Thieblemont et al reported the MALT lymphoma International Prognostic Index (MALT-IPI) for evaluating a patient with MALT lymphoma. This can help to identify a patient who may benefit from more aggressive management. The authors are from multiple institutions in Europe.
Patient selection: MALT lymphoma
Parameters:
(1) age in years
(2) Ann Arbor stage
(3) serum LDH concentration
Parameter
Finding
Points
age
< 70 years
0
>= 70 years
1
Ann Arbor stage
I or II
0
III or IV
1
serum LDH
<= upper limit of normal
0
> ULN
1
score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 3
• The higher the score the worse the prognosis.
Score
Risk Group
5-Year Event-Free Survival
0
low
70%
1
intermediate
56%
2 or 3
high
29%
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