ArticleWorld journal of gastroenterology2026
Anatomical laterality of primary intestinal diffuse large B-cell lymphoma independently stratifies survival: New prognostic nomogram incorporating tumor location.
Article in World journal of gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPrimary intestinal (PI) diffuse large B-cell lymphoma (DLBCL) represents a biologically and clinically heterogeneous subtype of extranodal lymphoma. The international prognostic index (IPI) was originally developed for predominantly nodal DLBCL (N-DLBCL) and inadequately reflected site-specific risk within the intestine. Prompted by colorectal carcinoma where primary tumor laterality (left
aimTo investigate whether intestinal laterality influences survival in PI-DLBCL and construct a location-integrated prognostic nomogram.
methodsWe retrospectively analyzed 3832 PI-DLBCL patients (SEER 2002-2021) and externally validated in 107 patients (Sun Yat-sen University Cancer Center 2014-2024). A prognostic nomogram integrating age, Ann Arbor stage, chemotherapy, surgery, and tumor sidedness (left
resultsLeft-sided PI-DLBCL was independently associated with inferior overall survival (OS) (hazard ratio = 1.15,
conclusionIntestinal laterality is an independent, clinically actionable determinant of survival in PI-DLBCL. The proposed nomogram provides individualized survival prediction and risk stratification and showed higher discrimination than the IPI, supporting the incorporation of tumor anatomical location into prognostic assessment and risk-adapted management.
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