Table 1. Clinical features of DLBCL-IV patients.
Patient No. | Age | Sex | Disturbance of consciousness | Hepato-megaly | Spleno-megaly | Hemopha-gocytosis | Peripheral blood involvement | WBC (×102/μl) |
Hb (g/dl) |
PLT (×104/μl) |
LD (U/l) |
Ferritin (ng/ml) |
sIL-2R (U/ml) |
Treatment | Outcome from onset (months) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 62 | M | + | - | - | - | - | 29 | 11.2 | 3.7 | 261 | 815 | 1,420 | R+CVP | Dead, 2 |
2 | 76 | F | + | - | - | NE | - | 61 | 11.2 | 27.1 | 590 | NE | 469 | R | Dead, 6 |
3 | 81 | F | - | - | - | + | - | 44 | 7.9 | 18.4 | 284 | 854 | 1,830 | R+CVP | Relapse in nasal cavity as DLBCL, 24 Alive, 52 |
4 | 78 | F | - | - | + | + | + | 37 | 7.0 | 7.3 | 994 | 830 | 1,540 | R-THP-COP | Relapse, 12 and 24 Dead, 25 |
5 | 77 | M | - | - | + | - | - | 128 | 6.3 | 4.2 | 1,385 | 1,360 | 37,583 | R-THP-COP | Alive, 20 |
6 | 75 | F | - | + | + | + | - | 83 | 8.4 | 1.8 | 860 | 699 | 3,870 | VP-16 | Dead, 2.5 |
7 | 72 | M | - | - | + | + | - | 83 | 10.1 | 5.8 | 496 | 361 | 2,160 | None | Dead, 1.5* |
8 | 68 | M | - | - | + | + | - | 56 | 11.0 | 4.6 | 763 | 29,070 | 11,600 | None | Dead, 1.5 |
9 | 69 | F | + | + | + | + | - | 49 | 10.1 | 2.0 | 496 | 1,637 | 22,250 | None | Dead, 6 |
10 | 77 | F | + | + | + | + | - | 39 | 11.0 | 2.8 | 2,018 | 22,932 | 13,003 | None | Dead, 0.4 |
11 | 83 | M | + | - | - | + | - | 45 | 12.9 | 12.4 | 440 | NE | 722 | None | Dead, 1.3 |
Abbreviations: COP, cyclophosphamide, vincristine, prednisolone; CVP, cyclophosphamide, vincristine, prednisone; DLBCL-IV, diffuse large B-cell lymphoma with significant intravascular invasion; Hb, hemoglobin; LD, lactate dehydrogenase; NE, not examined; PLT, platelet; R, rituximab; sIL-2R, soluble interleukin-2 receptor; THP, tetrahydropyranyl adriamycin; VP-16, etoposide; WBC, white blood cell.
Normal range. WBC 33-86×102/μl, Hb 13.7-16.8 g/dl (male) and 11.6-14.8 g/dl (female), PLT 15.8-34.8×104/μl, LD 124-222 U/l, Ferritin (male) 39-265 ng/ml (male) and ≤ 55 ng/ml (female), sIL-2R 145-519 U/ml.
*Patient 7 underwent breast tumor resection 17 months before his death, and a diagnosis of DLBCL with no intravascular invasion was made.