Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
2010-7-20
pubmed:abstractText
The utility of ([18F])fluoro-2-deoxy- d-glucose positron-emission tomography (FDG-PET) for predicting outcome after autologous stem cell transplantation (ASCT) for diffuse large B cell lymphoma (DLBCL) is uncertain - existing studies include a range of histological subtypes or have a limited duration of follow-up. Thirty-nine patients with primary-refractory or relapsed DLBCL with pre-ASCT PET scans were analysed. The median follow-up was 3 years. The 3-year progression-free survival (PFS) for patients with positive PET scans pre-ASCT was 35% vs. 81% for those who had negative PET scans (P = 0.003). The overall survival (OS) in these groups was 39% and 81% (P = 0.01), respectively. In a multivariate analysis, PET result, number of salvage cycles and the presence of relapsed or refractory disease were shown to predict a longer PFS; PET negativity (P = 0.04) was predictive of a longer OS. PET is useful for defining those with an excellent prognosis post-ASCT. Although those with positive scans can still be salvaged with current treatments, PET may useful for selecting patients eligible for novel consolidation strategies after salvage therapies.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
1365-2141
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
150
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
39-45
pubmed:meshHeading
pubmed-meshheading:20507301-Adolescent, pubmed-meshheading:20507301-Adult, pubmed-meshheading:20507301-Aged, pubmed-meshheading:20507301-Antineoplastic Combined Chemotherapy Protocols, pubmed-meshheading:20507301-Epidemiologic Methods, pubmed-meshheading:20507301-Female, pubmed-meshheading:20507301-Fluorodeoxyglucose F18, pubmed-meshheading:20507301-Humans, pubmed-meshheading:20507301-Lymphoma, Large B-Cell, Diffuse, pubmed-meshheading:20507301-Male, pubmed-meshheading:20507301-Middle Aged, pubmed-meshheading:20507301-Patient Selection, pubmed-meshheading:20507301-Peripheral Blood Stem Cell Transplantation, pubmed-meshheading:20507301-Positron-Emission Tomography, pubmed-meshheading:20507301-Prognosis, pubmed-meshheading:20507301-Radiopharmaceuticals, pubmed-meshheading:20507301-Recurrence, pubmed-meshheading:20507301-Salvage Therapy, pubmed-meshheading:20507301-Treatment Outcome, pubmed-meshheading:20507301-Young Adult
pubmed:year
2010
pubmed:articleTitle
Improved survival for relapsed diffuse large B cell lymphoma is predicted by a negative pre-transplant FDG-PET scan following salvage chemotherapy.
pubmed:affiliation
Division of Haematology and Medical Oncology, Peter MacCallum Cancer Centre, East Melbourne, VIC, Australia.
pubmed:publicationType
Journal Article, Review, Multicenter Study