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Predictors of Outcome in Pediatric Anaplastic Large Cell Lymphoma

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Abstract

Objective

To determine the event-free survival (EFS), overall survival (OS) and predictors of outcome in pediatric anaplastic large cell lymphoma treated with a uniform protocol.

Method

This hospital record review was done between June, 2016 to March, 2019 and data was extracted from January, 2003 to May, 2016 for anaplastic large cell lymphoma (ALCL) in patients aged 1 to 18 years (n=27). EFS and OS were calculated by the Kaplan Meier method. Cox proportional model and the Cox regression model were used for univariate analysis and multivariate analysis respectively.

Results

EFS and OS at three years was 70.4% (CI: 0.49–0.84) and 77.2% (CI: 0.56 −0.89), respectively. On univariate analysis stage III and IV, hemoglobin less than 10 g/dL and presence of pleural effusion predicted lower survival. On multivariate analysis, pleural effusion was a significant predictor of low EFS and OS.

Conclusion

Pleural effusion is a potential clinical marker of poor outcome among children with anaplastic large cell lymphoma.

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Author information

Authors and Affiliations

  1. Department of Medical Oncology, Dr BR Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, 110 029, India

    Amol Patel, Deepam Pushpam & Sameer Bakhshi

  2. Department of Pathology, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

    MC Sharma

  3. Department of Radiodiagnosis, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India

    Sanjay Thulkar

Authors
  1. Amol Patel
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  2. Deepam Pushpam
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  3. MC Sharma
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  4. Sanjay Thulkar
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  5. Sameer Bakhshi
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Contributions

AP: designed the research study, analysed the data, drafted the paper; DP: analyzed the data and drafted the paper; MCS,ST: acquisition and interpretation of the data for the paper, drafted the paper; SB: conception and designed the research study, analyzed the data, drafted the paper. All authors contributed to the drafting of the work, finally approved the work and agreed to be accountable for integrity of the data.

Corresponding author

Correspondence to Sameer Bakhshi.

Ethics declarations

Institutional Ethics Committee of AIIMS, Delhi; No. IESC/T-331, June 23, 2015.

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Patel, A., Pushpam, D., Sharma, M. et al. Predictors of Outcome in Pediatric Anaplastic Large Cell Lymphoma. Indian Pediatr 57, 523–526 (2020). https://doi.org/10.1007/s13312-020-1849-z

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  • DOI: https://doi.org/10.1007/s13312-020-1849-z

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