Table 6 Comparison of selected clinical features of the 33 reported cases of ALK-DLBCL
From: ALK-positive diffuse large B-cell lymphoma: report of four cases and review of the literature
Author (reference) | Case no. | Sex/age | Sites of disease | Stage | Therapy | Present clinical status |
---|---|---|---|---|---|---|
Delsol1 | 1 | 53/M | Systemic LA, splenomegaly | IVA | CTX plus intrathecal MTX, relapsed, BMT | Dead of disease after 26 months |
2 | 15/M | NR | I | COPAD-Ara-C | Alive without disease after 156 months | |
3 | 37/M | Mediastinal LA (2) | II (1) | M-BACOD (2) | Cases 3, 4 , 7—dead of disease after 9–33 months | |
4 | 44/M | III–IV (4) | B-CHOP (1) | |||
5 | 67/F | MOPP + XRT (1) | Lost to follow-up after 11 months | |||
6 | 51/M | ACVBP (2) | Alive without disease after 14 months | |||
7 | 60/M | See case 3 | ||||
Gascoyne2 | 1 | 46/M | Supraclavicular and abdominal LA | III | CTX, relapse at 5 months, CTX and XRT | Alive without disease after 27 months |
2 | 45/F | Inguinal tumor | NA | NA | NA | |
3 | 49/M | Systemic LA, epidural mass | IV | CHOP and XRT, partial response | Alive with progressive disease after 9 months | |
4 | 48/M | Axillary LA | IA | CTX | Alive without disease after 27 months | |
5 | (Delsol case 1) | |||||
6 | 58/M | Supraclavicular LA and subarachnoid involvement | IV | CHOP+Rituximab | Dead of disease after 6 months | |
De Paepe3 | 1 | 10/M | Cervical mass | II | ALCL-99 HR followed by SFOP-LMB 96 two years later | Alive without disease after 6 months |
2 | 13/F | Cervical LA, HSM, mediastinal mass (at relapse) | III | NHL-BFM ALCL99 with ALCL relapse, BMT | Dead of disease after 3 months | |
3 | 26/M | Cervical LA, base of tongue tumor | II | CHOP × 4/VIM × 1/DHAP × 1, neck and upper mediastinum XRT, progressive disease, development of skeletal lesions, hyper-C-VAD, and BMT after BEAM | Alive without disease after 44 months | |
Chikatsu4 | 1 | 36/F | Multiple intramuscular tumors, bilateral ovarian tumors, HSM | IV | Combination CTX | Dead of disease after 11 months |
Onciu5 | 1 | 16/M | Scalp and parietal bone mass, cervical, axillary, and inguinal LA, multiple lytic skeletal lesions | IV | LMB 89, poor response, weekly vinblastine, intrathecal CTX, and palliative XRT | Dead of disease after 24 months |
2 | 10/M | Laryngeal supraglottic mass, cervical and submandibular LA | II | POG8719, XRT to sites of persistent disease and DAHP × 3 | Alive without disease after 156 months | |
Adam6 | 1 | 35/M | Right cervical and supraclavicular LA | IIA | CHOEP-21 × 5, disease progression, auto BMT, relapse, relapse CTX (adriamycin, bleomycin, vinblastine, decarbazine) | Dead of disease after 14 months |
McManus7 | 1 | 21/M | Pyloric mass | IIE | CHOP × 6 | Alive without disease after 2 years |
Colomo8 | 1 | 34/M | Generalized LA | NR | Specifics NR | Dead of disease after 8 months |
Ishii9 (abstract only) | 1 | 33/M | Right neck LA, at relapse multiple paraaortic LA, and splenomegaly | NR | CR with chemotherapy and local XRT, relapse at 1 year, CR with CHOP biweekly, relapse allo-PBSCT | Dead of disease after 31 months |
Rudzski10 | 1 | 48/M | Large upper neck mass | IIIB | CHOP × 3 | Dead of disease after 3 months |
(abstract only) | 2 | 49/M | Abdominal LA, stomach infiltrate | IVB | On chemotherapy | Currently alive |
Gesk11 | 1 | 13/M | Cervical LA | II | ALCL99 SR: multiagent CTX | Partial remission |
2 | 12/F | Mediastinal mass, cervical LA | II | Multiagent chemotherapy | Alive without disease at 4 years | |
3 | 16/M | Mediastinal mass, cervical LN, chest wall and left pleura involved | IV | Multiagent chemotherapy, BMT | Dead of disease after 1 year | |
Isimbaldi12 | 1 | 9/F | Left cervical mass | I | AIEOP LNH 97, CR, ICE at relapse followed by PVDA | Dead of disease after 9 months |
Bubala13 | 1 | 9/M | Ollier disease, generalized LA, mediastinal mass, bony lesions | III | Initial induction with lymphoblastic lymphoma protocol, then LMB 89 protocol, intensification due to disease progression | Dead of disease after 5 months |
This study | Four patients, please refer to Table 2 |