .76 
LDH above the ULN, yes/no, median (range), IU/L 68 (46)/80 (54) 11 (41)/16 (59) .61 
SOX-11 expression (±), n (%) 23 (77)/7 (23) 7 (100)/0 (0) .30 
WBC, median (range), 103/µL 6 (1-205) 6 (2-98) .71 
Serum LDH, median (range), IU/L 581 (202-42 000) 564 (314-5122) .82 
Serum β2-microglobulin, median (range), mg/dL 3 (1-19) 3 (2-12) .57 
Hemoglobin, median (range), g/dL 12 (7-16) 12 (7-15) .94 
Platelet count, median (range), 103/µL 162 (8-500) 171 (12-615) .56 
Absolute monocyte count, median (range), 103/µL 0.56 (0.07-25) 0.62 (0.17-5) .08 
Absolute lymphocyte count, median (range), 103/µL 1 (0.10-75) 1 (0.16-78) .74 
First-line treatments, n (%)   .138 
 R-HCVAD based 48 (36) 11 (39)  
 R-HCVAD based and SCT consolidation 14 (10) 0 (0)  
 R-chemotherapy 32 (24) 5 (18)  
 R-chemotherapy and SCT consolidation 7 (5) 0 (0)  
 R-lenalidomide with/without other agents 6 (4) 2 (7)  
 R-lenalidomide with/without other agents and SCT 0 (0) 1 (4)  
 Ibrutinib/other BTK inhibitor 11 (8) 5 (18)  
 Ibrutinib/other BTK inhibitor and SCT consolidation 3 (2) 0 (0)  
 Miscellaneous 14 (10) 4 (14)  
Response to first-line treatment, CR/no CR, n (%) 76 (57)/58 (43) 14 (50)/14 (50) .51 

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