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Long-term outcome for gastric marginal zone lymphoma treated with radiotherapy: a retrospective, multi-centre, International Extranodal Lymphoma Study Group study

Identifieur interne : 004E32 ( Main/Exploration ); précédent : 004E31; suivant : 004E33

Long-term outcome for gastric marginal zone lymphoma treated with radiotherapy: a retrospective, multi-centre, International Extranodal Lymphoma Study Group study

Auteurs : A. Wirth [Australie] ; M. Gospodarowicz [Canada] ; B. M. P. Aleman [Pays-Bas] ; M. Bressel [Australie] ; A. Ng [États-Unis] ; M. Chao [Australie] ; R. T. Hoppe [États-Unis] ; C. Thieblemont [France] ; R. Tsang [Canada] ; L. Moser [Allemagne] ; L. Specht [Danemark] ; T. Szpytma [Pologne] ; A. Lennard [Royaume-Uni] ; J. F. Seymour [Australie] ; E. Zucca [Suisse]

Source :

RBID : Pascal:13-0178595

Descripteurs français

English descriptors

Abstract

Background: We evaluated the long-term results of radiotherapy for patients with gastric marginal zone lymphoma (GMZL). Patients and methods: We carried out a retrospective, multi-centre study of patients with low-grade GMZL treated by radiotherapy between 17 July 1981 and 25 March 2004. Results: There were 102 eligible patients. Fifty-eight patients were previously untreated and 44 had recurrent/residual disease after prior treatment (HP eradication, chemotherapy and surgery in 35, 9 and 8 patients, respectively, and 7 had >1 prior therapy). Radiation fields included the stomach /involved nodes in 61 patients and whole abdomen in 41. The median radiotherapy dose to stomach was 40 Gy (range 26-46 Gy) in a median 22 fractions. With a median follow-up after radiotherapy of 7.9 years (range 0.3-24 years), 10- and 15-year freedom from treatment failure (FFTF) was 88% (95% CI 82%-95%). Risk factors for TF were a large-cell component (P = 0.036) and an exophytic growth pattern (P = 0.042). Radiotherapy field size, radiotherapy dose, and failure of prior therapy were not associated with inferior FFTF. Ten-year overall survival was 70% (95% CI 60%-82%). Conclusions: Radiotherapy achieves cure for the majority of patients with low-grade GMZL, including patients who have had prior therapy. Several features may predict a poorer outcome.


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Le document en format XML

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<name sortKey="Hoppe, R T" sort="Hoppe, R T" uniqKey="Hoppe R" first="R. T." last="Hoppe">R. T. Hoppe</name>
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<s1>Department of Oncology and Haematology, The Finsen Centre, Copenhagen University Hospital (Rigshospitalet)</s1>
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<settlement type="city">Copenhague</settlement>
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<title xml:lang="en" level="a">Long-term outcome for gastric marginal zone lymphoma treated with radiotherapy: a retrospective, multi-centre, International Extranodal Lymphoma Study Group study</title>
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<s1>Division Radiation Oncology and Cancer Imaging, Peter MacCallum Cancer Centre, East Melbourne and University of Melbourne</s1>
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<name sortKey="Gospodarowicz, M" sort="Gospodarowicz, M" uniqKey="Gospodarowicz M" first="M." last="Gospodarowicz">M. Gospodarowicz</name>
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<name sortKey="Aleman, B M P" sort="Aleman, B M P" uniqKey="Aleman B" first="B. M. P." last="Aleman">B. M. P. Aleman</name>
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<name sortKey="Bressel, M" sort="Bressel, M" uniqKey="Bressel M" first="M." last="Bressel">M. Bressel</name>
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<name sortKey="Ng, A" sort="Ng, A" uniqKey="Ng A" first="A." last="Ng">A. Ng</name>
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<s1>Department of Radiation Oncology, Brigham and Women's Hospital</s1>
<s2>Boston</s2>
<s3>USA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Boston</settlement>
<region type="state">Massachusetts</region>
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<name sortKey="Chao, M" sort="Chao, M" uniqKey="Chao M" first="M." last="Chao">M. Chao</name>
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<inist:fA14 i1="06">
<s1>Radiation Oncology Victoria, East Melbourne</s1>
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<sZ>6 aut.</sZ>
</inist:fA14>
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<wicri:noRegion>Victoria</wicri:noRegion>
</affiliation>
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<name sortKey="Hoppe, R T" sort="Hoppe, R T" uniqKey="Hoppe R" first="R. T." last="Hoppe">R. T. Hoppe</name>
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<name sortKey="Thieblemont, C" sort="Thieblemont, C" uniqKey="Thieblemont C" first="C." last="Thieblemont">C. Thieblemont</name>
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<name sortKey="Moser, L" sort="Moser, L" uniqKey="Moser L" first="L." last="Moser">L. Moser</name>
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<s2>Berlin</s2>
<s3>DEU</s3>
<sZ>10 aut.</sZ>
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<region type="land" nuts="3">Berlin</region>
<settlement type="city">Berlin</settlement>
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<name sortKey="Specht, L" sort="Specht, L" uniqKey="Specht L" first="L." last="Specht">L. Specht</name>
<affiliation wicri:level="3">
<inist:fA14 i1="10">
<s1>Department of Oncology and Haematology, The Finsen Centre, Copenhagen University Hospital (Rigshospitalet)</s1>
<s2>Copenhagen</s2>
<s3>DNK</s3>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>Danemark</country>
<placeName>
<settlement type="city">Copenhague</settlement>
<region type="région" nuts="2">Hovedstaden</region>
</placeName>
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<name sortKey="Szpytma, T" sort="Szpytma, T" uniqKey="Szpytma T" first="T." last="Szpytma">T. Szpytma</name>
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<name sortKey="Lennard, A" sort="Lennard, A" uniqKey="Lennard A" first="A." last="Lennard">A. Lennard</name>
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<wicri:noRegion>Newcastle upon Tyne</wicri:noRegion>
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<name sortKey="Seymour, J F" sort="Seymour, J F" uniqKey="Seymour J" first="J. F." last="Seymour">J. F. Seymour</name>
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<sZ>14 aut.</sZ>
</inist:fA14>
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<placeName>
<settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
<orgName type="university">Université de Melbourne</orgName>
</affiliation>
</author>
<author>
<name sortKey="Zucca, E" sort="Zucca, E" uniqKey="Zucca E" first="E." last="Zucca">E. Zucca</name>
<affiliation wicri:level="1">
<inist:fA14 i1="14">
<s1>Oncology Institute of Southern Switzerland, Ospedale San Giovanni</s1>
<s2>Bellinzona</s2>
<s3>CHE</s3>
<sZ>15 aut.</sZ>
</inist:fA14>
<country>Suisse</country>
<wicri:noRegion>Bellinzona</wicri:noRegion>
</affiliation>
</author>
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<series>
<title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
<imprint>
<date when="2013">2013</date>
</imprint>
</series>
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<title level="j" type="main">Annals of oncology</title>
<title level="j" type="abbreviated">Ann. oncol.</title>
<idno type="ISSN">0923-7534</idno>
</seriesStmt>
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<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Chronic</term>
<term>Extraganglionar</term>
<term>International</term>
<term>Long term</term>
<term>Lymph node</term>
<term>Lymphoid neoplasm</term>
<term>Marginal zone</term>
<term>Marginal zone lymphoma</term>
<term>Prognosis</term>
<term>Radiotherapy</term>
<term>Retrospective</term>
<term>Stomach</term>
<term>Treatment</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Long terme</term>
<term>Pronostic</term>
<term>Estomac</term>
<term>Lymphome de la zone marginale</term>
<term>Traitement</term>
<term>Radiothérapie</term>
<term>Rétrospective</term>
<term>International</term>
<term>Ganglion lymphatique</term>
<term>Extraganglionnaire</term>
<term>Chronique</term>
<term>Hémopathie maligne lymphoïde</term>
<term>Zone marginale</term>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">Background: We evaluated the long-term results of radiotherapy for patients with gastric marginal zone lymphoma (GMZL). Patients and methods: We carried out a retrospective, multi-centre study of patients with low-grade GMZL treated by radiotherapy between 17 July 1981 and 25 March 2004. Results: There were 102 eligible patients. Fifty-eight patients were previously untreated and 44 had recurrent/residual disease after prior treatment (HP eradication, chemotherapy and surgery in 35, 9 and 8 patients, respectively, and 7 had >1 prior therapy). Radiation fields included the stomach /involved nodes in 61 patients and whole abdomen in 41. The median radiotherapy dose to stomach was 40 Gy (range 26-46 Gy) in a median 22 fractions. With a median follow-up after radiotherapy of 7.9 years (range 0.3-24 years), 10- and 15-year freedom from treatment failure (FFTF) was 88% (95% CI 82%-95%). Risk factors for TF were a large-cell component (P = 0.036) and an exophytic growth pattern (P = 0.042). Radiotherapy field size, radiotherapy dose, and failure of prior therapy were not associated with inferior FFTF. Ten-year overall survival was 70% (95% CI 60%-82%). Conclusions: Radiotherapy achieves cure for the majority of patients with low-grade GMZL, including patients who have had prior therapy. Several features may predict a poorer outcome.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Allemagne</li>
<li>Australie</li>
<li>Canada</li>
<li>Danemark</li>
<li>France</li>
<li>Pays-Bas</li>
<li>Pologne</li>
<li>Royaume-Uni</li>
<li>Suisse</li>
<li>États-Unis</li>
</country>
<region>
<li>Berlin</li>
<li>Hollande-Septentrionale</li>
<li>Hovedstaden</li>
<li>Massachusetts</li>
<li>Victoria (État)</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Berlin</li>
<li>Boston</li>
<li>Copenhague</li>
<li>Melbourne</li>
<li>Paris</li>
</settlement>
<orgName>
<li>Université de Melbourne</li>
</orgName>
</list>
<tree>
<country name="Australie">
<region name="Victoria (État)">
<name sortKey="Wirth, A" sort="Wirth, A" uniqKey="Wirth A" first="A." last="Wirth">A. Wirth</name>
</region>
<name sortKey="Bressel, M" sort="Bressel, M" uniqKey="Bressel M" first="M." last="Bressel">M. Bressel</name>
<name sortKey="Chao, M" sort="Chao, M" uniqKey="Chao M" first="M." last="Chao">M. Chao</name>
<name sortKey="Seymour, J F" sort="Seymour, J F" uniqKey="Seymour J" first="J. F." last="Seymour">J. F. Seymour</name>
</country>
<country name="Canada">
<noRegion>
<name sortKey="Gospodarowicz, M" sort="Gospodarowicz, M" uniqKey="Gospodarowicz M" first="M." last="Gospodarowicz">M. Gospodarowicz</name>
</noRegion>
<name sortKey="Tsang, R" sort="Tsang, R" uniqKey="Tsang R" first="R." last="Tsang">R. Tsang</name>
</country>
<country name="Pays-Bas">
<region name="Hollande-Septentrionale">
<name sortKey="Aleman, B M P" sort="Aleman, B M P" uniqKey="Aleman B" first="B. M. P." last="Aleman">B. M. P. Aleman</name>
</region>
</country>
<country name="États-Unis">
<region name="Massachusetts">
<name sortKey="Ng, A" sort="Ng, A" uniqKey="Ng A" first="A." last="Ng">A. Ng</name>
</region>
<name sortKey="Hoppe, R T" sort="Hoppe, R T" uniqKey="Hoppe R" first="R. T." last="Hoppe">R. T. Hoppe</name>
</country>
<country name="France">
<region name="Île-de-France">
<name sortKey="Thieblemont, C" sort="Thieblemont, C" uniqKey="Thieblemont C" first="C." last="Thieblemont">C. Thieblemont</name>
</region>
</country>
<country name="Allemagne">
<region name="Berlin">
<name sortKey="Moser, L" sort="Moser, L" uniqKey="Moser L" first="L." last="Moser">L. Moser</name>
</region>
</country>
<country name="Danemark">
<region name="Hovedstaden">
<name sortKey="Specht, L" sort="Specht, L" uniqKey="Specht L" first="L." last="Specht">L. Specht</name>
</region>
</country>
<country name="Pologne">
<noRegion>
<name sortKey="Szpytma, T" sort="Szpytma, T" uniqKey="Szpytma T" first="T." last="Szpytma">T. Szpytma</name>
</noRegion>
</country>
<country name="Royaume-Uni">
<noRegion>
<name sortKey="Lennard, A" sort="Lennard, A" uniqKey="Lennard A" first="A." last="Lennard">A. Lennard</name>
</noRegion>
</country>
<country name="Suisse">
<noRegion>
<name sortKey="Zucca, E" sort="Zucca, E" uniqKey="Zucca E" first="E." last="Zucca">E. Zucca</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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