| Literature DB >> 27072903 |
Soham D Puvvada1, Patrick J Stiff2, Michael Leblanc3, James R Cook4, Stephen Couban5, John P Leonard6, Brad Kahl7, Deborah Marcellus8, Thomas C Shea9, Jane N Winter10, Hongli Li3, Lisa M Rimsza1, Jonathan W Friedberg11, Sonali M Smith12.
Abstract
Double hit lymphoma (DHL) and double protein-expressing (MYC, BCL2) lymphomas (DPL) fare poorly with R-CHOP (rituximab + cyclophosphamide, doxorubicin, vincristine, prednisolone); consolidative autologous stem cell transplant (ASCT) may improve outcomes. S9704, a phase III randomized study of CHOP +/-R with or without ASCT enabled evaluation of intensive consolidation. Immunohistochemistry (IHC) identified 27 of 198 patients (13·6%) with MYC overexpression; 20 (74%) harboured concurrent BCL2 overexpression. Four had DHL and 16 had DPL only. With median 127 months follow-up, there is a trend favouring outcomes after ASCT in DPL and MYC protein overexpressing patients, whereas all DHL patients have died irrespective of ASCT.Entities:
Keywords: BCL2; MYC; autologous stem cell transplant; double hit lymphoma; double protein lymphoma
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Year: 2016 PMID: 27072903 PMCID: PMC5125530 DOI: 10.1111/bjh.14100
Source DB: PubMed Journal: Br J Haematol ISSN: 0007-1048 Impact factor: 6.998