Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
13
pubmed:dateCreated
2006-12-6
pubmed:abstractText
Peripheral T-cell lymphomas (PTCLs) are rare and have a dismal prognosis. The most frequent subtype is PTCL, unspecified. Epstein-Barr virus (EBV) has been detected in around 40% of cases, but its prognostic significance is not fully established. Lymph node samples from 110 patients with PTCL, unspecified included in LNH87 and LNH93 trials were available. EBV status was studied by EBV-encoded small RNA in situ hybridization (EBER-ISH). EBER-ISH showed positive cells in 45 (41%) of 110 patients. Pretreatment characteristics were comparable between positive and negative cases, except for male sex (80% versus 60%, respectively, P = .02). Only 50% of patients achieved complete remission with a 5-year event-free survival (EFS) and overall survival (OS) of 21% and 30%, respectively. EBER-ISH positivity was the sole factor linked with worse EFS, with a 5-year probability of 11% for positive patients. In univariate analysis, factors affecting OS were EBER-ISH positivity, high LDH level, and age older than 60 years. In multivariate analysis, EBER-ISH was associated with a worse OS in the elderly population. Time-dependent analysis showed that the negative impact of EBV was essentially seen in the first 2 years following diagnosis. These results warrant further studies regarding pathogenesis and specific treatment approaches for EBV-associated PTCL patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0006-4971
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
108
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
4163-9
pubmed:meshHeading
pubmed-meshheading:16902151-Adult, pubmed-meshheading:16902151-Aged, pubmed-meshheading:16902151-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:16902151-Disease-Free Survival, pubmed-meshheading:16902151-Epstein-Barr Virus Infections, pubmed-meshheading:16902151-Female, pubmed-meshheading:16902151-Follow-Up Studies, pubmed-meshheading:16902151-Herpesvirus 4, Human, pubmed-meshheading:16902151-Humans, pubmed-meshheading:16902151-In Situ Hybridization, Fluorescence, pubmed-meshheading:16902151-Lymphoma, T-Cell, Peripheral, pubmed-meshheading:16902151-Male, pubmed-meshheading:16902151-Middle Aged, pubmed-meshheading:16902151-Predictive Value of Tests, pubmed-meshheading:16902151-Prognosis, pubmed-meshheading:16902151-RNA, Viral, pubmed-meshheading:16902151-Retrospective Studies, pubmed-meshheading:16902151-Survival Rate
pubmed:year
2006
pubmed:articleTitle
Prognostic significance of Epstein-Barr virus in nodal peripheral T-cell lymphoma, unspecified: A Groupe d'Etude des Lymphomes de l'Adulte (GELA) study.
pubmed:affiliation
Department of Hematology, Institut National de la Santé et de la Recherche Médicale (INSERM) U617 Hôpital Henri Mondor, Créteil, France.
pubmed:publicationType
Journal Article, Comparative Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't, Multicenter Study