Description

Ochi et al used the platelet count and serum albumin to predict outcome for an elderly patient with diffuse large B-cell lymphoma (DLBCL). The authors are from Kobe City Medical Center General Hospital, Kyoto Univeristy and the Institute of Biomedical Research and Innovation in Japan.


 

Patient selection: DLBCL, with age > 60 years of age

 

Exclusions: primary mediastinal, primary effusion, indolent, HIV-related

 

Therapy: rituximab and chemotherapy

 

Parameters, presumably at presentation and prior to therapy:

(1) platelet count per microliter

(2) serum albumin in g/dL

 

Platelet Count

Serum Albumin

Risk Group

>= 100,000 per µL

>= 3.5 g/dL

low

< 100,000 per µL

>= 3.5 g/dL

intermediate

>= 100,000 per µL

< 3.5 g/dL

intermediate

< 100,000 per µL

< 3.5 g/dL

high

 

The P-A score is the number of abnormal findings, and ranges from 0 to 2.

 

Risk Group

5-Year Overall Survival

Low

82%

intermediate

49%

High

20%

 


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