Non-Hodgkin's lymphomas: characteristics of long-term survivors following conservative treatment

Am J Med. 1987 Feb;82(2):247-56. doi: 10.1016/0002-9343(87)90064-7.

Abstract

A most important set of prognostic factors for survival among 467 patients with non-Hodgkin's lymphoma receiving conservative treatment was determined statistically by the Cox proportional hazards model. Non-Hodgkin's lymphoma was diagnosed in these patients between 1958 and 1969. Initial biopsy material was classified according to the Working Formulation, and the Rappaport, Kiel, and Lukes-Collins systems. The Cox analysis identified a group of 37 patients with a median survival of 150 months. These patients had the following characteristics: small lymphocyte, plasmacytoid lymphocyte, small cleaved, large cleaved or non-cleaved follicular center cell histologic subtype (Lukes-Collins); no bulky involvement of mesenteric nodes or critical organs--kidney, urinary tract, or pleura; stages I to III disease (78 percent stage I or IE); no B symptoms; age below 60 years; initial resection as a reflection of localized disease. Patients with advanced-stage non-Hodgkin's lymphoma receiving conservative treatment have a relatively short survival (median, less than five years) regardless of histologic subtype.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Combined Modality Therapy
  • Follow-Up Studies
  • Humans
  • Lymph Nodes / pathology
  • Lymphoma, Non-Hodgkin / mortality*
  • Lymphoma, Non-Hodgkin / pathology
  • Lymphoma, Non-Hodgkin / therapy
  • Middle Aged
  • Neoplasm Staging
  • Prognosis
  • Regression Analysis
  • Retrospective Studies