Patients with a immunohistochemically defined, germinal-center tumor subtype have an improved outcome compared with patients with the non-germinal-center phenotype when treated with CHOP only, according to a prospective study. The benefit was not observed in those treated with the rituximab combination therapy.
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References
Hans, C. P. et al. Confirmation of the molecular classification of diffuse large B-cell lymphoma by immunohistochemistry using a tissue microarray. Blood 103, 275–282 (2004).
Nyman, H. et al. Prognostic impact of immunohistochemically defined germinal center phenotype in diffuse large B-cell lymphoma patients treated with immunochemotherapy. Blood 109, 4930–4935 (2007).
Fu, K. et al. Addition of rituximab to standard chemotherapy improves the survival of both the germinal center B-cell-like and non-germinal center B-cell-like subtypes of diffuse large B-cell lymphoma. J. Clin. Oncol. 26, 4587–4594 (2008).
Molina, T. J. et al. Germinal center phenotype determined by immunohistochemistry on tissue microarray does not correlate with outcome in diffuse large B-cell lymphoma patients treated with immunochemotherapy in the randomized trial LNH98–5. A GELA study [Abstract]. Blood 110, 51 (2007).
Lenz, G. et al. Stromal gene signatures in large-B-cell lymphomas. N. Engl. J. Med. 359, 2313–2323 (2008).
de Jong, D. et al. Immunohistochemical prognostic markers in diffuse large B-cell lymphoma: validation of tissue microarray as a prerequisite for broad clinical applications—a study from the Lunenburg Lymphoma Biomarker Consortium. J. Clin. Oncol. 25, 805–812 (2007).
Pfreundschuh, M. et al. Six versus eight cycles of bi-weekly CHOP-14 with or without rituximab in elderly patients with aggressive CD20+ B-cell lymphomas: a randomised controlled trial (RICOVER-60). Lancet Oncol. 9, 105–116 (2008).
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M Pfreundschuh has served as a consultant for Lilly Pharmaceuticals and Roche. G Held declared no competing interests.
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Held, G., Pfreundschuh, M. Germinal center or nongerminal center DLBCL?. Nat Rev Clin Oncol 6, 188–190 (2009). https://doi.org/10.1038/nrclinonc.2009.22
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DOI: https://doi.org/10.1038/nrclinonc.2009.22