Main clinical findings and follow-up data
. | LyP . | Primary cutaneous CD30+ LTCL . | CD30+ LTCL in skin and regional lymph nodes . | Secondary cutaneous CD30+ LTCL . |
---|---|---|---|---|
Number | 118 | 79 | 11 | 11 |
Sex (M:F) | 69:49 | 59:20 | 4:7 | 6:5 |
Age (y) | ||||
Median | 45.5 | 60 | 64 | 55 |
Range | 4-88 | 16-89 | 27-74 | 7-87 |
Extent of skin lesions | ||||
Solitary | 0 | 42 (53%) | 7 (64%) | 1 (9%) |
Regional | 15 (13%) | 20 (25%) | 3 (27%) | 1 (9%) |
Generalized | 103 (87%) | 17 (22%) | 1 (9%) | 8 (82%) |
Type of skin lesions | ||||
Papule | 80 (68%) | 6 (7%) | 1 (9%) | 3 (27%) |
Nodule | 4 (3%) | 23 (29%) | 0 | 5 (46%) |
Papules and nodules | 26 (22%) | 0 | 0 | 0 |
Tumor | 5 (4%) | 47 (60%) | 10 (91%) | 3 (27%) |
Plaques | 3 (3%) | 3 (4%) | 0 | 0 |
Spontaneous remission | ||||
Absent | 0 | 46 (58%) | 8 (73%) | 6 (55%) |
Partial | 0 | 17 (22%) | 1 (9%) | 5 (45%) |
Complete | 118 (100%) | 16 (20%) | 2 (18%) | 0 |
B symptoms at diagnosis | ||||
Absent | 118 (100%) | 79 (100%) | 11 (100%) | 5 (45%) |
Present | 0 | 0 | 0 | 6 (55%) |
Initial therapy | ||||
Radiotherapy | 5 (4%) | 38 (48%) | 0 | 2 (18%) |
Multiagent chemotherapy | 0 | 6 (8%) | 9 (82%) | 9 (82%) |
Excision | 0 | 15 (19%) | 1 (9%) | 0 |
PUVA/UV-B | 41 (35%) | 3 (4%) | 0 | 0 |
Other | 6 (5%) | 2 (2%) | 0 | 0 |
None/topical steroids | 66 (56%) | 15 (19%) | 1 (9%) | 0 |
Result of initial therapy | ||||
Complete remission | 16 (14%) | 78 (99%) | 10 (91%) | 3 (27%) |
Partial remission | 31 (26%) | 1 (1%) | 0 | 5 (55%) |
No response | 61 (60%) | 0 | 1 (9%) | 3 (27%) |
Disease-free survival (mo) | ||||
Median | NR | 23 | 38 | 0 |
Range | NR | 1-192 | 0-84 | 0-115 |
Relapse | ||||
Skin only | 111 (94%) | 32 (41%) | 4 (36%) | 2 (18%) |
Regional lymph node | 5 (4%) | 5 (6%) | 1 (9%) | 1 (9%) |
Systemic | 2 (2%) | 3 (4%) | 1 (9%) | 55% |
Follow-up (mo) | ||||
Median | 77 | 61 | 58 | 22 |
Range | 12-350 | 13-288 | 15-284 | 6-133 |
Current status | ||||
No evidence of disease | 38 (32%) | 51 (65%) | 6 (55%) | 2 (18%) |
Alive with disease | 73 (62%) | 13 (16%) | 3 (27%) | 1 (9%) |
Died of lymphoma | 2 (2%) | 4 (5%) | 1 (9%) | 8 (73%) |
Died of other cause | 5 (4%) | 11 (14%) | 1 (9%) | 0 |
Disease-related survival | ||||
5 years | 100% | 96% | 91% | 24%* (44%) |
10 years | 100% | 96% | 91% | 24%* (24%) |
Overall survival | ||||
5 years | 98% | 83% | 76% | 24%* (44%) |
10 years | 95% | 78% | 76% | 24%* (24%) |
Calculated risk for extracutaneous disease | ||||
5 years | 2% | 9% | 20%† | 80%† |
10 years | 4% | 16% | 20%† | 80%† |
. | LyP . | Primary cutaneous CD30+ LTCL . | CD30+ LTCL in skin and regional lymph nodes . | Secondary cutaneous CD30+ LTCL . |
---|---|---|---|---|
Number | 118 | 79 | 11 | 11 |
Sex (M:F) | 69:49 | 59:20 | 4:7 | 6:5 |
Age (y) | ||||
Median | 45.5 | 60 | 64 | 55 |
Range | 4-88 | 16-89 | 27-74 | 7-87 |
Extent of skin lesions | ||||
Solitary | 0 | 42 (53%) | 7 (64%) | 1 (9%) |
Regional | 15 (13%) | 20 (25%) | 3 (27%) | 1 (9%) |
Generalized | 103 (87%) | 17 (22%) | 1 (9%) | 8 (82%) |
Type of skin lesions | ||||
Papule | 80 (68%) | 6 (7%) | 1 (9%) | 3 (27%) |
Nodule | 4 (3%) | 23 (29%) | 0 | 5 (46%) |
Papules and nodules | 26 (22%) | 0 | 0 | 0 |
Tumor | 5 (4%) | 47 (60%) | 10 (91%) | 3 (27%) |
Plaques | 3 (3%) | 3 (4%) | 0 | 0 |
Spontaneous remission | ||||
Absent | 0 | 46 (58%) | 8 (73%) | 6 (55%) |
Partial | 0 | 17 (22%) | 1 (9%) | 5 (45%) |
Complete | 118 (100%) | 16 (20%) | 2 (18%) | 0 |
B symptoms at diagnosis | ||||
Absent | 118 (100%) | 79 (100%) | 11 (100%) | 5 (45%) |
Present | 0 | 0 | 0 | 6 (55%) |
Initial therapy | ||||
Radiotherapy | 5 (4%) | 38 (48%) | 0 | 2 (18%) |
Multiagent chemotherapy | 0 | 6 (8%) | 9 (82%) | 9 (82%) |
Excision | 0 | 15 (19%) | 1 (9%) | 0 |
PUVA/UV-B | 41 (35%) | 3 (4%) | 0 | 0 |
Other | 6 (5%) | 2 (2%) | 0 | 0 |
None/topical steroids | 66 (56%) | 15 (19%) | 1 (9%) | 0 |
Result of initial therapy | ||||
Complete remission | 16 (14%) | 78 (99%) | 10 (91%) | 3 (27%) |
Partial remission | 31 (26%) | 1 (1%) | 0 | 5 (55%) |
No response | 61 (60%) | 0 | 1 (9%) | 3 (27%) |
Disease-free survival (mo) | ||||
Median | NR | 23 | 38 | 0 |
Range | NR | 1-192 | 0-84 | 0-115 |
Relapse | ||||
Skin only | 111 (94%) | 32 (41%) | 4 (36%) | 2 (18%) |
Regional lymph node | 5 (4%) | 5 (6%) | 1 (9%) | 1 (9%) |
Systemic | 2 (2%) | 3 (4%) | 1 (9%) | 55% |
Follow-up (mo) | ||||
Median | 77 | 61 | 58 | 22 |
Range | 12-350 | 13-288 | 15-284 | 6-133 |
Current status | ||||
No evidence of disease | 38 (32%) | 51 (65%) | 6 (55%) | 2 (18%) |
Alive with disease | 73 (62%) | 13 (16%) | 3 (27%) | 1 (9%) |
Died of lymphoma | 2 (2%) | 4 (5%) | 1 (9%) | 8 (73%) |
Died of other cause | 5 (4%) | 11 (14%) | 1 (9%) | 0 |
Disease-related survival | ||||
5 years | 100% | 96% | 91% | 24%* (44%) |
10 years | 100% | 96% | 91% | 24%* (24%) |
Overall survival | ||||
5 years | 98% | 83% | 76% | 24%* (44%) |
10 years | 95% | 78% | 76% | 24%* (24%) |
Calculated risk for extracutaneous disease | ||||
5 years | 2% | 9% | 20%† | 80%† |
10 years | 4% | 16% | 20%† | 80%† |