Mantle cell lymphoma may have a different clinical course in Mexican Mestizos: Real-world data from a single center



Título del documento: Mantle cell lymphoma may have a different clinical course in Mexican Mestizos: Real-world data from a single center
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000453170
ISSN: 0034-8376
Autores: 1
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Instituciones: 1Centro de Hematología y Medicina Interna de Puebla, Puebla. México
2Mayo Clinic, Jacksonville, Florida. Estados Unidos de América
Año:
Periodo: Mar-Abr
Volumen: 73
Número: 2
Paginación: 94-99
País: México
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Background: The biology of some hematological diseases varies among different populations. No previous studies have evaluated the clinical behavior of mantle cell lymphoma (MCL) in México. Objective and Methods: This is a retrospective review of MCL cases seen in Mexico from January 2003 to June 2020. A total of 12 cases were identified. Results: There were nine males and three females; median age was 56 years. Eight patients had a high MCL international prognostic index score, one was intermediate, and three were low. Five patients had circulating malignant monoclonal cells. Initial treatment included rituximab, cyclophosphamide, daunorubicin, vincristine, and prednisone (R-CHOP) and CHOP. Subsequent treatment included hematopoietic stem cell transplantation in five patients; two were given maintenance therapy. Splenectomy was done in four patients. Median overall survival (OS) for all the patients has not been reached and exceeds 162 mos: OS at 162 mos was 56%. Achieving a complete remission (CR) after the first treatment was a significant prognostic factor, with a median OS exceeding 141 mos in patients achieving CR, and 16 mos among those not achieving CR (p = 0.0006). Conclusion: Some of MCL patients in Mexico have an indolent clinical course, particularly patients who achieve a CR to initial treatment and who undergo splenectomy
Disciplinas: Medicina
Palabras clave: Hematología,
Oncología,
Células del manto,
Linfoma no Hodgkin,
Variabilidad racial,
Pronóstico
Keyword: Hematology,
Oncology,
Mantle cell,
Non-Hodgkin lymphoma,
Ratial variation,
Prognosis
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