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Revised International Pediatric Non-Hodgkin Lymphoma Staging System

Identifieur interne : 002870 ( Main/Exploration ); précédent : 002869; suivant : 002871

Revised International Pediatric Non-Hodgkin Lymphoma Staging System

Auteurs : Angelo Rosolen ; Sherrie L. Perkins ; C. Ross Pinkerton ; R. Paul Guillerman ; John T. Sandlund ; Catherine Patte ; Alfred Reiter ; Mitchell S. Cairo

Source :

RBID : PMC:4461808

Descripteurs français

English descriptors

Abstract

Purpose

Treatment and prognosis of pediatric non-Hodgkin lymphoma (NHL) have improved dramatically in the last 30 years. However, the St Jude NHL staging classification for pediatric NHL was developed more than 35 years ago. The most recent Lugano lymphoma staging classification focused on adult lymphoma. Furthermore, major limitations of the current pediatric NHL staging classification include lack of consideration of new distinct pediatric NHL histologic entities; absence of recognition of frequent skin, bone, kidney, ovarian, and other organ involvement; and lack of newer precise methods to detect bone marrow and CNS involvement, minimal disease quantification, and highly sensitive imaging technologies.

Methods

An international multidisciplinary expert panel convened in Frankfurt, Germany, in 2009 at the Third International Childhood, Adolescent and Young Adult NHL Symposium to develop a revised international pediatric NHL staging system (IPNHLSS), addressing limitations of the current pediatric NHL staging system and creating a revised classification. Evidence-based disease distribution and behavior were reviewed from multiple pediatric cooperative group NHL studies.

Results

A revised IPNHLSS was developed incorporating new histologic entities, extranodal dissemination, improved diagnostic methods, and advanced imaging technology.

Conclusion

This revised IPNHLSS will facilitate more precise staging for children and adolescents with NHL and facilitate comparisons of efficacy across different treatment strategies, various institutions, multicenter trials, and cooperative groups by allowing for reproducible pediatric-based staging at diagnosis and relapse.


Url:
DOI: 10.1200/JCO.2014.59.7203
PubMed: 25940716
PubMed Central: 4461808


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<term>Humans</term>
<term>International Cooperation</term>
<term>Lymphoma, Non-Hodgkin (diagnosis)</term>
<term>Magnetic Resonance Imaging</term>
<term>Medical Oncology (standards)</term>
<term>Multimodal Imaging</term>
<term>Neoplasm Metastasis</term>
<term>Neoplasm Staging (methods)</term>
<term>Neoplasm, Residual</term>
<term>Positron-Emission Tomography</term>
<term>Tomography, X-Ray Computed</term>
<term>Treatment Outcome</term>
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<term>Imagerie par résonance magnétique</term>
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<term>Maladie résiduelle</term>
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<term>Tomographie par émission de positons</term>
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<term>Adolescent</term>
<term>Biopsie</term>
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<term>Imagerie multimodale</term>
<term>Imagerie par résonance magnétique</term>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Purpose</title>
<p>Treatment and prognosis of pediatric non-Hodgkin lymphoma (NHL) have improved dramatically in the last 30 years. However, the St Jude NHL staging classification for pediatric NHL was developed more than 35 years ago. The most recent Lugano lymphoma staging classification focused on adult lymphoma. Furthermore, major limitations of the current pediatric NHL staging classification include lack of consideration of new distinct pediatric NHL histologic entities; absence of recognition of frequent skin, bone, kidney, ovarian, and other organ involvement; and lack of newer precise methods to detect bone marrow and CNS involvement, minimal disease quantification, and highly sensitive imaging technologies.</p>
</sec>
<sec>
<title>Methods</title>
<p>An international multidisciplinary expert panel convened in Frankfurt, Germany, in 2009 at the Third International Childhood, Adolescent and Young Adult NHL Symposium to develop a revised international pediatric NHL staging system (IPNHLSS), addressing limitations of the current pediatric NHL staging system and creating a revised classification. Evidence-based disease distribution and behavior were reviewed from multiple pediatric cooperative group NHL studies.</p>
</sec>
<sec>
<title>Results</title>
<p>A revised IPNHLSS was developed incorporating new histologic entities, extranodal dissemination, improved diagnostic methods, and advanced imaging technology.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>This revised IPNHLSS will facilitate more precise staging for children and adolescents with NHL and facilitate comparisons of efficacy across different treatment strategies, various institutions, multicenter trials, and cooperative groups by allowing for reproducible pediatric-based staging at diagnosis and relapse.</p>
</sec>
</div>
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