PMID- 34595427 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211002 IS - 2590-0048 (Electronic) IS - 2590-0048 (Linking) VI - 1 IP - 3 DP - 2019 Sep TI - The Impact of First Complete Remission by PET-CT and Time to Next Treatment on Survival of Follicular Lymphoma Patients. PG - 168-172 LID - 10.2991/chi.d.190528.001 [doi] AB - We retrospectively analyzed the impact of initial positron emission tomography and computed tomography (PET-CT) complete remission (CR) and time to next treatment (TTNT) on patient outcome in follicular lymphoma. Between 2002 and 2014, 150 patients could be evaluated for treatment response and long-term outcome. The CR after first line treatment with either rituximab-cyclophosphamide, oncovin, and prednisolone (R-COP) or rituximab-cyclophosphamide, doxorubicin, oncovin, and prednisolone (R-CHOP) was 89% and partial response (PR) was 7%. The 5- and 10-year survival rates were 86.0% and 62.6%, respectively. In five years, 11% of patients had died of lymphoma and 3% from other causes. Forty-seven patients (31%) underwent a second line of treatment comprising 19 (40%) with a TTNT shorter than 24 months and 28 (60%) longer than 24 months. There was no difference in overall survival (OS) between R-COP (86%) and R-CHOP (77%) at 5 years, but there were more next treatment events in the R-COP compared with the R-CHOP group on longer follow-up (60% versus 35% at 8 years). For PET-CT response, there was a significant OS difference between initial CR and PR patients (88% versus 70%, p < 0.01), and a longer TTNT was seen in initial CR patients. Patients with a TTNT longer than 24 months had better OS compared with patients with a shorter TTNT (93% versus 54% at 5 years, p < 0.01). In conclusion, patients with initial PET-CT CR and TTNT longer than 24 months had better OS compared with those achieving only PR and shorter TTNT. PET-CT CR should be considered the treatment goal during initial treatment, and more aggressive treatment should be considered for patients with a TTNT of less than 24 months. CI - (c) 2019 International Academy for Clinical Hematology. Publishing services by Atlantis Press International B.V. FAU - Tan, Tran-Der AU - Tan TD AD - Hematology and Medical Oncology, Koo Foundtion Sun Yat-Sen Cancer Center, No 125, Li-Teh Road, Bei-Tou district, Taipei, Taiwan, ROC. FAU - Chiou, Lun-Wei AU - Chiou LW AD - Hematology and Medical Oncology, Koo Foundtion Sun Yat-Sen Cancer Center, No 125, Li-Teh Road, Bei-Tou district, Taipei, Taiwan, ROC. FAU - Wu, Mau-Ching AU - Wu MC AD - Hematology and Medical Oncology, Koo Foundtion Sun Yat-Sen Cancer Center, No 125, Li-Teh Road, Bei-Tou district, Taipei, Taiwan, ROC. FAU - Wu, Jia-Shing AU - Wu JS AD - Radiation Oncology, Koo Foundtion Sun Yat-Sen Cancer Center, No 125, Li-Teh Road, Bei-Tou district, Taipei, Taiwan, ROC. FAU - Lee, Ming-Yuan AU - Lee MY AD - Pathology, Koo Foundtion Sun Yat-Sen Cancer Center, No 125, Li-Teh Road, Bei-Tou district, Taipei, Taiwan, ROC. FAU - Huang, Yu-Yi AU - Huang YY AD - Nuclear Medicine, Koo Foundtion Sun Yat-Sen Cancer Center, No 125, Li-Teh Road, Bei-Tou district, Taipei, Taiwan, ROC. FAU - Chen, Shing-Su AU - Chen SS AD - Radiology, Koo Foundtion Sun Yat-Sen Cancer Center, No 125, Li-Teh Road, Bei-Tou district, Taipei, Taiwan, ROC. LA - eng PT - Journal Article DEP - 20190901 PL - England TA - Clin Hematol Int JT - Clinical hematology international JID - 101759455 PMC - PMC8432364 OTO - NOTNLM OT - Follicular lymphoma OT - PET-CT response OT - Time to next treatment (TTNT) COIS- The authors have no other affiliations or financial involvement with any organization or entity apart from those disclosed. The authors have no financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. EDAT- 2019/09/01 00:00 MHDA- 2019/09/01 00:01 PMCR- 2019/09/01 CRDT- 2021/10/01 07:39 PHST- 2019/02/13 00:00 [received] PHST- 2019/05/14 00:00 [accepted] PHST- 2021/10/01 07:39 [entrez] PHST- 2019/09/01 00:00 [pubmed] PHST- 2019/09/01 00:01 [medline] PHST- 2019/09/01 00:00 [pmc-release] AID - CHI-1-3-168 [pii] AID - 10.2991/chi.d.190528.001 [doi] PST - epublish SO - Clin Hematol Int. 2019 Sep 1;1(3):168-172. doi: 10.2991/chi.d.190528.001. eCollection 2019 Sep.