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Hapgood G, Latimer M, Lee ST, Kuss B, Lade S, Tobin JWD, Purtill D, Campbell BA, Prince HM, Hawkes EA, Shortt J, Radeski D. Diagnosis, management and follow up of peripheral T cell lymphomas: A Consensus Practice Statement from the Australasian Lymphoma Alliance. Intern Med J 2021; 52:1806-1817. [PMID: 34668281 DOI: 10.1111/imj.15595] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 09/14/2021] [Accepted: 10/09/2021] [Indexed: 11/30/2022]
Abstract
Peripheral T-cell lymphomas (PTCLs) represent a heterogeneous disease group accounting for 10% of non-Hodgkin lymphomas. PTCL patients have typically poorer outcomes compared to aggressive B-cell lymphomas. However, such outcomes are heavily dependent upon subtype. Although anthracycline-based regimens such as cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) remain the standard first-line treatment for most aggressive PTCLs, there are important variations including incorporation of novel agents, use of radiotherapy and judicious consideration of stem cell transplantation. Relapsed or refractory disease represents a significant area of unmet need where chemotherapy intensification has limited efficacy and novel agents such as brentuximab vedotin and pralatrexate provide additional opportunities for attainment of remission and potential stem cell transplant. In the future, pre-therapy prognostic biomarkers including genomic characterisation, may aid in risk stratification and help guide initial patient management to improve survival. There is an urgent need to better understand the pathogenesis of PTCLs to facilitate novel drug combinatorial approaches to improve survival. This position statement represents an evidence-based synthesis of the literature for application in Australian and New Zealand practice. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- G Hapgood
- Princess Alexandra Hospital, Brisbane, Australia.,University of Queensland, Brisbane, Australia
| | - M Latimer
- The Canberra Hospital, Canberra, Australia
| | - S T Lee
- Olivia Newton John Cancer Research Institute, Austin Health, Melbourne, Australia.,University of Melbourne, Melbourne, Victoria, Australia
| | - B Kuss
- Flinders University, Bedford Park, Australia.,Flinders Medical Centre, Bedford Park, Australia
| | - S Lade
- Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | - J W D Tobin
- Mater Health, South Brisbane, Australia.,Mater Research Institute, University of Queensland, Brisbane, Australia
| | - D Purtill
- University of Western Australia, Perth, Australia.,Fiona Stanley Hospital, Perth, Australia
| | - B A Campbell
- University of Melbourne, Melbourne, Victoria, Australia.,Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | - H M Prince
- University of Melbourne, Melbourne, Victoria, Australia.,Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | - E A Hawkes
- Olivia Newton John Cancer Research Institute, Austin Health, Melbourne, Australia.,University of Melbourne, Melbourne, Victoria, Australia
| | - J Shortt
- Monash University, Clayton, Australia.,Monash Health, Clayton, Australia
| | - D Radeski
- University of Western Australia, Perth, Australia.,Sir Charles Gairdner Hospital, Nedlands, Australia
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Tam CSL, Allan JN, Siddiqi T, Kipps TJ, Jacobs R, Opat S, Barr PM, Tedeschi A, Trentin L, Bannerji R, Jackson S, Kuss B, Moreno C, Szafer‐Glusman E, Russell K, Zhou C, Ninomoto J, Dean JP, Ghia P, Wierda WG. CAPTIVATE PRIMARY ANALYSIS OF FIRST‐LINE TREATMENT WITH FIXED‐DURATION IBRUTINIB PLUS VENETOCLAX FOR CHRONIC LYMPHOCYTIC LEUKEMIA (CLL)/SMALL LYMPHOCYTIC LYMPHOMA (SLL). Hematol Oncol 2021. [DOI: 10.1002/hon.32_2879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- C. S. L Tam
- Peter MacCallum Cancer Center & St. Vincent's Hospital and the University of Melbourne Haematology and Disease Group, Melbourne VIC Australia
| | - J. N Allan
- Weill Cornell Medicine, Hematology/Oncology New York USA
| | - T Siddiqi
- City of Hope National Medical Center Hematology Duarte USA
| | - T. J Kipps
- UCSD Moores Cancer Center Chronic Lymphocytic Leukemia San Diego USA
| | - R Jacobs
- Levine Cancer Institute Hematology and Medical Oncology Charlotte USA
| | - S Opat
- Monash University, Clinical Haematology Clayton VIC Australia
| | - P. M Barr
- Wilmot Cancer Institute University of Rochester Medical Center Hematology/Oncology Rochester USA
| | - A Tedeschi
- ASST Grande Ospedale Metropolitano Niguarda Haematology Milan Italy
| | - L Trentin
- Hematology and Clinical Immunology Unit Department of Medicine University of Padova, Hematology Padova Italy
| | - R Bannerji
- Rutgers Cancer Institute of New Jersey Hematology/Oncology New Brunswick USA
| | - S Jackson
- Middlemore Hospital, Haematology Auckland New Zealand
| | - B Kuss
- Flinders University and Medical Centre Haemotology and Molecular Genetics, Bedford Park SA Australia
| | - C Moreno
- Hospital de la Santa Creu i Sant Pau, Autonomous University of Barcelona, Hematology Barcelona Spain
| | - E Szafer‐Glusman
- Pharmacyclics LLC, an AbbVie Company, Translational Medicine Sunnyvale USA
| | - K Russell
- Pharmacyclics LLC, an AbbVie Company, Clinical Program Development Sunnyvale USA
| | - C Zhou
- Pharmacyclics LLC, an AbbVie Company, Biostatistics Sunnyvale USA
| | - J Ninomoto
- Pharmacyclics LLC, an AbbVie Company, Oncology Sunnyvale USA
| | - J. P Dean
- Pharmacyclics LLC, an AbbVie Company, Oncology Sunnyvale USA
| | - P Ghia
- ivision of Experimental Oncology Università Vita‐Salute San Raffaele and IRCCS Ospedale San Raffaele, Experimental Oncology Milan Italy
| | - W. G Wierda
- University of Texas MD Anderson Cancer Center Leukemia Houston USA
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Affiliation(s)
- B Kuss
- Department of Hematology, St. Bartholomew's London, UK
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Gad SG, Callen DF, Kuss B, Downing JR, Behm F, Head D, Ribeiro RC, Raimondi SC. Identification of an inversion 16 coexisting with an isochromosome 22q by in situ hybridization in a case of childhood AML M4e. Leukemia 1993; 7:1658-62. [PMID: 8412329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Rearrangements involving chromosome 16, including inv(16) (p13q22), del(16)(q22), and t(16;16)(p13;q22), are frequent findings in acute myeloblastic leukemia (AML). Each of these rearrangements can occur as the sole karyotypic change or in association with additional chromosomal abnormalities, including in decreasing order of frequency: trisomy 22, trisomy 8, and deletion of the long arm of chromosome 7. We report a pediatric case of de novo AML, M4e subtype, with a unique combination of inv(16) (p13q22) and i(22q) occurring within the same leukemic clone. The inv(16) was detected by fluorescence in situ hybridization (FISH) analysis with two cosmid probes specific for sequences flanking the inv(16) breakpoint on the long arm of chromosome 16. Use of a chromosome-22-specific painting probe unequivocally identified a small metacentric chromosome as an i(22q). This case illustrates a variation in the association of trisomy 22 with inv(16) and suggests that duplication of the long arm of chromosome 22 may contain critical gene(s) involved in the multistep process of evolution of leukemia with 16q22 abnormalities.
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Affiliation(s)
- S G Gad
- Department of Pathology and Laboratory Medicine, St Jude Children's Research Hospital Memphis, TN 38105
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Abstract
Nine patients with lymphoproliferative malignancies, one of whom had not been previously diagnosed, were found on CT examination for back pain to have partial or complete soft tissue perivertebral collars. The thoracic and or lumbar regions were involved in all. Only 3 had gross bony changes at the time, and in others the changes appeared so innocuous that in combination with the vague clinical symptoms their significance was underestimated. Five patients ultimately had episodes of cord compression, and in all nine the appearance of this spinal lesion appeared to be of grave prognostic significance. All 9 were dead within 1 year of the presentation of their spinal lesions. The observation of a perivertebral collar in the context of a known or suspected lymphoproliferative malignancy should therefore raise the strong suspicion of spinal involvement. The vertebrae should be examined on bone windows and the contents of the spinal canal on narrow windows to assess bony and epidural spread.
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Affiliation(s)
- L E Albertyn
- Department of Radiology, Queen Elizabeth Hospital, Woodville, South Australia
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Hannemann L, Kuss B, Eyrich K. [Prevention of stress ulcer: an essentially necessary measure in intensive care patients? Arguments contra]. Z Gastroenterol 1991; 29 Suppl 1:7-8; discussion 9. [PMID: 1683735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- L Hannemann
- Klinik für Anästhesiologie und operative Intensivmedizin am Klinikum Steglitz der FU Berlin
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Abstract
Standard hemodynamic support in septic shock is to increase pulmonary capillary wedge pressure to above 15 mmHg by volume replacement and to give inotropic support if the mean arterial pressure (MAP) is not adequate. In an attempt to decrease mortality in critically ill patients, oxygen delivery (DO2) was increased by switching inotropic support from dobutamine alone or in combination with norepinephrine to dopamine alone, or by adding dopexamine, prostacyclin, or hypertonic saline to the treatment. DO2 increased significantly in all patients, but the increase in DO2 was accompanied by only a 10% increase in oxygen consumption (VO2). The increase in VO2 was similar in survivors and nonsurvivors and in patients with and without septic shock. The results indicate that if adequate volume and inotropic support is provided for critically ill patients, the detectable oxygen debt is small and has little effect on patient outcome. When DO2 is adequate, factors other than a tissue oxygen deficit seem to determine patient outcome.
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Affiliation(s)
- K Reinhart
- Department of Anesthesiology and Operative Care Medicine, Steglitz Medical Center, Berlin, West-Germany
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Affiliation(s)
- L Hannemann
- Dept. Anesthesiology and Intensive Care Medicine, Free University of Berlin Klinikum Steglitz
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Reinhart K, Bloos F, König F, Hannemann L, Kuss B. Oxygen transport variables and muscle tissue oxygenation in critically ill patients with and without sepsis. Adv Exp Med Biol 1990; 277:861-4. [PMID: 2096686 DOI: 10.1007/978-1-4684-8181-5_98] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- K Reinhart
- Dept. Anesthesiology and Intensive Care Medicine, Free University of Berlin, Klinikum Steglitz
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Schäfer M, Ciesielski K, Kuss B, Link J. [Incorrect placement of a vena cava catheter and its prevention by intra-atrial ECG]. Anaesthesist 1988; 37:49-51. [PMID: 3354832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Up to now, radiological position control was obligatory due to the frequent complications arising from false cava catheter positioning. Apart from the radiological control, which is time consuming and expensive and involves the danger of allergic reactions due to contrast media, intraatrial ECG-recording can be applied to achieve correct positioning of the catheter tip. By this method exact placement of the catheter tip in the superior vena cava was possible in 98 of 100 cases examined. Only 2 catheters could not be placed: one was placed intra-arterially, and the other could not pass a venous valve. The method proved to be inexpensive, time saving and could even be applied in emergency situations (intraoperatively). Important prerequisites for the success of the procedure are a disturbance-free ECG-derivation, a sinus rhythm, and sufficient practical experience on the part of the examiner with regard to the assessment of intra-atrial ECG-alterations.
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Affiliation(s)
- M Schäfer
- Klinik für Anaesthesiologie und operative Intensivmedizin, Freien Universität Berlin
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Kuss B. [Comparison of the pathologic-anatomic findings with the abdominal palpation findings in appendicitis in childhood]. Zentralbl Chir 1970; 95:1209-17. [PMID: 5484548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Felder K, Kuss B. [The conservative treatment of retrosternal clavicular luxation]. Monatsschr Unfallheilkd Versicher Versorg Verkehrsmed 1969; 72:76-80. [PMID: 4248710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Kuss B, Mehrabi V. [Contribution to the problem of causal relationships between ulcer disease, gastritis and liver damage]. Med Welt 1968; 13:818-822. [PMID: 5715691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Kuss B, Mehrabi V. [On the coincidence of gastrioduodenal ulcer and gastritis with cholelithiasis]. Zentralbl Chir 1967; 92:2979-85. [PMID: 5595882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Kuss B, Hennrich G. [On the treatment of supracondylar humeral fractures in the child]. Zentralbl Chir 1967; 92:319-26. [PMID: 5592261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Kuss B. [Unusual properties of tibial head fractures and their importance for the choice of treatment]. Zentralbl Chir 1966; 91:1569-76. [PMID: 5995400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Kuss B. [Experimental studies on iron resorption]. Arztl Forsch 1966; 20:60-71. [PMID: 6013796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Kuss B. [Effect of roentgen irradiation on the resorption of iron in the small intestine of the rat]. Langenbecks Arch Chir 1965; 312:304-10. [PMID: 5869178 DOI: 10.1007/bf01439761] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Kuss B. [Contribution to the problem of evaluation of iron resorption curves following total gastrectomy]. Bruns Beitr Klin Chir (1971) 1965; 211:441-8. [PMID: 5886358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Kuss B. [Contribution to the problem of evaluation of iron resorption curves following partial gastric resections]. Bruns Beitr Klin Chir (1971) 1965; 211:430-40. [PMID: 5886357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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Kuss B, Felder K. [Remote results of the treatment of tibial head fractures]. Monatsschr Unfallheilkd Versicher Versorg Verkehrsmed 1965; 68:348-61. [PMID: 4220890] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Kuss B. Zur Pathophysiologie cerebraler Gef��mi�bildungen an Hand serienangiographischer Beobachtungen. Langenbecks Arch Surg 1953. [DOI: 10.1007/bf01403256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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