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Multicenter Study
. 2023 Nov-Dec;64(11):1782-1791.
doi: 10.1080/10428194.2023.2235043. Epub 2023 Jul 21.

Clinical features and prognostic outcomes of angioimmunoblastic T cell lymphoma in an Asian multicenter study

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Free article
Multicenter Study

Clinical features and prognostic outcomes of angioimmunoblastic T cell lymphoma in an Asian multicenter study

Esther Wei Yin Chang et al. Leuk Lymphoma. 2023 Nov-Dec.
Free article

Abstract

In our Asian multicenter retrospective study, we investigated the clinical prognostic factors affecting the outcomes of AITL patients and identified a novel prognostic index relevant in the Asian context. In our 174-patient cohort, the median PFS and OS was 1.8 years and 5.6 years respectively. Age > 60, bone marrow involvement, total white cell count >12 × 109/L and raised serum lactate dehydrogenase were associated with poorer PFS and OS in multivariate analyses. This allowed for a prognostic index (AITL-PI) differentiating patients into low (0-1 factors, n = 64), moderate (2 factors, n = 59) and high-risk (3-4 factors, n = 49) subgroups with 5-year OS of 84.0%, 44.0% and 28.0% respectively (p < 0.0001). POD24 proved to be strongly prognostic (5-year OS 24% vs 89%, p < 0.0001). Exploratory gene expression studies were performed and disparate immune cell profiles and cell signaling signatures were seen in the low risk group as compared to the intermediate and high risk groups.

Keywords: Angioimmunoblastic T cell lymphoma; T follicular helper cell lymphoma; gene expression analysis; molecular genetics; prognostication.

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