Analysis of clinical characteristics and establishment of a new prognostic model in 202 cases with peripheral T⁃cell lymphomas
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R733.4

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    Abstract:

    Objective:Peripheral T -cell lymphomas(PTCL)is a heterogeneous group of non -Hodgkin’s lymphomas. The current study aims to analyze the clinical features of PTCL patients,and explore new factors that affected the progression-free survival(PFS) and overall survival(OS),with which to establish new prognostic models. Methods:The clinical data of 202 patients with PTCL from the First Affiliated Hospital of Nanjing Medical University between July 2009 and September 2021 were retrospectively analyzed. Kaplan - Meier method,univariate and multivariate Cox regression analysis were performed for the survival analysis and prognostic factor evaluation. Results:The median PFS and OS of all PTCL patients were 11 months and 43 months respectively. Patients with lower level of hemoglobin(Hb)showed shorter PFS(9 months vs. 44 months,P < 0.001)and OS(24 months vs. 83 months,P=0.002) than patients with normal level of Hb. The ECOG scores >1(P=0.009)and lower Hb level(P=0.007)were independent risk factors for PFS. Age >60 years(P=0.015)and the ECOG score >1(P=0.002)were independent risk factors for OS. International prognostic index (IPI)or prognostic index for T-cell lymphoma(PIT)combined with the Hb level improved the accuracy of predicting PFS of patients with PTCL. Conclusion:The level of Hb may be a good candidate for predicting prognosis of patients with PTCL. The Hb level combined with IPI and PIT can improve the ability to predict prognosis of patients with PTCL.

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李文艺,申浩睿,汤菁,梁金花,尹华,王莉,徐卫.202例外周T细胞淋巴瘤临床特征分析及预后新模型建立[J].南京医科大学学报(自然科学版英文版),2023,(3):365-370.

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  • Online: March 11,2023
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