首页|CD30检测对淋巴瘤诊疗价值的多中心回顾性研究

CD30检测对淋巴瘤诊疗价值的多中心回顾性研究

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目的 分析5所医院CD30病理检测和淋巴瘤临床诊疗情况,以期提高淋巴瘤临床诊断的准确性并有效指导CD30靶向药物在临床中的应用.方法 采用回顾性研究,以调查问卷的形式收集2012-04-07-2022-05-27在5所医院(郑州大学第一附属医院、包头市肿瘤医院、山西省肿瘤医院、河南省肿瘤医院和河南省人民医院)诊断为淋巴瘤的142例患者的临床资料.结果 对于CD30的表达情况,67例经典霍奇金淋巴瘤和20例间变大细胞淋巴瘤为定性描述;55例其他类型的淋巴瘤病例,5例为定量描述,50例为定性描述.142例患者中,使用维布妥昔单抗23例(16.20%),其中19例为一线治疗,1例为二线治疗,1例为三线治疗,2例为四线治疗;中位用药周期为4个周期(2~6个周期),中位用药时间为3.3个月(0.5~12.0个月).1年无进展生存率和总生存率分别为86.96%和95.65%;应用含维布妥昔单抗一线治疗方案的19例患者中有18例进行了疗效评价,完全缓解8例,部分缓解7例,客观缓解率为83.33%.结论 5所医院对CD30免疫组织化学检测的方法及染色结果的判读存在较明显差异,维布妥昔单抗治疗CD30阳性淋巴瘤的疗效较确切,但需要更多真实世界研究数据.
Value of CD30 detection in the diagnosis and treatment of lymphoma:a multi-center retrospective study
Objective To analyze the current situation of CD30 pathological detection and clinical diagnosis and treatment a-mong 5 hospitals,and to improve the accuracy of clinical diagnosis of lymphoma and effectively guide the application of CD30-directed drugs in clinical practice.Methods This was a multi-center and retrospective study.We collected the clin-ical data of patients diagnosed with lymphoma from 5 real-world Chinese centers from April 7,2012 to May 27,2022 in the form of a survey.Results Among a total of 142 cases,the expression of CD30 of 67 cases of classical Hodgkin lymphoma and 20 cases of anaplastic large-cell lymphoma was qualitatively analyzed,respectively.Additionally,among the remaining 55 cases diagnosed with other types of lymphoma,5 cases were quantitatively and 50 were qualitatively de-scribed.The total number of brentuximab vedotin(BV)users among 142 patients was 23,and the application rate was 16.20%approximately.Nineteen cases out of 23 received BV as the first-line therapy,1 as second-line therapy,1 as third-line and 2 as fourth-line.Patients received a median of 4 cycles(range:2-6)of BV treatment,the median medica-tion duration was 3.3 months(range:0.5-12.0),and the 1-year PFS and OS rates were 86.96%and 95.65%,respec-tively.Eighteen out of 19 patients underwent effectiveness evaluation,including 8 cases of complete response,7 cases of partial response,and the objective response rate was 83.33%.Conclusions There are obvious differences in the detection methods and the interpretation results of CD30 immunohistochemistry among various centers.Additionally,BV is quite effective in treating CD30-positive lymphoma,but more real-word data is still needed.

CD30lymphomaimmunohistochemistrybrentuximab vedotinreal-world study

乔泓涵、王亚兰、苏丽萍、白敏、高雪、马荣军、张丹丹、张明智、朱利楠、张旭东

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郑州大学第一附属医院肿瘤科,河南省淋巴瘤诊疗中心,河南 郑州 450052

包头市肿瘤医院血液科,内蒙古 包头 014010

山西省肿瘤医院血液科,山西 太原 030013

河南省肿瘤医院血液科,河南 郑州 450008

河南省人民医院血液科,河南 郑州 450003

郑州大学第一附属医院病理科,河南省淋巴瘤诊疗中心,河南 郑州 450052

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CD30 淋巴瘤 免疫组织化学 维布妥昔单抗 真实世界研究

国家自然科学基金河南省医学科技攻关重大项目

82070210SBGJ20201008

2024

中华肿瘤防治杂志
中华预防医学会 山东省肿瘤防治研究院

中华肿瘤防治杂志

CSTPCD北大核心
影响因子:1.292
ISSN:1673-5269
年,卷(期):2024.31(9)
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