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Long-term follow-up of CHOP-treated non-Hodgkin lymphoma of high-grade malignancy

  • R. Heinz
Original article

Summary

The long-term outcome of 116 NHL patients (38 CB, 33 IB, 24 LB, 11 high-grade unclassified, 9 PTCL, 1 Ki-1 lymphoma — see list of abbreviations) treated with an age-adjusted CHOP regimen from 1980–85 was evaluated. The median age was 64 years. Of these patients 28% had significant comorbidity. CB patients had the best outcome; the median survival was not reached after 110 months. However, the differences in survival of all histological entities are not significant (P=0.08). Fifty-six percent of the patients had clinical stages I–II. The CR rate of all 116 patients was 47%. After a median follow-up of 58 months, 30% of the patients are alive and disease-free. Of 14 relapses 11 occurred within 2 years. The median time period before relapse was 9 months. Salvage therapy failed, as none of the IB and LB patients achieved CR. Five CB patients had CR with second-line therapy, four had PR after induction therapy, one patient relapsed after 30 months. Of the CR patients 15% developed second or third neoplasms. Only one instance of acute myeloblastic leukemia was observed. These results indicate that age-adjusted CHOP is a welltolerated therapy.

Key words

NHL high-grade malignancy CHOP Dose reduction Long-term follow-up Secondary malignancy 

Abbreviations

NHL

Non-Hodgkin lymphoma

CHOP

Cyclophosphamide hydroxyldaunomycin Oncovin® prednisone

CR

Complete remission

PR

Partial remission

Nr

Non response

CB

Centroblastic lymphoma

IB

Immunoblastic lymphoma

LB

Lymphoblastic lymphoma

PTCL

Anaplastic large-cell peripheral T-cell lymphoma

ABMT

Autologous bone marrow transplantation

ALL

Acute lymphoblastic leukemia

AML

Acute myeloblastic leukemia

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Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • R. Heinz
    • 1
  1. 1.Third Medical Department and Ludwig Boltzmann Institute for Leukemia Research and HematologyHanusch HospitalViennaAustria

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