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Treatment and Outcome Analysis of 639 Relapsed Non-Hodgkin Lymphomas in Children and Adolescents and Resulting Treatment Recommendations

B. Burkhardt, M. Taj, N. Garnier, V. Minard-Colin, V. Hazar, K. Mellgren, T. Osumi, A. Fedorova, N. Myakova, J. Verdu-Amoros, M. Andres, E. Kabickova, A. Attarbaschi, AKS. Chiang, E. Bubanska, S. Donska, LL. Hjalgrim, J. Wachowiak, A. Pieczonka,...

. 2021 ; 13 (9) : . [pub] 20210425

Jazyk angličtina Země Švýcarsko

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc21017892

Grantová podpora
DKS 2014.11A/B, DKS 2016.24A/B Deutsche Kinderkrebsstiftung

Despite poor survival, controversies remain in the treatment for refractory or relapsed pediatric non-Hodgkin lymphoma (r/r NHL). The current project aimed to collect international experience on the re-induction treatment of r/r NHL, hematopoietic stem cell transplantation (HSCT), risk factors associated with outcome, and to suggest treatment recommendations. Inclusion criteria were (i) refractory disease, disease progression or relapse of any NHL subtype except anaplastic large cell lymphoma, (ii) age < 18 years at initial diagnosis, (iii) diagnosis in/after January 2000. Data from 639 eligible patients were evaluable. The eight-year probability of overall survival was 34 ± 2% with highly significant differences according to NHL subtypes: 28 ± 3% for 254 Burkitt lymphoma/leukemia, 50 ± 6% for 98 diffuse large B-cell lymphomas, 57 ± 8% for 41 primary mediastinal large B-cell lymphomas, 27 ± 3% for 177 T-lymphoblastic lymphomas, 52 ± 10% for 34 precursor-B-cell lymphoblastic lymphomas and 30 ± 9% for 35 patients with rare NHL subtypes. Subtype-specific factors associated with survival and treatment recommendations are suggested. There were no survivors without HSCT, except in few very small subgroups. Conclusions: There is an urgent need to further improve survival in r/r NHL. The current study provides the largest real-world series, which underlines the role of HSCT and suggests treatment recommendations.

2nd Department of Pediatrics Semmelweis University 1085 Budapest Hungary

Belarusian Research Centre for Pediatric Oncology Hematology and Immunology Research Department 223053 Minsk Belarus

Central Hospital of Southern Pest National Institute of Hematology and Infectious Diseases Department for Pediatric Hematology and Hemopoietic Stem Cell Transplantation 1097 Budapest Hungary

Centre of Pediatric OncoHematology and BMT National Ukrainian Children's Hospital Ochmatdyt 04070 Kiev Ukraine

Children's Cancer Centre National Centre for Child Health and Development Tokyo 104 0045 Japan

Clinic of Pediatric Oncology and Hematology Slovak Health University and Children's Faculty Hospital 97409 Banská Bystrica Slovakia

Department for Hematology and Oncology University Children's Hospital School of Medicine University of Belgrade 11000 Belgrade Serbia

Department of Child and Woman Health Oncology Hematology Division University Hospital of Padua 35125 Padua Italy

Department of Pediatric and Adolescent Oncology Gustave Roussy Université Paris Saclay 94805 Villejuif France

Department of Pediatric Haematology and Oncology and Palliative Care Addenbrooke's Hospital Cambridge University Hospitals NHS Foundation Trust Cambridge CB2 0QQ UK

Department of Pediatric Hematology and Oncology Charles University and University Hospital Motol 150 06 Prague Czech Republic

Department of Pediatric Hematology and Oncology Oslo University Hospital 0424 Oslo Norway

Department of Pediatric Hematology and Oncology University Hospital Leuven KU Leuven 3000 Leuven Belgium

Department of Pediatric Hematology and Oncology University Hospital Valencia 46010 Valencia Spain

Department of Pediatric Hematology Oncology and BMT University Hospital Muenster 48149 Münster Germany

Department of Pediatric Oncology and Hematology Sahlgrenska University Hospital The Queen Silvia Children's Hospital 41685 Gothenburg Sweden

Department of Pediatric Oncology Hematology and Transplantology Poznan University of Medical Sciences 60572 Poznan Poland

Department of Pediatric Oncology Royal Marsden Hospital Surrey SM2 5PT UK

Department of Pediatric Oncology University Children's Hospital Zurich 8032 Zürich Switzerland

Department of Pediatric Oncology University Hospital Le Fe 46026 Valencia Spain

Department of Pediatrics and Adolescent Medicine 2100 Copenhagen Denmark

Department of Pediatrics and Adolescent Medicine Li Ka Shing Faculty of Medicine The University of Hong Kong Queen Mary Hospital Hong Kong

Faculty of Medicine Hospital Luis Calvo Mackenna Department of Pediatrics Bone Marrow Transplantation Unit University of Chile Santiago 8820808 Chile

Hannover Medical School Department of Pediatric Hematology and Oncology 30625 Hannover Germany

Hospices Civils de Lyon Institute of Pediatric Hematology and Oncology 69002 Lyon France

Memorial Healthcare Group Private Antalya Yildiz Hospital Pediatric Oncology Unit Antalya 07070 Turkey

National Research Centre for Pediatric Hematology Oncology and Immunology 129090 Moscow Russia

Pediatric Hematology and Oncology Clinica Pediatrica Università degli Studi di Milano Bicocca Fondazione MBBM Ospedale San Gerardo 20126 Monza Italy

Pediatric Hematology and Oncology University Medical Centre Hamburg Eppendorf 20246 Hamburg Germany

Princess Máxima Centre for Pediatric Oncology 3584 CS Utrecht The Netherlands

St Anna Children's Hospital Department of Paediatric Haematology and Oncology Medical University of Vienna 1090 Vienna Austria

Citace poskytuje Crossref.org

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