T cell Neoplasms Flashcards

1
Q

Anaplastic Large Cell Lymphoma: Clinical Features

A

Aggressive clinical course - systemic symptoms and disseminated disease
Skin involvement with sparing of the marrow/extranodal sites
ALK neg pt younger/lower LDH/better performance status/increased extranodal invovlement
90% of children ALK positive
Rare CNS involvement

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2
Q

Anaplastic Large Cell Lymphoma: Prognosis

A

Failure free survival ALK + (60%) >ALK - (36%)

Overall better survival and response the chemo than other PTCL

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3
Q

Anaplastic Large Cell Lymphoma: Treatment

A

Aggressive but with similar course to DLBCL
Children - intensive anthracycline based tx
Adults - ABVD vs MACOP-B equivalent results
Potential role for allogenic transplant with GVL effect

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