Male gender is an adverse prognostic factor in B-cell lymphoma patients treated with immunochemotherapy

被引:65
作者
Riihijarvi, Sari [1 ,2 ]
Taskinen, Minna [1 ,2 ]
Jerkeman, Mats [3 ]
Leppa, Sirpa [1 ,2 ]
机构
[1] Univ Helsinki, Cent Hosp, Dept Oncol, FIN-00029 Helsinki, Finland
[2] Univ Helsinki, Biomedicum Helsinki, Genome Scale Biol Res Program, FIN-00029 Helsinki, Finland
[3] Lund Univ, Dept Oncol, Lund, Sweden
关键词
B-cell non-Hodgkin lymphoma; prognostic factors; gender; immunochemotherapy; CHEMOTHERAPY PLUS RITUXIMAB; RANDOMIZED CONTROLLED-TRIAL; FOLLICULAR LYMPHOMA; ELDERLY-PATIENTS; CHOP;
D O I
10.1111/j.1600-0609.2010.01541.x
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Male gender is an adverse prognostic factor in Hodgkin's lymphoma, but no such association has yet been established in non-Hodgkin lymphomas. Here, we have evaluated whether gender has prognostic impact on the survival of patients with B-cell non-Hodgkin lymphoma in the postrituximab era of lymphoma therapies. The study populations consisted of 217 diffuse large B-cell lymphoma (DLBCL) and 110 follicular lymphoma (FL) patients treated with immunochemotherapy. Hundred and sixty chemotherapy-treated DLBCL patients served as a control group. According to Kaplan-Meier analyses, female patients had a significantly better progression-free survival than men both in DLBCL (4 yr PFS 75% vs. 60%; P = 0.013) and in FL (4 yr PFS 68% vs. 52%, P = 0.036) patients treated with immunochemotherapy. In chemotherapy-treated DLBCL patients, no difference in survival between the genders was found. The results support the idea that women seem to respond better to rituximab.
引用
收藏
页码:124 / 128
页数:5
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