Incident ATL cohort
Code . | Clinical subtype . | Stage (lymphoma subtype) . | Age at diagnosis, y . | Months from HTLV diagnosis to ATL . | HTLV-associated disease . | Immunomodulatory therapy prior to ATL diagnosis . |
---|---|---|---|---|---|---|
A1 | Acute | n/a | 57 | 32 | HAM | None |
A2 | Acute | n/a | 85 | 118 | HAM | Methyl prednisolone |
L1 | Lymphoma | IVS | 54 | 168 | HAM | Cyclosporine |
L2 | Lymphoma | IVB | 51 | 29 | SPA | Methotrexate, anti-TNF, hydroxychloroquine, prednisolone |
L3 | Lymphoma | IV | 53 | 124 | None | None |
L4 | Lymphoma* | IIA | 33 | 22 | SS | None |
Code . | Clinical subtype . | Stage (lymphoma subtype) . | Age at diagnosis, y . | Months from HTLV diagnosis to ATL . | HTLV-associated disease . | Immunomodulatory therapy prior to ATL diagnosis . |
---|---|---|---|---|---|---|
A1 | Acute | n/a | 57 | 32 | HAM | None |
A2 | Acute | n/a | 85 | 118 | HAM | Methyl prednisolone |
L1 | Lymphoma | IVS | 54 | 168 | HAM | Cyclosporine |
L2 | Lymphoma | IVB | 51 | 29 | SPA | Methotrexate, anti-TNF, hydroxychloroquine, prednisolone |
L3 | Lymphoma | IV | 53 | 124 | None | None |
L4 | Lymphoma* | IIA | 33 | 22 | SS | None |
Patients were subtyped according to the Shimoyama classification and Ann Arbor staging systems.
HAM, HTLV-associated myelopathy; n/a, not applicable; SPA, seronegative polyarthritis; SS, Strongyloides stercoralis hyperinfection; TNF, tumor necrosis factor.
This patient also had Epstein-Barr virus–positive cells with Hodgkin disease–like histologic features.31