WebDouble hit lymphomas (DHL) comprise approximately 10% of all DLBCL, with MYC/BCL2 being the more frequent subtype (65% of DHL cases), followed by MYC/BCL2/BCL6 triple hit (THL) lymphomas (20% of cases) and by MYC/BCL6 DHL (10% of cases). 15–17 Most DHLs are of the GCB subtype. Double and triple hit lymphomas are very aggressive, … WebDec 4, 2024 · A biopsy at the time of suspected transformation is essential because there could be either a transformation to DLBCL or to a HGBL-DHL/THL. For patients without prior anthracycline exposure, R-CHOP or other anthracycline-based treatment is warranted. A major challenge is determining who benefits from consolidative auto-HCT, but the ...
DA-R-EPOCH vs R-CHOP in DLBCL: How do we choose?
WebBL, or DLBCL (as noted in Fig. 1). The second step is cytogenetic or fluorescence in situ hybridization (FISH) testing for rearrangements of MYC, BCL2, and BCL6. If MYC is co-rearranged with either BCL2 or BCL6 (or both), the diagnosis is HGBL with MYC and BCL2 and/ or BCL6 rearrangements; this is also termed DHL or THL, respectively. Web因此DLBCL多重基因异常的发生率有待于扩大病例数或增加其他研究中心的数据加以综合评估,但可以确定的是基因异常是DLBCL的常见事件,但DHL或THL并不常见。本研究3例DHL中,仅有1例为c-myc合并bcl-2基因异常,2例为c-myc合并bcl-6基因异常。 putaja
Paper: Evaluation of Dose-Adjusted EPOCH-R Compared with R
WebL-HGBL carries a poor prognosis and is associated with MYC translocation, DHL/THL status, transformation, and high CNS risk. ... (55%) in the de novo and 9 of 20 (45%) in the relapsed setting. Seven of 20 patients had DLBCL, NOS, 6 of 20 had transformation (t-DLBCL), 3 of 20 had transformed double/triple hit lymphoma (t-DHL/THL), 2 of 20 had ... WebMar 11, 2024 · In a large retrospective study of 117 patients with chemotherapy-sensitive RR DLBCL who underwent ASCT, those with DHL had an inferior 4-year PFS and OS (28% and 25%) compared to those without DHL (57% and 61%, respectively). 16 This study also looked at DELs and reported a similarly inferior 4-year PFS (48% vs 59%, P = .049) … WebNov 27, 2024 · The copy number alteration (CNA) profiles were similar between DHL/THL and SHL. MCAD had fewer CNAs than those of DHL/THL and SHL, except for +8q24. The NGS profile characterized DHL/THL with a higher "mutation burden" than SHL (17 vs. 10, p = 0.010), and the most relevant genes for DHL/THL were BCL2 and SOCS1, and for … barbara bielak lekarz