Figure 1.
Classification, incidence, and overall survival of PTCL subtypes. (A) Classification of peripheral T/NK cell lymphoma. PTCL classification is based on several parameters including clinical presentation, pathological, genetic features, and their association with normal cellular counterparts. Of the >30 PTCL entities recognized as distinct entities either by WHO or International Consensus Classification, the major subtypes present predominantly as nodal, extranodal, disseminated (leukemic), or cutaneous diseases, indicating that disease localization represents relevant diagnostic criteria for major PTCL entities. (B) Frequency of the PTCL entities. Epidemiological findings from published sources are reported (from North America [Bellei et al171 and Hsi et al172], the United States [Adams et al173 and Ruan et al174], South America [Fischer et al175], Africa [Fitzpatrick et al176 and Belarbi et al177], Western Europe [Laurent et al7], Central Europe [Janikova et al178], Nordic [Ellin et al8], India [Park et al179 and Nemani et al180], China [Park et al179 and Liu et al181], and Asia [Park et al179 and Yoon et al182]) (see citations in supplementary Table 2). The average frequencies from these studies were estimated and presented as pie charts for each specified region as indicated. ALK+ALCL vs ALK–ALCL cases were compared when data were reported. It must be noted that the frequencies presented may not represent the full spectrum of PTCL subtypes due to variations in data reporting across countries and also lack of requisite immunostains for current classification due to limited resources. Because of the exclusion of “other T-NHLs in individual regions or countries,” pie graphs may overrepresent the frequency of some PTCL subtypes. Different countries may have different reporting standards, subtype classifications, methodologies, or levels of data accuracy, which can affect the comprehensiveness and comparability of the data. However, for the worldwide frequency pie graph, the “other T-NHLs” were included to reflect the actual frequency of PTCL subtypes (see supplemental Table 2). (C) Overall survival of histological PTCL subtypes. These patients were generally treated with an anthracycline-containing regimen (adapted from Vose et al1). Regional 5-year survival is displayed in North America (Hsi et al172), Czech (Janikova et al178), and Asia (Yoon et al182). AITL, angioimmunoblastic T-cell lymphoma; CTCL, cutaneous T-cell lymphoma; EATL, enteropathy-associated T-cell lymphoma; HSTL, hepatosplenic T-cell lymphoma; MEITL, monomorphic epitheliotropic intestinal T-cell lymphoma; T-NHL, T-cell non-Hodgkin lymphoma.

Classification, incidence, and overall survival of PTCL subtypes. (A) Classification of peripheral T/NK cell lymphoma. PTCL classification is based on several parameters including clinical presentation, pathological, genetic features, and their association with normal cellular counterparts. Of the >30 PTCL entities recognized as distinct entities either by WHO or International Consensus Classification, the major subtypes present predominantly as nodal, extranodal, disseminated (leukemic), or cutaneous diseases, indicating that disease localization represents relevant diagnostic criteria for major PTCL entities. (B) Frequency of the PTCL entities. Epidemiological findings from published sources are reported (from North America [Bellei et al171 and Hsi et al172], the United States [Adams et al173 and Ruan et al174], South America [Fischer et al175], Africa [Fitzpatrick et al176 and Belarbi et al177], Western Europe [Laurent et al7], Central Europe [Janikova et al178], Nordic [Ellin et al8], India [Park et al179 and Nemani et al180], China [Park et al179 and Liu et al181], and Asia [Park et al179 and Yoon et al182]) (see citations in supplementary Table 2). The average frequencies from these studies were estimated and presented as pie charts for each specified region as indicated. ALK+ALCL vs ALKALCL cases were compared when data were reported. It must be noted that the frequencies presented may not represent the full spectrum of PTCL subtypes due to variations in data reporting across countries and also lack of requisite immunostains for current classification due to limited resources. Because of the exclusion of “other T-NHLs in individual regions or countries,” pie graphs may overrepresent the frequency of some PTCL subtypes. Different countries may have different reporting standards, subtype classifications, methodologies, or levels of data accuracy, which can affect the comprehensiveness and comparability of the data. However, for the worldwide frequency pie graph, the “other T-NHLs” were included to reflect the actual frequency of PTCL subtypes (see supplemental Table 2). (C) Overall survival of histological PTCL subtypes. These patients were generally treated with an anthracycline-containing regimen (adapted from Vose et al1). Regional 5-year survival is displayed in North America (Hsi et al172), Czech (Janikova et al178), and Asia (Yoon et al182). AITL, angioimmunoblastic T-cell lymphoma; CTCL, cutaneous T-cell lymphoma; EATL, enteropathy-associated T-cell lymphoma; HSTL, hepatosplenic T-cell lymphoma; MEITL, monomorphic epitheliotropic intestinal T-cell lymphoma; T-NHL, T-cell non-Hodgkin lymphoma.

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