Table 1. Patient characteristics.
Characteristics |
HDT/ASCT |
Chemo-sensitive |
Chemo-refractory |
||||
---|---|---|---|---|---|---|---|
No. | % | No. | % | No. | % | P-value | |
No. of patients | 44 | 100 | 30 | 68 | 14 | 32 | |
Age at relapse (years) | |||||||
Median | 26.5 | 29.5 | 26.5 | ||||
Range | 17–59 | 19–59 | 17–48 | ||||
⩾30 years | 14 | 32 | 10 | 33 | 4 | 12 | >0.99 |
Sex | |||||||
Male | 18 | 41 | 12 | 40 | 6 | 43 | 0.748 |
Female | 26 | 59 | 18 | 60 | 8 | 57 | |
Stage at relapse | |||||||
I/II | 26 | 60 | 8 | 27 | 9 | 69 | 0.016 |
Relapse at mediastinum | 34 | 79 | 23 | 77 | 11 | 85 | 0.699 |
CNS relapse | 2 | 5 | 2 | 6.6 | 0 | 0 | >0.99 |
PS at diagnosis | |||||||
⩾2 | 14 | 33 | 9 | 31 | 5 | 38 | 0.729 |
LDH at diagnosis | |||||||
Greater than ULN | 36 | 88 | 25 | 86 | 11 | 92 | |
Extranodal sites >1 | 10 | 24 | 8 | 28 | 2 | 17 | 0.694 |
IPI at diagnosis | |||||||
IPI ⩾3 | 9 | 22 | 5 | 17 | 4 | 33 | 0.408 |
Low | 17 | 41 | 12 | 43 | 5 | 38 | |
Low intermediate | 15 | 37 | 11 | 39 | 4 | 31 | |
High intermediate | 7 | 17 | 3 | 11 | 4 | 31 | |
High | 2 | 5 | 2 | 7 | 0 | 0 | |
Bulky tumor at diagnosis, cm | |||||||
⩾10 | 26 | 70 | 19 | 73 | 7 | 64 | 0.699 |
Presence of pleural or pericardial effusion at diagnosis | |||||||
Yes | 26 | 60 | 18 | 62 | 8 | 57 | >0.99 |
Rituximab-containing therapy as first-line treatment | 33 | 72 | 22 | 54 | |||
Yes | 29 | 66 | 22 | 73 | 7 | 50 | 0.177 |
Prior RT as first-line treatment | |||||||
Yes | 10 | 23 | 8 | 27 | 2 | 14 | 0.462 |
First-line treatment | |||||||
R-CHOP | 27 | 63 | 21 | 70 | 6 | 43 | 0.107 |
CHOP | 12 | 28 | 7 | 23 | 5 | 36 | 0.475 |
The second-/third-generation regimens | 4 | 9 | 2 | 7 | 2 | 14 | 0.581 |
Primary refractory disease | |||||||
Yes | 18 | 41 | 10 | 33 | 8 | 57 | 0.191 |
Relapse time | |||||||
Relapse <12 months | 29 | 66 | 19 | 63 | 10 | 71 | 0.738 |
Relapse ⩾12 months | 15 | 34 | 2 | 22 | 12 | 32 |
Abbreviations: CHOP, cyclophosphamide, doxorubicin, vincristine and prednisolone; CNS, central nervous system; HDT/ASCT, high-dose chemotherapy followed by autologous stem cell transplantation; IPI, international prognostic index; LDH, lactate dehydrogenase; PS, performance status; R, rituximab; RT, radiotherapy; ULN, upper limit of normal.