TY - JOUR
T1 - Central nervous system involvement by mantle cell lymphoma
AU - McLaughlin, Nicole
AU - Wang, Yucai
AU - Witzig, Thomas
AU - Villasboas Bisneto, Jose (J.C.)
AU - Habermann, Thomas
AU - Inwards, David
AU - Bennani, Nora
AU - Thanarajasingam, Gita
AU - Nowakowski, Grzegorz
AU - Porrata, Luis
AU - Thompson, Carrie A
AU - Micallef, Ivana
AU - Johnston, Patrick Bruce
AU - Ansell, Stephen
AU - Paludo, Jonas
N1 - Publisher Copyright:
© 2022 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2022
Y1 - 2022
N2 - Involvement of the central nervous system (CNS) is a rare complication of mantle cell lymphoma (MCL) with limited treatment options. We report the outcomes of 36 patients with CNS involvement compared to 72 matched control MCL patients without CNS involvement. Four patients (11%) with CNS MCL were diagnosed with CNS involvement at time of MCL diagnosis. Median OS from MCL diagnosis was 50.3 months (95% CI: 22.8–79.6) for the CNS MCL group compared to 97.1 months (95% CI: 82.8–NR; p= <0.001) for the control group. Median OS from CNS involvement was 4.7 months (95% CI: 2.3–6.7). CNS involvement by MCL has dismal outcomes as evident by a short median OS and PFS after CNS involvement. Advanced stage, blastoid variant, elevated LDH, and elevated Ki67 at MCL diagnosis were features more commonly seen in the CNS MCL cohort.
AB - Involvement of the central nervous system (CNS) is a rare complication of mantle cell lymphoma (MCL) with limited treatment options. We report the outcomes of 36 patients with CNS involvement compared to 72 matched control MCL patients without CNS involvement. Four patients (11%) with CNS MCL were diagnosed with CNS involvement at time of MCL diagnosis. Median OS from MCL diagnosis was 50.3 months (95% CI: 22.8–79.6) for the CNS MCL group compared to 97.1 months (95% CI: 82.8–NR; p= <0.001) for the control group. Median OS from CNS involvement was 4.7 months (95% CI: 2.3–6.7). CNS involvement by MCL has dismal outcomes as evident by a short median OS and PFS after CNS involvement. Advanced stage, blastoid variant, elevated LDH, and elevated Ki67 at MCL diagnosis were features more commonly seen in the CNS MCL cohort.
KW - brain
KW - BTK inhibitors
KW - Non-Hodgkin lymphoma
KW - treatment
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U2 - 10.1080/10428194.2022.2148211
DO - 10.1080/10428194.2022.2148211
M3 - Article
AN - SCOPUS:85142380736
JO - Leukemia and Lymphoma
JF - Leukemia and Lymphoma
SN - 1042-8194
ER -