Primary extranodal diffuse large B-cell lymphoma in the rituximab era: a single center, retrospective analysis

Hematology. 2022 Dec;27(1):757-764. doi: 10.1080/16078454.2022.2091197.

Abstract

Objectives: To analyse the clinical characteristics and therapeutic response of Chinese patients with primary extranodal diffuse large B-cell lymphoma DLBCL (PE-DLBCL).

Methods: We analysed the clinical features and outcomes of 197 patients who were newly diagnosed with PE-DLBCL between January 2015 and December 2020.

Results: The gastrointestinal tract showed the highest rate of involvement (34%), followed by the central nervous system (CNS) and intraocular system (31.5%). The 3-year overall survival (OS) rate was 81% for the entire group and 79% for those with CNS and vitreoretinal involvement. Ann Arbour stage, lactate dehydrogenase level, International Prognostic Index > 2, and complete remission (CR) were significantly related to the survival of patients with PE-DLBCL. The lack of CR was the only independent adverse prognostic factor for OS.

Conclusion: The clinical outcomes of patients with PE-DLBCL at our centre were encouraging, especially for patients with CNS and vitreoretinal involvement.

Keywords: DLBCL; Extranodal; PCNSL; clinical characteristics; survival.

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols* / therapeutic use
  • Cyclophosphamide / therapeutic use
  • Doxorubicin
  • Humans
  • Lymphoma, Large B-Cell, Diffuse* / pathology
  • Prednisone / therapeutic use
  • Prognosis
  • Retrospective Studies
  • Rituximab / therapeutic use
  • Vincristine

Substances

  • Rituximab
  • Vincristine
  • Doxorubicin
  • Cyclophosphamide
  • Prednisone