Clinical Focus ›› 2016, Vol. 31 ›› Issue (1): 59-62.doi: 10.3969/j.issn.1004-583X.2016.01.015

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Clinical prognostic analysis on 69 cases of adult Hodgkin lymphoma

Zhao Weihua1, Xu Haiping2, Peng Zhigang1, Yao Yibing1, Jiang Yanfeng1, Ma Jie1   

  1. 1. Department of Hematology, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021,China;
    2.Department of Hematology, the People’s Hospital of Beihai, Beihai 536000,China
  • Received:2015-09-15 Online:2016-01-05 Published:2016-04-19
  • Contact: Ma Jie,Email:majie086@163.com

Abstract: Objective To explore the clinical characteristics and prognosis of Hodgkin lymphoma(HL).Methods The clinical data of 69 adult patients with HL treated at our hospital from Jan. 2004 to Dec. 2014 were analyzed retrospectively,analyzing the clinical characteristics with prognosis.Results ①50 patients (72.5%) had cervical lymph nodes involvement in the pre-treatment evaluation.Pathological study revealed that mixed cellularity was most common.②The response rate was 76.8%(53/69). The rates of 5-years overall survival rate and failure free survival were 80.0% and 72.0%.③Kaplan-Meier single-factor analysis showed that age,clinical staging,extra nodal tissues involvement, splenomegaly,International Prognostic Index(IPI) grouping, hemoglobin, first-line chemotherapy regimens,chemotherapy course, remission were the main factors influencing the survival (P<0.05).④Cox model multivariate analysis indicated that remission was the main factor affecting the survival (P<0.05).Conclusion Cervical lymph node was the most common involvement site with HL. Remission was the independent prognosis risk factor for HL.

Key words: lymphoma,hodgkin, prognosis, signs and symptoms

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