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.
Original language | English |
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Pages (from-to) | 686-691 |
Number of pages | 6 |
Journal | British Journal of Haematology |
Volume | 174 |
Issue number | 5 |
DOIs | |
Publication status | Published - Sept 1 2016 |
Externally published | Yes |
Bibliographical note
Publisher Copyright:© 2016 John Wiley & Sons Ltd
ASJC Scopus Subject Areas
- Hematology