Table 2.
First-line treatment and clinical response stratified according to treatment modalities
Modality | Number of patients | CR, n (%) | PR, n (%) | SD, n (%) | PD, n (%) | Death, n (%) | Relapse, n (%) | Final outcomes |
---|---|---|---|---|---|---|---|---|
Watch and wait | 2 | 0 | 0 | 2 (100)a | 0 | 0 | 0 | CR (1)/SD (1) |
Surgery | ||||||||
VATS lobectomy | 4 | 4 (100) | 0 | 0 | 0 | 0 | 0 | CR (4) |
VATS wedge resection | 2 | 2 (100) | 0 | 0 | 0 | 0 | 0 | CR (2) |
Systemic chemotherapy | ||||||||
CHOP | 6 | 5 (83.3) | 1 (16.7)b | 0 | 0 | 1 (16.7) | 2 (33.3) | CR (5)/death (1) |
CVP | 4 | 3 (75.0) | 1 (25.0)c | 0 | 0 | 0 | 2 (50.0) | CR (4) |
R-CHOP | 1 | 1 (100) | 0 | 0 | 0 | 0 | 0 | CR (1) |
R-CVP | 22 | 15 (68.2) | 5 (22.7)d | 0 | 2 (9.1) | 1 (4.6) | 7 (31.8) | CR (19)/SD (2)/death (1) |
BR | 1 | 1 (100) | 0 | 0 | 0 | 0 | CR (1) | |
Treatment response | 42 | 31 (73.8) | 7 (16.7) | 2 (4.8) | 2 (4.8) | 2 (4.8) | 11 (28.6) | CR (37)/SD (3)/death (2) |
BR, bendamustine and rituximab; CHOP, cyclophosphamide, doxorubicin, vincristine, and prednisone; CR, complete remission; CVP, cyclophosphamide, vincristine, and prednisone; MALT, mucosa-associated lymphoid tissue, PR, partial remission; PD, progressive disease; R-CHOP, rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone; R-CVP, rituximab, cyclophosphamide, vincristine, and prednisone; SD, stable disease; VATS, video-assisted thoracic surgery.
aTwo patients were diagnosed with pulmonary MALT lymphoma via transbronchial lung biopsy and, despite having remnant lesions, opted for a watch-and-wait approach. One patient exhibited SD with a follow-up duration of 24.1 months, while the other achieved complete remission after undergoing eight cycles of R-CVP due to disease progression.
bThis patient relapsed 35.4 months after attaining CR and received supportive care due to age and low-performance status, ultimately succumbing to disease progression.
cThis patient finally achieved CR after six cycles of CVP and has maintained CR since.
dOne of the patients who achieved PR after four cycles of R-CVP died during the fifth cycle of R-CVP due to an underlying chronic hepatitis B flare-up.