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Weyl Ben Arush M, Hersalis Eldar A, Abrahami G, Attias D, Ben Barak A, Dvir R, Gabriel H, Kapelushnik J, Kaplinsky H, Vilk-Revel S. Burkitt lymphoma in children: The Israel Society of Pediatric Hematology Oncology retrospective study. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.10051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
10051 Background: From 2000 to 2005, the Israel Society of Pediatric Hematology Oncology studied the results of the FAB-LMB 96 protocol in children with B cell lymphoma. Methods: Eighty eight patients (pts) were eligible, 63 boys, 25 girls, median age was 8.9 years. Fifty patients (57%) were classified as burkitt lymphoma, 5 (5.7%) as burkitt-like lymphoma, 22 (25%) as diffuse large B cell (DLBC), 9 (10.2%) as burkitt leukemia. Initial disease sites included the abdomen in 43%, head and neck in 45%, mediastinum in 7%. Stage I: 9.1%, Stage II in 28.4%, stage III in 45.5%, stage IV in 17%. Five pts had bone marrow involvement (BM) alone, 5 pts CNS alone and 4 both CNS and BM. Five children were treated according to group A, 69 pts group B and 14 pts group C. Results: At a median follow up of 3 years, Kaplan Meier for EFS and OS for all pts was respectively 88.6%, 90.9%, group A, 100%,100%, group B: 90%, 93%, group C 79%, 79%. In group A: there were neither events nor deaths in this group, 6 patients relapsed in group B, among them 4 patients had died, tumor lysis syndrome in 3 patients, death of toxicity in 1 patient. In group C, 3 patients had relapsed and died, no death of toxicity. EFS for LDH less then twice was 96.4%, EFS for LDH more than twice was 73.3% (p = 0.002). OS according to primary site: bone and ovary (100%), head and neck (95%), abdomen (92%) and mediastinum (50%) (p = 0.003). All of the mediastinal tumors were of DLBC origin, but when comparing the DLBC to other histologies, no significant difference in outcome were found.(DLBC: 81.8%, other B line: 90.9%). The OS for Arab ethnic origin is 79.2%, OS for Jewish is 95.3% (p = 0.02). Conclusions: In nonresected mature B cell lymphoma of childhood and adolescence with no BM or CNS involvement, a 93% cure rate was achieved. Patients with primary DLBC mediastinal mass had a significantly reduced overall survival, indicating the need for a different therapeutic approach. No significant financial relationships to disclose.
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Affiliation(s)
- M. Weyl Ben Arush
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - A. Hersalis Eldar
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - G. Abrahami
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - D. Attias
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - A. Ben Barak
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - R. Dvir
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - H. Gabriel
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - J. Kapelushnik
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - H. Kaplinsky
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
| | - S. Vilk-Revel
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel; Shneider Children's Hospital, Tel Aviv, Israel; Bnai Zion Medical Center, Haifa, Israel; Dana Children's Hospital, Tel Aviv, Israel; Haemek Medical Center, Afula, Israel; Soroka Medical Center, Beer Sheva, Israel; Sheba Medical Center, Tel Aviv, Israel; Hadassah Medical Center, Jerusalem, Israel
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Weyl Ben Arush M, Ben Barak A, Shenzer P, Maurice S, Livne E. Serum vascular endothelial growth factor as a significant marker of treatment response in Hodgkin disease. J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.9033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
9033 Background: The aim of this pilot study was to determine VEGF serum levels (S-VEGF) at diagnosis and at restaging in children diagnosed with Hodgkin’s disease, and to investigate whether this parameter provides prognostic information for remission after 2 courses of chemotherapy Methods: S-VEGF levels of 9 consecutive pediatric patients (pts) with Hodgkin’s disease were assayed at diagnosis and at restaging. Levels of VEGF were determined using a commercially available ELISA anti-human VEGF immunoassay kit. PET-CT fusion was performed for each child at diagnosis and after 2 courses of chemotherapy in order to assess response to treatment. Results: 8 children went into complete remission or very good partial response after 2 courses of chemotherapy according to the protocol, one child developed tumor progression and respond to second line chemotherapy. At diagnosis average S-VEGF level was 655.7pg/ml (range, 1078.7–29.22 pg/ml) and at restaging decreased to 237.6 pg/ml (range, 0–453 pg/ml). (p=0.0039). One child with Hodgkin’s disease who had a higher level at first restaging and developed progressive disease responded to reinduction therapy and had a significantly lower level at the second restaging. The comparison between the levels of S-VEGF at diagnosis and at restaging showed a significant difference for the pts who responded to treatment with decreased S-VEGF and the pt who developed tumor progression with increased S-VEGF. Conclusions: Changes in S-VEGF levels correlated with response to treatment for most of the children diagnosed with Hodgkin’s disease. This provides a rationale for exploring clinical interest in S-VEGF measurements of a larger group of children with Hodgkin, and using the test for clinical trials of antiangiogenic therapies. No significant financial relationships to disclose.
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Affiliation(s)
- M. Weyl Ben Arush
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel
| | - A. Ben Barak
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel
| | - P. Shenzer
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel
| | - S. Maurice
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel
| | - E. Livne
- Rambam Medical Center, Haifa, Israel; Technion Faculty of Medicine, Haifa, Israel
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