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Blood, 15 November 2005, Vol. 106, No. 10, pp. 3383-3385.
Prepublished online as a Blood First Edition Paper on August 9, 2005; DOI 10.1182/blood-2005-04-1603.
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Submitted April 20, 2005
Accepted July 25, 2005
Cell of origin, germinal center vs non-germinal center as determined by immunohistochemistry on tissue microarray, does not correlate with outcome in relapsed or primary refractory DLBCL
Craig H Moskowitz*, Andrew D Zelenetz, Tarun Kewalramani, Paul Hamlin, Simone Lessac-Chenen, Jane D Houldsworth, Adam Olshen, Raju Chaganti, Stephen Nimer, and Julie Teruya-Feldstein
Lymphoma and Hematology Services of the Division of Hematological Oncology, Department of Medicine, Memorial Sloan Kettering, NY, NY, USA
Department of Pathology, Memorial Sloan Kettering Cancer Center, NY, NY, USA
* Corresponding author; email: moskowic{at}mskcc.org.
A number of prognostic factors affect outcome in patients with relapsed or primary refractory DLBCL such as refractory disease, and the second-line age-adjusted international prognostic index. We utilized tissue microarray to evaluate cell of origin, and several pathologic markers of outcome, on the repeat biopsy specimen of 88 transplant-eligible patients undergoing ICE second-line chemotherapy (SLT) followed by high dose therapy (HDT) and ASCT to see if they were prognostic in the salvage setting. When patients first present with DLBCL, cell of origin as determined by expression microarray analysis or immunohistochemistry (IHC) predicts for event-free survival (EFS). However, we saw no difference in response to SLT, HDT, event-free or overall survival based upon the cell of origin or any of the common pathologic markers examined. Conclusion: the cell of origin as determined by IHC does not predict outcome in transplant-eligible patients with relapsed or primary refractory DLBCL.

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