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Comparison of s-phase fraction, working formulation, and kiel classification in non-Hodgkin's lymphoma

✍ Scribed by Heikki Joensuu; Pekka J. Klemi; Karl-Ove Söderström; Sirpa Jalkanen


Publisher
John Wiley and Sons
Year
1991
Tongue
English
Weight
682 KB
Volume
68
Category
Article
ISSN
0008-543X

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✦ Synopsis


The prognostic value of S-phase fraction (SPF), determined by flow cytometric study from paraffin-embedded tissue, and grading by Working Formulation (WF) and Kiel classification were compared among 245 patients with non-Hodgkin's lymphoma followed for the median of 89 months or until death. Histologic reclassification and SPF determinations were done without knowledge on clinical data. SPF (P equals 0.0001), WF (P equals 0.0003), and Kiel classification (P equals 0.0008) were associated with mortality in lymphoma in a univariate analysis, and WF and SPF were independent prognostic factors in Cox's multivariate analysis. Although SPF correlated strongly both with WF and Kiel grades (P less than 0.0001), low-grade and high-grade malignant lymphomas according to Kiel classification, and high-grade lymphomas according to WF could be divided into groups with significantly different outcome by SPF. The results suggests a role for SPF in therapeutic decision-making.


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