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Cytogenetic analysis of 434 consecutively ascertained specimens of non-
Hodgkin's lymphoma: clinical correlations
K Offit, G Wong, DA Filippa, Y Tao and RS Chaganti
Laboratory of Cancer Genetics, Sloan-Kettering Institute, New York, NY.
Cytogenetic and histopathologic data were correlated with clinical
parameters from 423 patients with non-Hodgkin's lymphoma (NHL). Clinical
correlations were performed on subgroups of 149 patients with low-grade
lymphoma (LG) and 205 patients with diffuse lymphoma with a large cell
component (DLLC). Correlations were made between clinical outcome and
individual recurring cytogenetic aberrations, each of which was noted in
greater than 5% of cases belonging to LG NHL and DLLC, and derived measures
of karyotypic complexity, comprising modal chromosome number, number of
marker chromosomes, and number of translocation breakpoints. No
correlations with survival were noted in LG NHL, although median follow-up
was only 2 years. Seven patients with t(8;14) LG NHL had an indolent
course. Among 104 patients with DLLC and abnormal karyotypes at diagnosis,
breaks at 1q21-23 or more than 4 marker chromosomes was associated with a
shortened median survival. Using these variables we constructed a
proportional hazards model with a good fit to observed data. Breaks at
6q21-25 predicted a decreased probability of achieving remission. Patients
with DLLC and breaks at 1q21-23 or 1p32-36 had a shorter duration of
complete remission. Of 41 DLLC studied at relapse, the only long-term
survivors had t(14;18).
Volume 77,
Issue 7,
pp. 1508-1515,
04/01/1991
Copyright © 1991 by The American Society of Hematology

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