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PROGNOSTIC SIGNIFICANCE OF IMMUNOHISTOCHEMICAL MARKERS IN R-CHOP TREATED DIFFUSE LARGE B-CELL LYMPHOMA PATIENTS
Author(s): ,
Ana-Maria Picleanu
Affiliations:
Hematology,Filantropia Hospital Craiova,Craiova,Romania
,
Stefan Patrascu
Affiliations:
Surgery,Emergency Hospital Craiova,Craiova,Romania
Laurentiu Mogoanta
Affiliations:
Histology,University of Medicine and Pharmacy of Craiova,Craiova,Romania
(Abstract release date: 05/18/17) EHA Library. Patrascu A. 05/18/17; 182795; PB2081
Mrs. Ana-Maria Patrascu
Mrs. Ana-Maria Patrascu
Contributions
Abstract

Abstract: PB2081

Type: Publication Only

Background

Despite its clinical, morphological and molecular heterogeneity, diffuse large B-cell lymphoma (DLBCL) is the most frequent lymphoid malignancy in adults. The role of immunophenotype variability for the therapeutic outcome has long been the cornerstone for DLBCL management strategy.

Aims
To evaluate the immunophenotypic characteristics of DLBCL and the prognostic significance of specific biomarkers such as bcl2, bcl6, CD 10 and MUM1, in a population-based cohort of patients treated with R-CHOP.

Methods
We performed a retrospective assessment of all cases of DLBCL diagnosed at our institution between 2005-2013. The immunohistochemical expression patterns of all DLBCL patients were analyzed and correlated with the therapeutic response to R-CHOP regimen.

Results
The study included 101 patients diagnosed with DLBCL, with a median age at diagnosis of 57.1 years (19-90 years) and male/female ratio of 1.3/1. Ninety-one patients were eligible for R-CHOP treatment. The median follow-up was 41 months. Out of the 90 cases analyzed by immunohistochemistry CD 10, BCL2, BCL6 and MUM1 expression was found in 17.6%, 50.5%, 72.7% and 81.8% of cases, respectively. Negative expression for CD10, as well as positive expression of BCL2 were adverse prognostic factors for 3-years overall survival (OS) and disease free survival (DFS) (OS for bcl2: 72.3 vs 89.7, p<0.05, OS for CD10: 84.1 vs 75.1, p<0.05). BCL6 and MUM1 expressions, however, did influence neither OS nor DFS.

Conclusion

This study confirms the prognostic value of a multi-marker assessment which includes bcl2, bcl6, CD 10 and MUM1 expression for patients R-CHOP therapy.

Session topic: 18. Non-Hodgkin & Hodgkin lymphoma - Biology

Keyword(s): Immunohistochemistry, Diffuse large B cell lymphoma, BCL6, BCL2

Abstract: PB2081

Type: Publication Only

Background

Despite its clinical, morphological and molecular heterogeneity, diffuse large B-cell lymphoma (DLBCL) is the most frequent lymphoid malignancy in adults. The role of immunophenotype variability for the therapeutic outcome has long been the cornerstone for DLBCL management strategy.

Aims
To evaluate the immunophenotypic characteristics of DLBCL and the prognostic significance of specific biomarkers such as bcl2, bcl6, CD 10 and MUM1, in a population-based cohort of patients treated with R-CHOP.

Methods
We performed a retrospective assessment of all cases of DLBCL diagnosed at our institution between 2005-2013. The immunohistochemical expression patterns of all DLBCL patients were analyzed and correlated with the therapeutic response to R-CHOP regimen.

Results
The study included 101 patients diagnosed with DLBCL, with a median age at diagnosis of 57.1 years (19-90 years) and male/female ratio of 1.3/1. Ninety-one patients were eligible for R-CHOP treatment. The median follow-up was 41 months. Out of the 90 cases analyzed by immunohistochemistry CD 10, BCL2, BCL6 and MUM1 expression was found in 17.6%, 50.5%, 72.7% and 81.8% of cases, respectively. Negative expression for CD10, as well as positive expression of BCL2 were adverse prognostic factors for 3-years overall survival (OS) and disease free survival (DFS) (OS for bcl2: 72.3 vs 89.7, p<0.05, OS for CD10: 84.1 vs 75.1, p<0.05). BCL6 and MUM1 expressions, however, did influence neither OS nor DFS.

Conclusion

This study confirms the prognostic value of a multi-marker assessment which includes bcl2, bcl6, CD 10 and MUM1 expression for patients R-CHOP therapy.

Session topic: 18. Non-Hodgkin & Hodgkin lymphoma - Biology

Keyword(s): Immunohistochemistry, Diffuse large B cell lymphoma, BCL6, BCL2

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