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Analysis of Prognostic Factors Influencing the Survival of Patients with Relapsed Follicular Lymphoma M.V.LOMONOSOV  MOSCOW STATE UNIVERSITY FAULTY OF BASIC MEDICINE Presented by: Dr.Zaw Htet Scientific supervisors: Prof.Dr.B.I.Polikov, Dr.D.A.Bykov Moscow,2010
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object]
Purpose of Study ,[object Object]
Main Tasks of Study ,[object Object],[object Object]
Patients and Methods ,[object Object],151 69 (46%) 60 (40%) 21 (14%) 32 (47%) 37 (64%) 69 Complete Response Partial Response Undetermined Disease Progression (median follow up: 4.5 yrs) Median age: 56 yrs, 36 males, 33 females
Main Characteristics of Patients at diagnosis and at relapse (n=69)
Prognostic factors for survival from progression(SFP) in patients with follicular lymphoma at relapse : Results of univariate analysis (n=69) Variable No. of Patients Mortality (%) 5-year SFP P value Stage at diagnosis I-II III-IV Age <60 years ≥ 60 years Bulky disease No Yes ECOG 0-1 ≥ 2 Serum LDH  <450 U/L ≥ 450 U/L Bone marrow involvement No Yes 11 61 42 30 56 7 57 8 38 10 18 15 14 53 41 54 35 89 37 90 27 67 17 53 82 42 60 28 54 22 53 11 56 44 81 23 0.02 0.07 0.007 0.0002 0.015 0.002
Continued: Variable No. of patients Mortality (%) 5-year SFP P value Stage at relapse I-II III-IV IPI Low  Inter/High  Duration of response <2 years  ≥ 2 years Transformation No  Yes Initial Response CR PR Response to salavage therapy CR PR NR 22 44 38 28 41 31 28 7 31 38 26 22 15 26 51 25 66 55 36 33 33 44 49 26 48 90 68 34 72 13 33 63 63 62 44 48 57 59 0 0.003 <0.0001 0.012 NS NS <0.0001
Multivariate analysis ,[object Object],[object Object],[object Object]
[object Object]
5-years SFP according to response duration(RD) to first line therapy
5-years SFP according to performance status (ECOG) and response duration(RD)
5-years SFP according to performance status(ECOG) and response duration (RD)
Cause-specific SFP ,[object Object],[object Object]
Cause-specific survival from progression
Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object]
 

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Zaw htet

  • 1. Analysis of Prognostic Factors Influencing the Survival of Patients with Relapsed Follicular Lymphoma M.V.LOMONOSOV MOSCOW STATE UNIVERSITY FAULTY OF BASIC MEDICINE Presented by: Dr.Zaw Htet Scientific supervisors: Prof.Dr.B.I.Polikov, Dr.D.A.Bykov Moscow,2010
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. Main Characteristics of Patients at diagnosis and at relapse (n=69)
  • 8. Prognostic factors for survival from progression(SFP) in patients with follicular lymphoma at relapse : Results of univariate analysis (n=69) Variable No. of Patients Mortality (%) 5-year SFP P value Stage at diagnosis I-II III-IV Age <60 years ≥ 60 years Bulky disease No Yes ECOG 0-1 ≥ 2 Serum LDH <450 U/L ≥ 450 U/L Bone marrow involvement No Yes 11 61 42 30 56 7 57 8 38 10 18 15 14 53 41 54 35 89 37 90 27 67 17 53 82 42 60 28 54 22 53 11 56 44 81 23 0.02 0.07 0.007 0.0002 0.015 0.002
  • 9. Continued: Variable No. of patients Mortality (%) 5-year SFP P value Stage at relapse I-II III-IV IPI Low Inter/High Duration of response <2 years ≥ 2 years Transformation No Yes Initial Response CR PR Response to salavage therapy CR PR NR 22 44 38 28 41 31 28 7 31 38 26 22 15 26 51 25 66 55 36 33 33 44 49 26 48 90 68 34 72 13 33 63 63 62 44 48 57 59 0 0.003 <0.0001 0.012 NS NS <0.0001
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  • 11.
  • 12. 5-years SFP according to response duration(RD) to first line therapy
  • 13. 5-years SFP according to performance status (ECOG) and response duration(RD)
  • 14. 5-years SFP according to performance status(ECOG) and response duration (RD)
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  • 19.