MASSIVE TUMOR BURDEN IN HODGKIN’S LYMPHOMA AS A PROGNOSTIC FACTOR IN YOUNG ADULTS

The aim of the study was the assessment of tumor burden’s components (a mediastinum/thoracic ratio – MTR, peripheral bulky disease, and number of involved lymph nodes) in young adults with Hodgkin’s lymphoma and the analysis of their predictive value. Data on 87 patients aged from 19 till 29 years (...

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Main Author: A. P. Karitsky
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Tomsk National Research Medical Center 2016-02-01
Series:Сибирский онкологический журнал
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Online Access:https://www.siboncoj.ru/jour/article/view/61
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author A. P. Karitsky
author_facet A. P. Karitsky
author_sort A. P. Karitsky
collection DOAJ
description The aim of the study was the assessment of tumor burden’s components (a mediastinum/thoracic ratio – MTR, peripheral bulky disease, and number of involved lymph nodes) in young adults with Hodgkin’s lymphoma and the analysis of their predictive value. Data on 87 patients aged from 19 till 29 years (median 24 ± 4 years) are submitted. The optimum cut-off level according ROC method for MTR has been established at 0.33, for peripheral bulky disease has been established at 46 mm, and for number of involved lymph nodes has been established at 5. Use of the correlation and regression analysis allocated the best linear regression model for MTR with the maximum determination coefficient and the minimum residual dispersion. There were statistically significant the equation by Fischer's criterion and determination coefficient (Ffact(46.74)>Ftheor(4.17)). Linear and nonlinear regression models for «a peripheral lymphadenopathy» and «number of involved zones» didn't show significant influence on the outcome (p=0.9237 and p=0.3385, respectively). MTR significant influenced the late results. The disease-free survival in patient’s group with MTR less than 0.33 was 100 %, in group with MTR more than 0.34 was 41 % (log-rank test 0.04649).
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spelling doaj-art-c565c72ed73f42dbab140ddf22e0a9052025-08-20T03:35:50ZrusRussian Academy of Sciences, Tomsk National Research Medical CenterСибирский онкологический журнал1814-48612312-31682016-02-0104162461MASSIVE TUMOR BURDEN IN HODGKIN’S LYMPHOMA AS A PROGNOSTIC FACTOR IN YOUNG ADULTSA. P. Karitsky0N.N. Petrov Research Institute of Oncology, St. PetersburgThe aim of the study was the assessment of tumor burden’s components (a mediastinum/thoracic ratio – MTR, peripheral bulky disease, and number of involved lymph nodes) in young adults with Hodgkin’s lymphoma and the analysis of their predictive value. Data on 87 patients aged from 19 till 29 years (median 24 ± 4 years) are submitted. The optimum cut-off level according ROC method for MTR has been established at 0.33, for peripheral bulky disease has been established at 46 mm, and for number of involved lymph nodes has been established at 5. Use of the correlation and regression analysis allocated the best linear regression model for MTR with the maximum determination coefficient and the minimum residual dispersion. There were statistically significant the equation by Fischer's criterion and determination coefficient (Ffact(46.74)>Ftheor(4.17)). Linear and nonlinear regression models for «a peripheral lymphadenopathy» and «number of involved zones» didn't show significant influence on the outcome (p=0.9237 and p=0.3385, respectively). MTR significant influenced the late results. The disease-free survival in patient’s group with MTR less than 0.33 was 100 %, in group with MTR more than 0.34 was 41 % (log-rank test 0.04649).https://www.siboncoj.ru/jour/article/view/61hodgkin’s lymphomayoung adultstumor burden
spellingShingle A. P. Karitsky
MASSIVE TUMOR BURDEN IN HODGKIN’S LYMPHOMA AS A PROGNOSTIC FACTOR IN YOUNG ADULTS
Сибирский онкологический журнал
hodgkin’s lymphoma
young adults
tumor burden
title MASSIVE TUMOR BURDEN IN HODGKIN’S LYMPHOMA AS A PROGNOSTIC FACTOR IN YOUNG ADULTS
title_full MASSIVE TUMOR BURDEN IN HODGKIN’S LYMPHOMA AS A PROGNOSTIC FACTOR IN YOUNG ADULTS
title_fullStr MASSIVE TUMOR BURDEN IN HODGKIN’S LYMPHOMA AS A PROGNOSTIC FACTOR IN YOUNG ADULTS
title_full_unstemmed MASSIVE TUMOR BURDEN IN HODGKIN’S LYMPHOMA AS A PROGNOSTIC FACTOR IN YOUNG ADULTS
title_short MASSIVE TUMOR BURDEN IN HODGKIN’S LYMPHOMA AS A PROGNOSTIC FACTOR IN YOUNG ADULTS
title_sort massive tumor burden in hodgkin s lymphoma as a prognostic factor in young adults
topic hodgkin’s lymphoma
young adults
tumor burden
url https://www.siboncoj.ru/jour/article/view/61
work_keys_str_mv AT apkaritsky massivetumorburdeninhodgkinslymphomaasaprognosticfactorinyoungadults