Evidence map›Paper›PMID 35538643›Full record

ArticleCancer medicine2022

Clinical presentation, outcome, and prognostic markers in patients with intravascular large B-cell lymphoma, a lymphoma study association (LYSA) retrospective study.

Antoine Bonnet, Céline Bossard, Ludovic Gabellier, Julien Rohmer, Othman Laghmari, Marie Parrens, Clémentine Sarkozy, Rémy Dulery, Virginie Roland, Francisco Llamas-Gutierrez and 14 more

Abstract read
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
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  5. Review
  6. [Recurrent fever, persistent cytopenia].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors.

Antoine BonnetService d'hématologie clinique, Centre Hospitalier Universitaire Nantes, Nantes, France (at the time of work), Service d'hématologie - Centre Hospitalier Bretagne Atlantique, Vannes, France (now).ORCID 0000-0001-6962-3650
Céline BossardService d'anatomie et cytologie pathologique, Centre Hospitalier Universitaire Nantes, Nantes, France.
Ludovic GabellierService d'hématologie, Centre Hospitalier Universitaire Montpellier, Montpellier, France.
Julien RohmerService d'hématologie, Hôpital Pitié - Salpêtrière - APHP, Sorbonne Université, Paris, France.
Othman LaghmariService d'anatomie et cytologie pathologique, Centre Hospitalier Universitaire Nantes, Nantes, France.
Marie ParrensDépartement de pathologie, Hôpital Haut-Lévêque, CHU et université de Bordeaux, Bordeaux, France.
Clémentine SarkozyInstitut Gustave Roussy, Villejuif, France (at the time of work) Service d'hématologie, Hospices Civils Lyon, Lyon, France (now).
Rémy DuleryService d'hématologie clinique et thérapie cellulaire, Hôpital Saint-Antoine, AP-HP, Université Sorbonne, INSERM, Centre de recherche Saint-Antoine, Paris, France.
Virginie RolandCentre Hospitalier de Perpignan, Service d'hématologie, Perpignan, France.
Francisco Llamas-GutierrezCentre Hospitalier Universitaire Rennes, Service d'anatomopathologie, Rennes, France.
Lucie ObericService d'hématologie, Centre Hospitalier Universitaire Toulouse, Institut Universitaire du Cancer de Toulouse Oncopole, Toulouse, France.
Luc-Matthieu ForneckerService d'hématologie, Institut de Cancérologie Strasbourg Europe (ICANS), Strasbourg, France.
Laura BounaixService de thérapie cellulaire et d'hématologie clinique adulte, Centre Hospitalier Universitaire Clermont-Ferrand, site Estaing, Clermont-Ferrand, France.
Bruno VillemagneService d'onco-hématologie médecine interne, Centre Hospitalier Départemental Vendée, La Roche sur Yon, France.
Vanessa SzablewskiService d'anatomopathologie, Centre Hospitalier Universitaire Montpellier, Montpellier, France.
Sylvain ChoquetService d'hématologie, Hôpital Pitié - Salpêtrière - APHP, Sorbonne Université, Paris, France.
Krimo BouabdallahService d'hématologie clinique et thérapie cellulaire, Hôpital Haut-Lévèque, CHU Bordeaux, Bordeaux, France.
Alexandra Traverse-GlehenService d'anatomopathologie, Hospices Civils Lyon, Lyon, France.
Mohamad MohtyService d'hématologie clinique et thérapie cellulaire, Hôpital Saint-Antoine, AP-HP, Université Sorbonne, INSERM, Centre de recherche Saint-Antoine, Paris, France.
Laurence SanhesCentre Hospitalier de Perpignan, Service d'hématologie, Perpignan, France.
Roch HouotService d'hématologie, CHU Rennes, University of Rennes, INSERM U1236, Rennes, France.
Thomas GastinneService d'hématologie clinique, Centre Hospitalier Universitaire Nantes, Nantes, France (at the time of work), Service d'hématologie - Centre Hospitalier Bretagne Atlantique, Vannes, France (now).
Christophe LeuxService d'information médicale, Centre Hospitalier Universitaire Nantes, Nantes, France.
Steven Le GouillService d'hématologie clinique, Centre Hospitalier Universitaire Nantes, Nantes, France (at the time of work), Service d'hématologie - Centre Hospitalier Bretagne Atlantique, Vannes, France (now).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntravascular large B-cell lymphoma (lVLBCL) is a very rare type of large B-cell lymphoma.

methodsWe conducted a retrospective study on IVLBCL patients treated from 2000 to 2016 in LYSA cooperative group centers.

resultsSixty-five patients were identified in 23 centers. Median age at diagnosis was 69 years (range 23-92). Thirty-four patients (64%) had an IPI score >3 and 40 patients (67%) had a performance status ≥2. The most frequent extra-nodal locations were bone marrow (n = 34; 52%), central nervous system (n = 25; 39%), and skin (n = 21; 33%). Nodal involvement and endocrine system were observed in 34% (n = 22) and 18% (n = 12) of all cases, respectively. Twenty-six patients (41%) had macrophage activation syndrome. Tumor cells were frequently CD5 positive (52%) with a non-germinal center origin (86%). BCL2 was expressed in 87% of all samples analyzed (n = 20) and 43% of patients had a MYC/BCL2 double expression. Fifty-six patients were treated with a regimen of chemotherapy containing rituximab, among whom 73% reached complete remission. The median progression-free survival (PFS) and median overall survival (OS) were 29.4 months and 63.8 months, respectively. History of autoimmune disorder (Hazard ratio [HR] 3.3 [1.4-7.8]; p < 0.01), nodal involvement (HR 2.6 [1.4-5.1]; p < 0.01), lack of anthracycline (HR 0.1 [0-0.4] for use; p < 0.001), or no intensification at first-line regimen (p = 0.02) were associated with worse PFS. High-dose methotrexate use was not associated with better PFS or OS.

conclusionsOur study highlights the aggressive clinical picture of IVLBCL, in particular the frequency of macrophage activation syndrome, and the need for new therapies despite a response to R-CHOP-like regimen similar to non-intravascular diffuse large B-cell lymphomas.

Indexed as

Lymphoma, Large B-Cell, DiffuseMacrophage Activation SyndromeAdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinHumansMethotrexateMiddle AgedPrednisonePrognosisProto-Oncogene Proteins c-bcl-2Retrospective StudiesRituximabCyclophosphamideDoxorubicinMethotrexatePrednisoneProto-Oncogene Proteins c-bcl-2RituximabVincristineautoimmune disordersBCL2 expressionintravascular lymphomanodal involvement

Identifiers

PMID35538643
PMCPMC9554445

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