Orbital and Eyelid B-Cell Lymphoma: A Multicenter Retrospective Study.

eyelid lymphoma ocular adnexal lymphoma ocular lymphoma prognosis ocular lymphoma treatment orbital lymphoma orbital neoplasms precision medicine

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
07 Sep 2020
Historique:
received: 06 08 2020
revised: 30 08 2020
accepted: 03 09 2020
entrez: 10 9 2020
pubmed: 11 9 2020
medline: 11 9 2020
Statut: epublish

Résumé

The aim of this study was to analyze patients diagnosed, staged and treated for orbital and eyelid B-cell lymphoma (OEL). One hundred and forty-one cases of OEL were included in this study. Primary endpoints were to analyze the histopathologic findings, the main risk factors and the type of treatment and to correlate them with recurrence of OEL. The secondary endpoint was to determine the progression-free survival (PFS) time. Extranodal marginal zone B-cell lymphoma was the most frequent subtype (66%), followed by small lymphocytic lymphoma (12.7%), diffuse large B-cell lymphoma (DLBCL) (9.2%), follicular lymphoma (6.6%), mantle cell lymphoma (4.3%) and Burkitt lymphoma (1.2%). The probability of relapse was influenced by the histopathologic subtype DLBCL (OR = 7.7, 95% CI 1.8-32.3) and treatment with chemotherapy (OR = 14.9, 95% CI 2.6-83.7). Multivariate analysis showed that the histopathologic subtype DLBCL and chemotherapy treatment retained statistical significance for a poorer PFS, with hazard ratios of 8.581 ( Five lymphoma subtypes were found in patients with OEL. The histopathologic subtype and the type of treatment were found to be the main factors influencing treatment outcome.

Sections du résumé

BACKGROUND BACKGROUND
The aim of this study was to analyze patients diagnosed, staged and treated for orbital and eyelid B-cell lymphoma (OEL).
METHODS METHODS
One hundred and forty-one cases of OEL were included in this study. Primary endpoints were to analyze the histopathologic findings, the main risk factors and the type of treatment and to correlate them with recurrence of OEL. The secondary endpoint was to determine the progression-free survival (PFS) time.
RESULTS RESULTS
Extranodal marginal zone B-cell lymphoma was the most frequent subtype (66%), followed by small lymphocytic lymphoma (12.7%), diffuse large B-cell lymphoma (DLBCL) (9.2%), follicular lymphoma (6.6%), mantle cell lymphoma (4.3%) and Burkitt lymphoma (1.2%). The probability of relapse was influenced by the histopathologic subtype DLBCL (OR = 7.7, 95% CI 1.8-32.3) and treatment with chemotherapy (OR = 14.9, 95% CI 2.6-83.7). Multivariate analysis showed that the histopathologic subtype DLBCL and chemotherapy treatment retained statistical significance for a poorer PFS, with hazard ratios of 8.581 (
CONCLUSIONS CONCLUSIONS
Five lymphoma subtypes were found in patients with OEL. The histopathologic subtype and the type of treatment were found to be the main factors influencing treatment outcome.

Identifiants

pubmed: 32906630
pii: cancers12092538
doi: 10.3390/cancers12092538
pmc: PMC7563111
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Gustavo Savino (G)

UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy.
Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Giulia Midena (G)

UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy.
Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Maria Antonietta Blasi (MA)

UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy.
Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Remo Battendieri (R)

UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy.

Gabriela Grimaldi (G)

Moorfields Eye Hospital NHS Foundation Trust, London EC1V 2PD, UK.

Martina Maceroni (M)

UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Roma, Italy.
Università Cattolica del Sacro Cuore, 00168 Roma, Italy.

Fausto Tranfa (F)

Dipartimento di Neuroscienza, della Riproduzione e di Odontostomatologia, Centro di Patologia Orbitaria. Università "Federico II" di Napoli, 80138 Napoli, Italy.

Pasquale Napolitano (P)

Dipartimento di Neuroscienza, della Riproduzione e di Odontostomatologia, Centro di Patologia Orbitaria. Università "Federico II" di Napoli, 80138 Napoli, Italy.

Vittoria Lanni (V)

Dipartimento di Neuroscienza, della Riproduzione e di Odontostomatologia, Centro di Patologia Orbitaria. Università "Federico II" di Napoli, 80138 Napoli, Italy.

Adriana Iuliano (A)

Dipartimento di Neuroscienza, della Riproduzione e di Odontostomatologia, Centro di Patologia Orbitaria. Università "Federico II" di Napoli, 80138 Napoli, Italy.

Classifications MeSH