Comparison of prognostic scores in transplant-ineligible patients with peripheral T-cell lymphoma not otherwise specified and angioimmunoblastic T-cell lymphoma: a retrospective study from the national hospital organization in Japan

Leuk Lymphoma. 2021 Apr;62(4):819-827. doi: 10.1080/10428194.2020.1845336. Epub 2020 Nov 9.

Abstract

We retrospectively analyzed the risk factors for outcomes among patients with peripheral T-cell lymphoma not otherwise specified (PTCL-NOS, n = 100) and angioimmunoblastic T-cell lymphoma (AITL, n = 128) who did not receive hematopoietic stem cell transplantation between 2008 and 2018. We designed a comparison of prognostic scores specifically for PTCL-NOS and AITL. The international prognostic index (IPI) was useful for investigating the risk factors associated with outcomes among transplant-ineligible patients with PTCL-NOS (Harrell's c-statistic 0.715) and AITL (c-statistic 0.615). The prognostic index for T-cell lymphoma (PIT), modified PIT, and the International Peripheral T Cell Lymphoma Project for overall survival (OS) seemed to identify separate prognostic groups, based on visual assessment of Kaplan-Meier curves. However, better c-statistics (>0.7) were only found for the IPI score for OS in PTCL-NOS. Strategies that carefully select PTCL patients with higher IPI scores may help to identify individuals suitable for novel therapies.

Keywords: Peripheral T-cell lymphoma not otherwise specified; angioimmunoblastic T-cell lymphoma; international prognostic index; transplant-ineligible.

MeSH terms

  • Hospitals
  • Humans
  • Japan / epidemiology
  • Lymphoma, T-Cell* / diagnosis
  • Lymphoma, T-Cell* / epidemiology
  • Lymphoma, T-Cell* / therapy
  • Lymphoma, T-Cell, Peripheral* / diagnosis
  • Lymphoma, T-Cell, Peripheral* / epidemiology
  • Lymphoma, T-Cell, Peripheral* / therapy
  • Prognosis
  • Retrospective Studies