Primary CNS lymphoma of T-cell origin: A descriptive analysis from the International Primary CNS Lymphoma Collaborative Group
Identifieur interne : 00A489 ( Main/Exploration ); précédent : 00A488; suivant : 00A490Primary CNS lymphoma of T-cell origin: A descriptive analysis from the International Primary CNS Lymphoma Collaborative Group
Auteurs : Tamara N. Shenkier [Canada, France, États-Unis, Pays-Bas, Allemagne, Italie, Australie] ; Jean-Yves Blay ; Brian Patrick O'Neill ; Philip Poortmans ; Eckhard Thiel ; Kristoph Jahnke ; Lauren E. Abrey ; Edward Neuwelt ; Richard Tsang ; Tracy Batchelor ; Nancy Harris ; Andrés J. M. Ferreri ; Maurilio Ponzoni ; Peter O'Brien ; James Rubenstein ; Joseph M. ConnorsSource :
- Journal of clinical oncology [ 0732-183X ] ; 2005.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Purpose To describe the demographic and tumor related characteristics and outcomes for patients with primary T-cell CNS lymphoma (TPCNSL). Patients and Methods A retrospective series of patients with TPCNSL was compiled from twelve cancer centers in seven countries. Results We identified 45 patients with a median age of 60 years (range, 3 to 84 years). Twenty (44%) had Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1. Twenty-six (58%) had involvement of a cerebral hemisphere and sixteen (36%) had lesions of deeper sites in the brain. Serum lactate dehydrogenase was elevated in 7 (32%) of 22 patients, and CSF protein was elevated in 19 of 24 patients (79%) with available data. The median disease-specific survival (DSS) was 25 months (95% Cl, 11 to 38 months). The 2- and 5-year DSS were 51% (95% Cl, 35% to 66%) and 17% (95% Cl, 6% to 34%), respectively. Univariate and multivariate analyses were conducted for age (< 60 v > 60 years), PS (0 or 1 v 2, 3, or 4), involvement of deep structures of the CNS (no v yes), and methotrexate (MTX) use in the primary treatment (yes v no). Only PS and MTX use were significantly associated with better outcome with hazard ratios of 0.2 (95% Cl, 0.1 to 0.4) and 0.4 (95% Cl, 0.2 to 0.8), respectively. Conclusion This is the largest series ever assembled of TPCNSL. The presentation and outcome appear similar to that of B cell PCNSL. PS 0 or 1 and administration of MTX are associated with better survival.
Affiliations:
- Allemagne, Australie, Canada, France, Italie, Pays-Bas, États-Unis
- Auvergne-Rhône-Alpes, Berlin, Lombardie, Rhône-Alpes
- Berlin, Lyon, Milan
Links toward previous steps (curation, corpus...)
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Le document en format XML
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Connors</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">05-0201572</idno><date when="2005">2005</date><idno type="stanalyst">PASCAL 05-0201572 INIST</idno><idno type="RBID">Pascal:05-0201572</idno><idno type="wicri:Area/PascalFrancis/Corpus">004993</idno><idno type="wicri:Area/PascalFrancis/Curation">001710</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">004436</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">004436</idno><idno type="wicri:doubleKey">0732-183X:2005:Shenkier T:primary:cns:lymphoma</idno><idno type="wicri:Area/Main/Merge">00B086</idno><idno type="wicri:Area/Main/Curation">00A489</idno><idno type="wicri:Area/Main/Exploration">00A489</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Primary CNS lymphoma of T-cell origin: A descriptive analysis from the International Primary CNS Lymphoma Collaborative Group</title><author><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Division of Medical Oncology, British Columbia Cancer Agency</s1><s2>Vancouver</s2><s3>CAN</s3></inist:fA14><country>Canada</country><wicri:noRegion>Vancouver</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Radiation Oncology, Princess Margaret Hospital</s1><s2>Toronto</s2><s3>CAN</s3></inist:fA14><country>Canada</country><wicri:noRegion>Toronto</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Unite Cytokines et Cancers, Hôpital Edouard Herriot, Centre Leon Berard</s1><s2>Lyon</s2><s3>FRA</s3></inist:fA14><country>France</country><placeName><region type="region">Auvergne-Rhône-Alpes</region><region type="old region">Rhône-Alpes</region><settlement type="city">Lyon</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Neuro-Oncology Program, Mayo Clinic Cancer Center</s1><s2>Rochester, MN</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Rochester, MN</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Dr Bernard Verbeeten Instituut</s1><s2>Tilburg</s2><s3>NLD</s3></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Dr Bernard Verbeeten Instituut</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Charite Campus Benjamin Franklin</s1><s2>Berlin</s2><s3>DEU</s3></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Department of Neurology, Memorial Sloan-Kettering Cancer Center</s1><s2>New York, NY</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>New York, NY</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Department of Neurology and Neurosurgery, Oregon Health & Science University</s1><s2>Portland, OR</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Portland, OR</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Department of Neurology and Pathology, Harvard Medical School</s1><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Department of Neurology and Pathology, Harvard Medical School</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Massachusetts General Hospital</s1><s2>Boston, MA</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>Massachusetts General Hospital</wicri:noRegion></affiliation><affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Department of Radiochemotherapy and Pathology, San Raffaele H Scientific Institute</s1><s2>Milan</s2><s3>ITA</s3></inist:fA14><country>Italie</country><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Radiation Oncology, Newcastle Mater Hospital</s1><s2>Newcastle</s2><s3>AUS</s3></inist:fA14><country>Australie</country><wicri:noRegion>Newcastle</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>University of California San Francisco</s1><s2>San Francisco, CA</s2><s3>USA</s3></inist:fA14><country>États-Unis</country><wicri:noRegion>University of California San Francisco</wicri:noRegion></affiliation></author><author><name sortKey="Blay, Jean Yves" sort="Blay, Jean Yves" uniqKey="Blay J" first="Jean-Yves" last="Blay">Jean-Yves Blay</name></author><author><name sortKey="O Neill, Brian Patrick" sort="O Neill, Brian Patrick" uniqKey="O Neill B" first="Brian Patrick" last="O'Neill">Brian Patrick O'Neill</name></author><author><name sortKey="Poortmans, Philip" sort="Poortmans, Philip" uniqKey="Poortmans P" first="Philip" last="Poortmans">Philip Poortmans</name></author><author><name sortKey="Thiel, Eckhard" sort="Thiel, Eckhard" uniqKey="Thiel E" first="Eckhard" last="Thiel">Eckhard Thiel</name></author><author><name sortKey="Jahnke, Kristoph" sort="Jahnke, Kristoph" uniqKey="Jahnke K" first="Kristoph" last="Jahnke">Kristoph Jahnke</name></author><author><name sortKey="Abrey, Lauren E" sort="Abrey, Lauren E" uniqKey="Abrey L" first="Lauren E." last="Abrey">Lauren E. Abrey</name></author><author><name sortKey="Neuwelt, Edward" sort="Neuwelt, Edward" uniqKey="Neuwelt E" first="Edward" last="Neuwelt">Edward Neuwelt</name></author><author><name sortKey="Tsang, Richard" sort="Tsang, Richard" uniqKey="Tsang R" first="Richard" last="Tsang">Richard Tsang</name></author><author><name sortKey="Batchelor, Tracy" sort="Batchelor, Tracy" uniqKey="Batchelor T" first="Tracy" last="Batchelor">Tracy Batchelor</name></author><author><name sortKey="Harris, Nancy" sort="Harris, Nancy" uniqKey="Harris N" first="Nancy" last="Harris">Nancy Harris</name></author><author><name sortKey="Ferreri, Andres J M" sort="Ferreri, Andres J M" uniqKey="Ferreri A" first="Andrés J. M." last="Ferreri">Andrés J. M. Ferreri</name></author><author><name sortKey="Ponzoni, Maurilio" sort="Ponzoni, Maurilio" uniqKey="Ponzoni M" first="Maurilio" last="Ponzoni">Maurilio Ponzoni</name></author><author><name sortKey="O Brien, Peter" sort="O Brien, Peter" uniqKey="O Brien P" first="Peter" last="O'Brien">Peter O'Brien</name></author><author><name sortKey="Rubenstein, James" sort="Rubenstein, James" uniqKey="Rubenstein J" first="James" last="Rubenstein">James Rubenstein</name></author><author><name sortKey="Connors, Joseph M" sort="Connors, Joseph M" uniqKey="Connors J" first="Joseph M." last="Connors">Joseph M. Connors</name></author></analytic><series><title level="j" type="main">Journal of clinical oncology</title><title level="j" type="abbreviated">J. clin. oncol.</title><idno type="ISSN">0732-183X</idno><imprint><date when="2005">2005</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of clinical oncology</title><title level="j" type="abbreviated">J. clin. oncol.</title><idno type="ISSN">0732-183X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cancerology</term><term>Cell origin</term><term>International</term><term>Lymphoma</term><term>Primary</term><term>T-Lymphocyte</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Lymphome</term><term>Primaire</term><term>Lymphocyte T</term><term>Origine cellule</term><term>International</term><term>Cancérologie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Purpose To describe the demographic and tumor related characteristics and outcomes for patients with primary T-cell CNS lymphoma (TPCNSL). Patients and Methods A retrospective series of patients with TPCNSL was compiled from twelve cancer centers in seven countries. Results We identified 45 patients with a median age of 60 years (range, 3 to 84 years). Twenty (44%) had Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1. Twenty-six (58%) had involvement of a cerebral hemisphere and sixteen (36%) had lesions of deeper sites in the brain. Serum lactate dehydrogenase was elevated in 7 (32%) of 22 patients, and CSF protein was elevated in 19 of 24 patients (79%) with available data. The median disease-specific survival (DSS) was 25 months (95% Cl, 11 to 38 months). The 2- and 5-year DSS were 51% (95% Cl, 35% to 66%) and 17% (95% Cl, 6% to 34%), respectively. Univariate and multivariate analyses were conducted for age (< 60 v > 60 years), PS (0 or 1 v 2, 3, or 4), involvement of deep structures of the CNS (no v yes), and methotrexate (MTX) use in the primary treatment (yes v no). Only PS and MTX use were significantly associated with better outcome with hazard ratios of 0.2 (95% Cl, 0.1 to 0.4) and 0.4 (95% Cl, 0.2 to 0.8), respectively. Conclusion This is the largest series ever assembled of TPCNSL. The presentation and outcome appear similar to that of B cell PCNSL. PS 0 or 1 and administration of MTX are associated with better survival.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>France</li><li>Italie</li><li>Pays-Bas</li><li>États-Unis</li></country><region><li>Auvergne-Rhône-Alpes</li><li>Berlin</li><li>Lombardie</li><li>Rhône-Alpes</li></region><settlement><li>Berlin</li><li>Lyon</li><li>Milan</li></settlement></list><tree><noCountry><name sortKey="Abrey, Lauren E" sort="Abrey, Lauren E" uniqKey="Abrey L" first="Lauren E." last="Abrey">Lauren E. Abrey</name><name sortKey="Batchelor, Tracy" sort="Batchelor, Tracy" uniqKey="Batchelor T" first="Tracy" last="Batchelor">Tracy Batchelor</name><name sortKey="Blay, Jean Yves" sort="Blay, Jean Yves" uniqKey="Blay J" first="Jean-Yves" last="Blay">Jean-Yves Blay</name><name sortKey="Connors, Joseph M" sort="Connors, Joseph M" uniqKey="Connors J" first="Joseph M." last="Connors">Joseph M. Connors</name><name sortKey="Ferreri, Andres J M" sort="Ferreri, Andres J M" uniqKey="Ferreri A" first="Andrés J. M." last="Ferreri">Andrés J. M. Ferreri</name><name sortKey="Harris, Nancy" sort="Harris, Nancy" uniqKey="Harris N" first="Nancy" last="Harris">Nancy Harris</name><name sortKey="Jahnke, Kristoph" sort="Jahnke, Kristoph" uniqKey="Jahnke K" first="Kristoph" last="Jahnke">Kristoph Jahnke</name><name sortKey="Neuwelt, Edward" sort="Neuwelt, Edward" uniqKey="Neuwelt E" first="Edward" last="Neuwelt">Edward Neuwelt</name><name sortKey="O Brien, Peter" sort="O Brien, Peter" uniqKey="O Brien P" first="Peter" last="O'Brien">Peter O'Brien</name><name sortKey="O Neill, Brian Patrick" sort="O Neill, Brian Patrick" uniqKey="O Neill B" first="Brian Patrick" last="O'Neill">Brian Patrick O'Neill</name><name sortKey="Ponzoni, Maurilio" sort="Ponzoni, Maurilio" uniqKey="Ponzoni M" first="Maurilio" last="Ponzoni">Maurilio Ponzoni</name><name sortKey="Poortmans, Philip" sort="Poortmans, Philip" uniqKey="Poortmans P" first="Philip" last="Poortmans">Philip Poortmans</name><name sortKey="Rubenstein, James" sort="Rubenstein, James" uniqKey="Rubenstein J" first="James" last="Rubenstein">James Rubenstein</name><name sortKey="Thiel, Eckhard" sort="Thiel, Eckhard" uniqKey="Thiel E" first="Eckhard" last="Thiel">Eckhard Thiel</name><name sortKey="Tsang, Richard" sort="Tsang, Richard" uniqKey="Tsang R" first="Richard" last="Tsang">Richard Tsang</name></noCountry><country name="Canada"><noRegion><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></noRegion><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></country><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></region></country><country name="États-Unis"><noRegion><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></noRegion><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></country><country name="Pays-Bas"><noRegion><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></noRegion></country><country name="Allemagne"><region name="Berlin"><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></region></country><country name="Italie"><region name="Lombardie"><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></region></country><country name="Australie"><noRegion><name sortKey="Shenkier, Tamara N" sort="Shenkier, Tamara N" uniqKey="Shenkier T" first="Tamara N." last="Shenkier">Tamara N. Shenkier</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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