Description

Montalban et al reported a prognostic index for patients with splenic marginal zone lymphoma. The acronym is HPLL for its parameters. The authors are from multiple institutions in Spain and Italy.


Patient selection: splenic marginal zone lymphoma

 

NOTE: The author subsequently reported a prognostic score using the same parameters.

 

Parameters:

(1) hemoglobin in g/L (H)

(2) platelet count in 10^9/L (P)

(3) serum LDH in U/L relative to upper limit of normal (L)

(4) extrahilar lymphadenopathy (L)

 

Parameter

Finding

Points

hemoglobin

 

0.02 * (hemoglobin)

platelet count

 

0.006 * (count)

serum LDH

<= ULN

0

 

> ULN

-1

extrahilar lymphadenopathy

absent

0

 

present

-1

 

HPLL prognostic index =

= SUM(points for all 4 parameters)

 

HPLL PI

Risk Group

5-Year Lymphoma Specific Survival (Derivation Cohort)

>= 2.6

low risk

94%

0.9 to 2.59

intermediate risk

78%

< 0.9

high risk

69%

 


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