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Retrospective Analysis of Hairy Cell Leukemia Patients Treated with Different Modalities as First Line: Real-Life Experience Over 20 years

  • Fergün YılmazEmail author
  • Dilan Atilla
  • Nagihan Akkaş
  • Hale Bülbül
  • Nur Soyer
  • Derya Demir
  • Demet Kiper
  • Aylin Avcı
  • Filiz Vural
  • Güray Saydam
  • Fahri Şahin
  • Mine Hekimgil
  • Nazan Özsan
  • Raika Durusoy
  • Bahriye Payzın
Original Article
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Abstract

We aimed to analyze the characteristics and response rates of different treatment modalities in hairy cell leukemia patients over 20 diagnosed as hairy cell leukemia (HCL). Clinical data, response rates and survival outcome of the patients who were diagnosed with HCL were retrospectively analyzed. Fifty-two patients with a median age of 50 (28–87) years were enrolled in the study. 38 patients (73%) were male and male to female ratio was 2.7. First line therapy was cladrabine in 36 patients (69.2%). The overall response rate was 97%. CR and PR rates were 86.1% and 11.1%, respectively. Interferon was used in 10(19.2%) patients who were diagnosed before 2000s years. CR and PR rates were 70% and 30%, respectively. Although the CR rates were lower in IFN group, this difference could not be reached statistically significance (p = 0.24). The median follow up was 48 months (12–252). The median OS was not reached and median PFS was 150 months (95% CI, 116–214). The OS at 36 and 48 months were 95.9% and 92.3%, respectively and the PFS at 36 and 48 months were 90.2% and 83.4%, respectively. After the introduction of purine analogues, the fate of the HCL patients have been changed. Cladrabin achieved very high response rates in both young and older patients, in our study. Although relapse still constitutes a problem, another single dose of cladrabine results in good response rates.

Keywords

Hairy cell leukemia Cladrabin Treatment Survival rates Response rates 

Notes

Compliance with Ethical Standards

Conflict of interest

Authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all participants included in the study.

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Copyright information

© Indian Society of Hematology and Blood Transfusion 2019

Authors and Affiliations

  • Fergün Yılmaz
    • 1
    Email author
  • Dilan Atilla
    • 2
  • Nagihan Akkaş
    • 3
  • Hale Bülbül
    • 2
  • Nur Soyer
    • 2
  • Derya Demir
    • 4
  • Demet Kiper
    • 3
  • Aylin Avcı
    • 5
  • Filiz Vural
    • 2
  • Güray Saydam
    • 2
  • Fahri Şahin
    • 2
  • Mine Hekimgil
    • 4
  • Nazan Özsan
    • 4
  • Raika Durusoy
    • 6
  • Bahriye Payzın
    • 3
  1. 1.Department of Hematology, Internal MedicineMarmara UniversityIstanbulTurkey
  2. 2.Department of Hematology, Internal MedicineEge UniversityIzmirTurkey
  3. 3.İnternal Medicine, Department of Hematologyİzmir Katip Celebi UniversityIzmirTurkey
  4. 4.Department of PathologyEge UniversityIzmirTurkey
  5. 5.Department of Pathologyİzmir Katip Celebi UniversityIzmirTurkey
  6. 6.Department of Public HeathEge UniversityIzmirTurkey

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