Table 1 Patient and disease characteristics of the study population.
Phase of disease | Number (N = 36) | % | |
|---|---|---|---|
Chronic lymphocytic leukemia | Sex | ||
Male | 21 | 58.3 | |
Female | 15 | 41.7 | |
Age at diagnosis (years) | |||
Median (range) | 63 (34–78) |  | |
IGHV | |||
Mutated | 7 | 46.7 | |
Unmutated | 8 | 53.3 | |
Missing | 21 | Â | |
CLL FISH by Dohner hierarchy | |||
Del(17p) | 9 | 34.6 | |
Del(11q) | 0 | 0 | |
Trisomy 12 | 6 | 23.1 | |
Negative | 7 | 26.9 | |
Del(13q) | 4 | 15.4 | |
Missing | 10 | Â | |
TP53 somatic mutation | |||
Negative | 7 | 63.6 | |
Positive | 4 | 36.4 | |
Missing | 25 | Â | |
TP53 alteration (Del(17p) and/or TP53 somatic mutation) | |||
Negative | 13 | 52.0 | |
Positive | 12 | 48.0 | |
Missing | 11 | Â | |
CLL treatment status prior to RT | |||
Untreated | 24 | 66.7 | |
Treated | 12 | 33.3 | |
Lines of CLL treatment prior to RT | |||
Median (range) in all | 0 (0–5) |  | |
Median (range) in treated (n = 12) | 1.5 (1–5) |  | |
Richter transformation | Time to transformation (months) | ||
Median (range) | 17.3 (0–277.4) |  | |
Age at RT diagnosis (years) | |||
Median (range) | 69 (46–79) |  | |
Pathology at RT | |||
DLBCL | 33 | 91.7 | |
HGBCL | 3 | 8.3 | |
Cell of origin | |||
GCB | 13 | 61.9 | |
Non-GCB | 8 | 38.1 | |
Missing | 15 | Â | |
MYC IHC | |||
Negative | 4 | 20.0 | |
Positive (≥40%) | 16 | 80.0 | |
Missing | 16 | Â | |
BCL2 IHC | |||
Negative | 5 | 20.0 | |
Positive (≥50%) | 20 | 80.0 | |
Missing | 11 | Â | |
MYC/BCL2 double expressor | |||
Positive | 10 | 27.8 | |
MYC FISH | |||
Negative | 13 | 61.9 | |
Positive | 8 | 38.1 | |
Missing | 15 | Â | |
BCL2 FISH | |||
Negative | 13 | 81.2 | |
Positive | 3 | 18.8 | |
Missing | 20 | Â | |
BCL6 FISH | Â | Â | |
Negative | 16 | 100.0 | |
Positive | 0 | 0 | |
Missing | 20 | Â | |
Double-/triple-hit | |||
MYC/BCL2 Double-hit | 2 | 5.6 | |
PD-1 IHC | |||
Negative | 9 | 52.9 | |
Positive | 8 | 47.1 | |
Missing | 19 | Â | |
EBV IHC | |||
Negative | 15 | 93.7 | |
Positive | 1 | 6.3 | |
Missing | 20 | Â | |
MYD88 mutation | |||
Negative | 4 | 66.6 | |
Positive | 2 | 33.3 | |
Missing | 30 | Â | |
Ki-67 (n = 16) | |||
Median (range) | 90% (25–100%) |  | |
LDH | |||
Elevated | 33 | 91.7 | |
Normal | 3 | 8.3 | |
Lines of treatment for RT before CNS involvement | |||
Median (range) in all | 0 (1–5) |  | |
Median (range) in treated (n = 15) | 1 (1–5) |  | |
Clonal relatedness with CLL | |||
Related | 12 | 75.0 | |
Unrelated | 4 | 25.0 | |
Missing | 20 | Â | |
CNS involvement of Richter transformation | Time from RT diagnosis to CNS involvement of RT (months) | ||
Median (range) in all | 0 (0–41.6) |  | |
Median (range) in those with CNS involvement at RT progression (n = 14) | 11.1 (1–41.6) |  | |
Age at CNS RT diagnosis | |||
Median (range) | 69 (46–80) |  | |
CNS biopsy or imaging confirmation | |||
Tissue biopsy | 16 | 44.4 | |
CSF | 5 | 13.9 | |
Vitreous fluid | 3 | 8.3 | |
Imaging | 12 | 33.3 | |
Timing of CNS involvement | |||
At RT diagnosis | 22 | 61.1 | |
At RT progression | 14 | 38.9 | |
Extent of CNS involvement | |||
Isolated CNS involvement | 19 | 52.8 | |
CNS and systemic involvement | 17 | 47.2 | |
Site of CNS involvement | |||
Parenchymal only | 12 | 33.3 | |
Parenchymal + othersa | 11 | 30.6 | |
Othersb | 13 | 36.1 | |