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Pre-transplant positron emission tomography in patients with relapsed Hodgkin lymphoma

Publication at Central Library of Charles University, First Faculty of Medicine, Third Faculty of Medicine, Faculty of Medicine in Hradec Králové |
2011

Abstract

The retrospective study evaluated the secondary clinical risk score at relapse, the prognostic significance of pre-transplant positron emission tomography (PET), and complete remission (CR) assessed by computed tomography (CT) after salvage chemotherapy before autologous stem cell transplant (ASCT) in 76 patients with relapsed/refractory Hodgkin lymphoma (HL). Median follow-up after ASCT was 23 months.

Overall 11/20 PET-positive and 14/56 PET-negative patients relapsed after ASCT. In univariate analysis, only PET negativity before ASCT was significantly associated with better 2-year progression-free survival (PFS) and 2-year overall survival (OS).

Other factors were not significant. In multivariate analysis, none of the evaluated factors were significant for PFS and OS.

However, positive pre-transplant PET identified a population with worse PFS and OS at least in univariate analysis.