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HODGKİN DIŞI LENFOMALI HASTALARIN KLİNİK ÖZELLİKLERİNİN VE TEDAVİ SONUÇLARININ DEĞERLENDİRİLMESİ
2004
Journal:  
Southern Clinics of Istanbul Eurasia
Author:  
Abstract:

Çalışmamızda hastanemizde izlenen "high grade" Hodgkin dışı lenfoma (HDL) hastalarının klinik ve patolojik özelliklerini, tedavi sonuçlarını ve sağkalım sürelerini değerlendirdik. 1997-2000 yıllan arasında onkoloji polikliniğimizde izlenen 26 (kadın/erkek: 16/10) HDL hastasını retrospektif olarak değerlendirdik. Median izlem süresi 22 ay idi. Median yaş, 60.5 (15-79) yıldı. Hastalarımızın 10'u (%38.5) evre I, 10'u (%38.5) evre II, 3'ü (%11.5) evre III, 3'ü (%11.5) ise evre IV idi. Hastalara 6 kür CHOP (siklofosfamid, adriyamisin, vinkristin, prednizolon) kemoterapisi uygulandı. 14 (%53.8) hastaya ek olarak radyoterapi (RT) verildi. Tedavi sonrası objektif yanıt oranı 73.1 (19 olgu) idi. Yanıtsız veya daha sonrasında progresyon gösteren 7 hastaya 2. seri kemoterapi (KT) uygulandı. İzlem süresince 8 (%38.8) hasta öldü. 18 (%69.2) hasta izlenmeye devam edilmektedir. Survi analizinde median hastalıksız yaşam süresi 43 ay, 3 yıllık hastalıksız yaşam % 60.1, median genel sağ kalım süresi 52 ay, 3 yıllık genel sağkalım ise %66.4 olarak bulundu. Hastalar "International Prognostic Index" (IPI)'e göre sınıflandırıldığında, IPI ile hastalıksız sağkalım ve genel sağkalım arasında istatistiksel olarak anlamlı ilişki saptandı (p=0.002, p=0.003, log-rank test). HDL tanısıyla takip edilen hastaların 3 yıllık verileri değerlendirildiğinde literatürle uyumlu bulundu.

Keywords:

The evaluation of the clinical characteristics and therapeutic results of HODGKIN dental lymphoma patients
2004
Author:  
Abstract:

In our study, we evaluated the clinical and pathological characteristics of "high grade" non-Hodgkin lymphoma (HDL) patients monitored in our hospital, treatment results and survival periods. We evaluated 26 (women/man: 16/10) HDL patients monitored in our oncology clinic between 1997-2000 as retrospective. The median monitoring period was 22 months. The average age was 60.5 (15-79) years. Our patients were 10 (38.5 percent) stage I, 10 (38.5 percent) stage II, 3 (11.5 percent) stage III, and 3 (11.5 percent) stage IV. Patients received 6 CHOP (cyclophosphamide, adriamisine, vinkristin, prednisolone) chemotherapy. 14 (53.8) patients were given radiotherapy (RT) in addition. The post-treatment objective response rate was 73.1 (19 facts). 2 series chemotherapy (KT) was administered to 7 patients who showed no response or subsequent progress. During the observation period, 8 (38.8%) patients died. 18 (69.2% of patients are continued to be monitored. In Survi analysis, the median life without illness was 43 months, the 3 year life without illness was 60.1 percent, the median overall survival was 52 months, and the 3 year overall survival was 66.4 percent. When patients were classified according to the "International Prognostic Index" (IPI), a statistically meaningful relationship between IPI and non-sick survival and general survival was found (p=0.002, p=0.003, log-rank test). The three-year data of the patients followed by the HDL diagnosis was assessed in accordance with the literature.

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Southern Clinics of Istanbul Eurasia

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Southern Clinics of Istanbul Eurasia