PMID- 24160849 OWN - NLM STAT- MEDLINE DCOM- 20150330 LR - 20190116 IS - 1029-2403 (Electronic) IS - 1026-8022 (Linking) VI - 55 IP - 8 DP - 2014 Aug TI - Large B-cell lymphomas in adolescents and young adults in comparison to adult patients: a matched-control analysis in 55 patients. PG - 1849-53 LID - 10.3109/10428194.2013.858814 [doi] AB - The aim of our study was to assess whether large B-cell lymphoma (LBCL) in adolescents and young adults (AYA) should be considered as a clinocopathological entity, and to evaluate the prognostic value of age. Fifty-five patients aged > 15-30 years were fully matched to 365 adult patients aged 31-65 years. We found a high incidence of primary mediastinal thymic LBCL subtype (33% vs. 5%), while histological transformation was rare (2% vs. 14%). LBCL in AYA presented with a bulky mediastinal mass (51% vs. 21%), and the lactate dehydrogenase (LDH) value was significantly higher (73% vs. 54%). The complete response rate to chemotherapy was similar in the two groups. Five-year overall survival (OS) and event-free survival (EFS) of AYA were 73% and 68%, respectively. The matched-control analysis showed no difference for either OS or EFS. LBCL in AYA presents with some critical features which differ from those of older adults. However, the outcome is equivalent to that observed in older patients. FAU - Coso, Diane AU - Coso D AD - Department of Hematology, Institut J. Paoli-I. Calmettes, Universite de la Mediterranee , Marseille , France. FAU - Garciaz, Sylvain AU - Garciaz S FAU - Esterni, Benjamin AU - Esterni B FAU - Broussais-Guillaumot, Florence AU - Broussais-Guillaumot F FAU - Ivanov, Vadim AU - Ivanov V FAU - Aurran-Schleinitz, Therese AU - Aurran-Schleinitz T FAU - Schiano, Jean-Marc AU - Schiano JM FAU - Stoppa, Anne-Marie AU - Stoppa AM FAU - Chetaille, Bruno AU - Chetaille B FAU - Blaise, Didier AU - Blaise D FAU - Vey, Norbert AU - Vey N FAU - Bouabdallah, Reda AU - Bouabdallah R LA - eng PT - Journal Article DEP - 20140214 PL - United States TA - Leuk Lymphoma JT - Leukemia & lymphoma JID - 9007422 SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/therapeutic use MH - Case-Control Studies MH - Female MH - Humans MH - Lymphoma, Large B-Cell, Diffuse/*diagnosis/mortality/*therapy MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Prognosis MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - Large cell lymphoma OT - adolescents OT - young adults EDAT- 2013/10/29 06:00 MHDA- 2015/03/31 06:00 CRDT- 2013/10/29 06:00 PHST- 2013/10/29 06:00 [entrez] PHST- 2013/10/29 06:00 [pubmed] PHST- 2015/03/31 06:00 [medline] AID - 10.3109/10428194.2013.858814 [doi] PST - ppublish SO - Leuk Lymphoma. 2014 Aug;55(8):1849-53. doi: 10.3109/10428194.2013.858814. Epub 2014 Feb 14.