Table 2 Clinical findings in patients with or without therapy-related myeloid neoplasms

From: Clinical significance of newly emerged isolated del(20q) in patients following cytotoxic therapies

 

Without therapy-related myeloid neoplasm

With therapy-related myeloid neoplasm

P

Total number

71 (77%)

21 (23%)

 

Agea (years)

64 (42–89)

63 (50–81)

0.6940

Gender (Male/Female)

61/10

17/4

0.1668

Bone marrow involvementb

Yes (29)

Yes (5)

0.2017

 

No (42)

No (16)

 

Cytotoxic therapy

 Chemotherapy

70

20

 

FCR

26

4

 

CHOP+/-R

17

8

 

Hyper-CVAD

6

1

 

Common therapy for myelomac

14

1

 

Others

7

6

 

 Plus radiation

10

6

 

 Plus stem cell transplant

31

7

 

 Plus radiation, stem cell transplant

10

0

 

 Radiation only

1

1

 

White blood cell count (x109 /l)

5.2 (1.8–39.2)

4.2 (1.3–26.4)

0.5432

Hemoglobin (g/dl)

13.2 (9.2–17.4)

11.2 (8.7–15.1)

0.0135

Platelet count ( × 109 /l)

137 (52–480)

105 (24–765)

0.7958

Total follow-upd (months)

100 (8–307)

120 (19–255)

0.2742

Follow-up after del(20q) detection

22 (1–118)

24 (2–183)

0.8514

Overall survivale (median, months)

86

24

0.0036

Outcomes

 Died

25 (35%)

18 (86%)

<0.0001

 Alive with disease

18 (25%)

3 (14%)

 

 Alive with remission

28 (40%)

0 (0%)

 
  1. Abbreviations: CHOP+/−R: Cytoxan, Adriamycin, vincristine, and prednisone with or without rituximab; FCR: fludarabine, cytoxan and rituximab; hyper-CVAD: hyperfractionated cyclophosphamide, vincristine, doxorubicin, dexamethasone alternating with high-dose methotrexate and cytarabine.
  2. Data presented as median (range) or number (percent).
  3. aAge: at the time of del(20q) detection.
  4. bBone marrow involvement: involvement with primary cancer at the time of del(20q) detection.
  5. cCommon therapeutic regimens for plasma cell myeloma include bortezomib, revlimid, desamethasone, and thalidomide.
  6. dTotal follow-up: time from initial diagnosis of primary cancer to last follow-up or death.
  7. eOverall survival: after del(20q) detection.