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