The Effect of Anticoagulant Therapy on Survival and Outcome of Venous Thrombosis in Children, Teenagers, and Young Adults with Acute Lymphoblastic Leukemia Treated According to ALL-MB-2008 and ALL-MB-2015 Protocols

VV Dmitriev, NV Migal, OI Bydanov, NV Lipai, EV Dmitriev

Republican National Applied Research Center of Pediatric Oncology, Hematology and Immunology, 43 Frunzenskaya, Borovlyany, Minskii district, Republic of Belarus, 223053

For correspondence: Vyacheslav Vasil’evich Dmitriev, MD, PhD, 43 Frunzenskaya str., Borovlyany, Minskii district, Republic of Belarus, 223053; Tel.: +375(17)265-42-22; e-mail: dmitrievhaematol@mail.ru

For citation: Dmitriev VV, Migal NV, Bydanov OI, et al. The Effect of Anticoagulant Therapy on Survival and Outcome of Venous Thrombosis in Children, Teenagers, and Young Adults with Acute Lymphoblastic Leukemia Treated According to ALL-MB-2008 and ALL-MB-2015 Protocols. Clinical oncohematology. 2019;12(3):338–43 (In Russ).

doi: 10.21320/2500-2139-2019-12-3-338-343


ABSTRACT

Aim. To assess the effect of anticoagulant therapy on survival and outcome of venous thrombosis in children, teenagers, and young adults with acute lymphoblastic leukemia (ALL).

Materials & Methods. Venous thrombosis was diagnosed in 42 out of 592 ALL patients treated according to ALL-MB-2008 and ALL-MB-2015 protocols from 2008 to 2017.

Results. A daily dose of 150–200 IU/kg low molecular weight heparin (LMWH) was administered to 30 patients. Duration of anticoagulant treatment was up to 1 month in 4 patients, 2–3 months in 8 patients, 4–6 months in 12 patients, and 7–12 months in 4 patients. To 2 patients anticoagulants were administered for more than 24 months. Complete recanalization of thrombosed vessel was achieved in 19 patients, partial recanalization was achieved in 6 patients, obliteration of predominantly internal jugular vein was found in 5 patients. During thrombocytopenia (100 to 35 × 109/L) 12 patients received reduced doses of LMWH for 1–4 weeks. In the period of chemotherapy-induced thrombocytopenia the daily LMWH dose was reduced in proportion to thrombocyte level. After thrombocyte recovery up to more than 100 × 109/L antithrombotic treatment was continued with LMWH daily dose of 150–200 anti-Xa IU/kg. The duration of anticoagulant treatment among 12 patients who received reduced doses of LMWH was up to 1 month in 3 patients, 2–3 months in 4 patients, 4–6 months in 3 patients, and 7–12 months in 2 patients. Complete recanalization of thrombosed vessel was achieved in 8 patients, partial recanalization was achieved in 2 patients, vein obliteration was found in 2 patients. No correlation between LMWH dosage and thrombosis outcome was observed (χ2 = 0.494; = 0.78). Maintenance (accompanying) therapy was completed in 38 out of 42 ALL patients with venous thrombosis. Event-free survival was 83 ± 8 %, that was similar to the one (81 ± 2 %) in patients without thrombosis (= 0.654).

Conclusion. Anticoagulant treatment of venous thrombosis complicating ALL in children, teenagers, and young adults did not yield a decrease of either overall or event-free survival. Reduction of LMWH doses in the period of chemotherapy-induced thrombocytopenia did not affect the outcome of venous thrombosis.

Keywords: venous thrombosis, coagulation, acute lymphoblastic leukemia, children, teenagers, young adults, anticoagulant therapy, low molecular weight heparin.

Received: October 30, 2018

Accepted: June 5, 2019

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REFERENCES

  1. Жарков П.А., Румянцев А.Г., Новичкова Г.А. Венозные тромбозы у детей со злокачественными новообразованиями (обзор литературы). Российский журнал детской гематологии и онкологии. 2015;2(1):66–74. doi: 10.17650/2311-1267-2015-1-66-74.

    [Zharkov PA, Rumyantsev AG, Novichkova GA. Venous thromboembolism in children with cancer. Russian Journal of Pediatric Hematology and Oncology. 2015;2(1):66–74. doi: 10.17650/2311-1267-2015-1-66-74. (In Russ)]

  2. Raetz EA, Salzer WL. Tolerability and efficacy of L-asparaginase therapy in pediatric patients with acute lymphoblastic leukemia. J Pediatr Hematol Oncol. 2010;32(7):554–63. doi: 10.1097/mph.0b013e3181e6f003.

  3. Payne JH, Vora AJ. Thrombosis and acute lymphoblastic leukemia. Br J Haematol. 2007;138(4):430–45. doi: 10.1111/j.1365-2141.2007.06677.x.

  4. Athale UH, Laverdiere C, Nayiager T, et al. Evaluation for inherited and acquired prothrombotic defects predisposing to symptomatic thromboembolism in children with acute lymphoblastic leukemia: a protocol for a prospective, observational, cohort study. BMC Cancer. 2017;17(1):313. doi: 10.1186/s12885-017-3306-5.

  5. Tuckuviene R, Ranta S, Albertsen BK, et al. Prospective study of thromboembolism in 1038 children with acute lymphoblastic leukemia: a Nordic Society of Pediatric Hematology and Oncology (NOPHO) study. J Thromb Haemost. 2016;14(3):485–94. doi: 10.1111/jth.13236.

  6. Caruso V, Iacoviello L, Di Castelnuovo A, et al. Thrombotic complications in childhood acute lymphoblastic leukemia: a meta-analysis of 17 prospective studies comprising 1752 pediatric patients. Blood, 2006;108(7):2216–22. doi: 10.1182/blood-2006-04-015511.

  7. Mitchell L, Lambers M, Flege S, et al. Validation of a predictive model for identifying an increased risk for thromboembolism in children with acute lymphoblastic leukemia: results of a multicenter cohort study. 2010;115(24):4999–5004. doi: 10.1182/blood-2010-01-263012.

  8. Appel IM, Hop WCJ, van Kessel-Bakvis C, et al. L-Asparaginase and the effect of age on coagulation and fibrinolysis in childhood acute lymphoblastic leukemia. Thromb Haemost. 2008;100(08):330–7. doi: 10.1160/th07-10-0620.

  9. Kearon С, Akl E, Ornelas J, et al. Antithrombotic Therapy for VTE Disease. CHEST Guideline and Expert Panel Report. CHEST. 2016;149 (2):315–52. doi: 10.1016/j.chest.2015.11.026.

  10. Carrier M, Khorana AA, Zwicker JI, et al. Management of challenging cases of patients with cancer-associated thrombosis including recurrent thrombosis and bleeding: guidance from the SSC of the ISTH. J Thromb Haemost. 2013;11(9):1760–5. doi: 10.1111/jth.12338.

  11. Saccullo G, Malato A, Raso S, et al. Cancer patients requiring interruption of long-term warfarin because of surgery or chemotherapy induced thrombocytopenia: the use of fixed subtherapeutic doses of low molecular weight heparin. Am J Hematol. 2012;87(4):388–91. doi: 10.1002/ajh.23122.

  12. Kerlin B, Stephens J, Hogan M, et al. Development of a Pediatric-Specific Clinical Probability Tool for Diagnosis of Venous Thromboembolism: A Feasibility Study. Pediatr Res. 2014;77(3):463–71. doi: 10.1038/pr.2014.198.

  13. Babilonia KM, Golightly LK, Gutman JA, et al. Antithrombotic Therapy in Patients With Thrombocytopenic Cancer: Outcomes Associated With Reduced-Dose, Low-Molecular-Weight Heparin During Hospitalization. Clin Appl Thromb Hemost. 2014;20(8):799–806. doi: 10.1177/1076029614543140.

  14. Dmitriev Nadroparin and dalteparin pharmacokinetics in thromboses complicated the treatment of children with oncological diseases. The Book of Abstracts The Congress on Open Issues in Thrombosis and Hemostasis 2018 jointly with the 9th Russian Conference on Clinical Hemostasiology and Hemorheology, Saint Petersburg, Russia October 4–6, 2018. pp 60.

Non-Hodgkin’s Lymphomas in Children: 25-Year Clinical Experience

TT Valiev, AV Popa, AS Levashov, ES Belyaeva, NS Kulichkina, BV Kurdyukov, RS Ravshanova, GL Mentkevich

Scientific Research Institute of Pediatric Oncology and Hematology, NN Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

For correspondence: Timur Teimurazovich Valiev, DSci, 24 Kashirskoye sh., Moscow, Russian Federation, 115478; Tel: +7(499)324-98-69; e-mail: timurvaliev@mail.ru

For citation: Valiev TT, Popa AV, Levashov AS, et al. Non-Hodgkin’s Lymphomas in Children: 25-Year Clinical Experience. Clinical oncohematology. 2016;9(4):420–37 (In Russ).

DOI: 10.21320/2500-2139-2016-9-4-420-437


ABSTRACT

Background & Aims. Current polychemotherapeutic protocols based on differentiated and risk-adopted approaches permitted to consider non-Hodgkin’s lymphomas (NHL) potentially curable diseases although they had been considered fatal previously. The aim of this study is to summarize and analyze outcomes of NHL therapy over a 25-year period.

Methods. 246 patients were enrolled in the study. They were treated in the department of chemotherapy of hemoblastoses in the Scientific Research Institute of Pediatric Oncology and Hematology under the NN Blokhin Russian Cancer Research Center over the period of 25 years: from April 1, 1991, till June 1, 2016. B-NHL-BFM 90/95 protocols and a modified B-NHL-BFM 95 protocol (with rituximab) were used for B-cell NHLs (n = 130). Patients with lymphocytic leukemia (n = 75) were treated using ALL-mBFM 90/95 and ALL IC-BFM 2002 protocols. 21 patients with anaplastic large cell lymphomas (ALCL) received treatment according to the B-NHL-BFM 90/95 protocol, and 20 patients received the НИИ ДОГ-АККЛ-2007 protocol.

Results. Taking into account clinical and immunological characteristics of ALCL, the authors invented an original НИИ ДОГ-АККЛ-2007 protocol. Special attention was paid to potential modification of standard treatment regimens for B-cell NHL by adding rituximab. The article demonstrates the evolution in prescription of rituximab for B-cell NHL and possibilities for reduction of the total number of polychemotherapy cycles for late-stage tumors without deterioration of treatment outcomes.

Conclusion. The obtained results permit to conclude that introduction of achievements of oncoimmunology, molecular biology, and cytogenetics will become the basis for further modification of existing treatment options for NHL.


Keywords: Burkitt lymphoma, diffuse large B-cell lymphoma, anaplastic large-cell lymphoma, primary mediastinal (thymic) large B-cell lymphoma, T- and B-cell lymphoblastic lymphomas, treatment, children.

Received: June 12, 2016

Accepted: June 17, 2016

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REFERENCES

  1. Swerdlow SH, Campo E, Harris NL, et al, eds. WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. 4th edition. Lyon: IARC Press; 2008. pp. 439.
  2. Burkhardt B, Zimmermann M, Oschlies I, et al. The impact of age and gender on biology, clinical features and treatment outcome of non-Hodgkin lymphoma in childhood and adolescence. Br J Haematol. 2005;131(1):39–49. doi: 10.1111/j.1365-2005.05735.x.
  3. Hochberg J, Waxman IM, Kelly KM, et al. Adolescent non-Hodgkin lymphoma and Hodgkin lymphoma: state of the science. Br J Haematol. 2009;144(1):24–40. doi: 10.1111/j.1365-2008.07393.x.
  4. Baccarani M, Corbelli G, Amadori S, et al. Adolescent and adult lymphoblastic leukemia: prognostic features outcome of therapy. А study of 293 patients. Blood. 1982;60(3):677–84.
  5. Gill PS, Meyer PR, Pavlova Z, et al. B-cell acute lymphoblastic leukemia in adults: clinical, morphologic and immunologic findings. J Clin Oncol. 1986;4(5):737–43.
  6. Bernstein JI, Coleman CN, Strickler JG, et al. Combined modality therapy for adult with small noncleaved cell lymphoma (Burkitt and Burkitt-like type). J Clin Oncol. 1986;4(6):847–58.
  7. Reiter A, Schrappe M, Tiemann M, et al. Improved treatment results in childhood B-cell neoplasms with tailored intensification of therapy: a report of the Berlin-Frankfurt-Munster Group Trial NHL-BFM-90. Blood. 1999;94(10):3294–306.
  8. Patte C, J. Michon, Frappaz D, et al. Therapy of Burkitt and other B-cell acute lymphoblastic leukaemia and lymphoma: experience with the LMB protocols of the SFOP (French Paediatric Oncology Society) in children and adults. Bail Clin Haematol. 1994;7(2):339–48. doi: 10.1016/s0950-3536(05)80206-
  9. Patte C, Philip T, Rodary C, et al. High survival rate in advanced-stage B-cell lymphomas and leukemias without CNS involvement with a short intensive polychemotherapy: results from the French Pediatric Oncology Society of a randomized trial of 216 children. J Clin Oncol. 1991;9(1):123–32.
  10. Sun XF, Su YS, Liu DG, et al. Comparing CHOP, CHOP+HD-MTX, and BFM-90 regimens in the survival rate of children and adolescents with B cell non-Hodgkin’s lymphoma. Ai Zheng. 2004;23(8):933–8.
  11. Muller J, Csoka M, Jakab Z, et al. Hungarian experience with non-Hodgkin’s lymphoma in childhood. Magy Onkol. 2006;50(3):253–9.
  12. Cairo MS, Sposto R, Gerrard M, et al. Advanced stage, increased lactate dehydrogenase, and primary site, but not adolescent age (³ 15 years), are associated with an increased risk of treatment failure in children and adolescents with mature B-cell non-Hodgkin’s lymphoma: results of the FAB LMB 96 study. J Clin Oncol. 2012;30(4):387–93. doi: 10.1200/jco.2010.33.3369.
  13. Schwenn M, Blattner S, Lynch E, et al. HiC-COM: a 2-month intensive chemotherapy regimen for children with stage III and IV Burkitt’s lymphoma and B-cell acute lymphoblastic leukemia. J Clin Oncol. 1991;9(1):133–8.
  14. Bowman WP, Shuster JJ, Cook B, et al. Improved survival for children with B-cell acute lymphoblastic leukemia and stage IV small noncleaved-cell lymphoma: a pediatric oncology group study. J Clin Oncol. 1996;14(4):1252–61.
  15. Magrath I, Adde M, Shad A, et al. Adults and children with small non-cleaved-cell lymphoma have similar excellent outcome when treated with the same chemotherapy regimen. J Clin Oncol. 1996;14(3):925–34.
  16. Atra A, Gerrard M, Hobson R, et al. Improved cure rate in children with B-cell acute lymphoblastic leukemia and IV stage B-cell non-Hodgkin lymphoma – results of the UKCCSG 9003 protocol. Br J Cancer. 1998;77(12):2281–5. doi: 10.1038/bjc.1998.379.
  17. Burkhardt B, Oschlies I, Klapper W, et al. Non-Hodgkin’s lymphoma in adolescents: experiences in 378 adolescent NHL patients treated according to pediatric NHL-BFM protocols. Leukemia. 2011;25(1):153–60. doi: 10.1038/leu.2010.245.
  18. Patte C, Auperin A, Michon J, et al. The Societe Francaise d’Oncologie Pediatrique LMB89 protocol: highly effective multiagent chemotherapy tailored to the tumor burden and initial response in 561 unselected children with B-cell lymphomas and L3 leukemia. Blood. 2001;97(11):3370–9. doi: 10.1182/blood.v97.11.3370.
  19. Patte C, Auperin A, Gerrard M, et al. Results of the randomized international FAB/LMB96 trial for intermediate risk B-cell non-Hodgkin lymphoma in children and adolescents: it is possible to reduce treatment for the early responding patients. Blood. 2007;109(7):2773–80. doi: 10.1182/blood-2006-07-
  20. Laver JH, Kraveka JM, Hutchison RE, et al. Advanced-stage large-cell lymphoma in children and adolescents: results of a randomized trial incorporating intermediate-dose methotrexate and high-dose cytarabine in the maintenance phase of the APO regimen: a Pediatric Oncology Group phase III trial. J Clin Oncol. 2005;23(3):541–7. doi: 10.1200/jco.2005.11.075.
  21. Woessmann W, Seidemann K, Mann G.et al. The impact of the methotrexate administration schedule and dose in the treatment of children and adolescents with B-cell neoplasms: a report of the BFM Group Study NHL-BFM95. Blood. 2005;105(3):948–58. doi: 10.1182/blood-2004-03-
  22. Gerrard M, Cairo MS, Weston C, et al. Excellent survival following two courses of COPAD chemotherapy. Br J Haematol. 2008;141(6):840–87. doi: 10.1111/j.1365-2008.07144.x.
  23. Seidemann K, Tiemann M, Lauterbach I, et al. Primary mediastinal large B-cell lymphoma with sclerosis in pediatric and adolescent patients: treatment and results from three therapeutic studies of the Berlin-Frankfurt-Munster Group. J Clin Oncol. 2003;21(9):1782–19. doi: 10.1200/jco.2003.08.151.
  24. Akbayram S, Dogan M, Akgun C, et al. Use of rituximab in three children with relapsed/refractory Burkitt lymphoma. Target Oncol. 2010;5(4):291–4. doi: 10.1007/s11523-010-0161-
  25. Okur VF, Oguz A, Karadeniz C, et al. Refractoriness to rituximab monotherapy in a child with relapsed/refractory Burkitt non-Hodgkin lymphoma. Pediatr Hematol Oncol. 2006;23(1):25–31. doi: 10.1080/08880010500313298.
  26. Holmberg LA, Maloney D, Bensinger W. Immunotherapy with rituximab/interleukin-2 after autologous stem cell transplantation as treatment for CD20+ non-Hodgkin’s lymphoma. Clin Lymph Myel. 2006;7(2):135–9. doi: 10.3816/clm.2006.n.051.
  27. Cooney-Qualter E, Krailo M, Angiolillo A.et al. A Phase I Study of 90Yttrium-Ibritumomab-Tiuxetan in Children and Adolescents with Relapsed/Refractory CD20-Positive Non-Hodgkin’s Lymphoma: A Children’s Oncology Group study. Clin Cancer Res. 2007;13(Suppl 18):5652–60. doi: 10.1158/1078-ccr-07-1060.
  28. Richard H, Termuhlen A, Smith L, et al. Autologous peripheral blood stem cell transplantation in children with refractory or relapsed lymphoma: results of Children’s Oncology Group Study A5962. Biol Blood Marrow Transplant. 2011;17(2):249–58. doi: 10.1016/j.bbmt.2010.07.002.
  29. Pinkel D, Johnson W, Aur RJ. Non-Hodgkin’s lymphoma in children. Br J Cancer. 1975;2:298–23.
  30. Wollner N, Exelby PR, Lieberman PH. Non-Hodgkin’s lymphoma in children: a progress report on the original patients treated with the LSA2-L2 protocol. Cancer. 1979;44(6):1990–9. doi: 10.1002/1097-0142(197912)44:6<1990::aid-cncr2820440605>3.0.co;2-
  31. Asselin BL, Devidas M, Wang C, et al. Effectiveness of high-dose methotrexate in T-cell lymphoblastic leukemia and advanced-stage lymphoblastic lymphoma: a randomized study by the Children’s Oncology Group (POG 9404). Blood. 2011;118(4):874–83. doi: 10.1182/blood-2010-06-
  32. Wiernik P, Goldman J, Dutcher J. Neoplastic disease of the blood. Cambridge; 1216 p.
  33. Tubergen D, Krailo M, Meadows A, et al. Comparison of treatment regimens for pediatric lymphoblastic non-Hodgkin’s lymphoma: a Children’s Cancer Group study. J Clin Oncol Leuk. 1999;13(3):335–42.
  34. Amylon MD, Shuster J, Pullen J, et al. Intensive high-dose asparaginase consolidation improves survival for pediatric patients with T cell acute lymphoblastic leukemia and advanced stage lymphoblastic lymphoma; Pediatr Oncol Group study. Leukemia. 1999;13(3):335–42. doi: 1038/sj.leu.2401310.
  35. Patte C, Philip T, Rodary C, et al. Improved survival rate in children with stage III-IV B-cell non-Hodgkin lymphoma and leukemia using multiagent chemotherapy: results of a study of 114 children from the French Pediatric Oncology Society. J Clin Oncol. 1986;4(8):1219–26.
  36. Reiter A, Schrappe M, Ludwig WD, et al. Favorable outcome of B-cell acute lymphoblastic leukemia in childhood: a report of three consecutive studies of the BFM group. Blood. 1992;80(10):2471–8.
  37. Reiter A, Schrappe M, Parwaresch R, et al. Non-Hodgkin’s lymphomas of childhood and adolescence: results of a treatment stratified for biologic subtypes and stage – a report of the Berlin-Frankfurt-Munster Group. J Clin Oncol. 1995;13(2):359–72.
  38. Nachman J, Sather HN, Cherlow JM, et al. Response of children with high-risk acute lymphoblastic leukemia treated with and without cranial irradiation: a report from the Children’s Cancer Group. J Clin Oncol. 1998;16(3):920–30.
  39. Tang JY, Xue HL, Chen J, et al. Multi-center trial based on SCMC-ALL-2005 for children’s acute lymphoblastic leukemia. Zhonghua Er Ke Za Zhi. 2013;51(7):495–501.
  40. Tallen G, Ratei R, Mann G, et al. Long-term outcome in children with relapsed acute lymphoblastic leukemia after time-point and site-of-relapse stratification and intensified short-course multidrug chemotherapy: results of trial ALL-REZ BFM 90. J Clin Oncol. 2010;28(14):2339–47. doi: 10.1200/jco.2009.25.1983.
  41. Dunsmore KP, Devidas M, Linda SB, et al. Pilot study of nelarabine in combination with intensive chemotherapy in high-risk T-cell acute lymphoblastic leukemia: a report from the Children’s Oncology Group. J Clin Oncol. 2012;30(22):2753–9. doi: 10.1200/jco.2011.40.8724.
  42. Lambe CU, Averett DR, Paff MT, et al. 2-Amino-6-methoxypurine arabinoside: an agent for T-cell malignancies. Cancer Res. 1995;55(15):3352–6.
  43. Cooper TM, Razzouk BI, Gerbing R, et al. Phase I/II trial of clofarabine and cytarabine in children with relapsed/refractory acute lymphoblastic leukemia (AAML0523): a report from the Children’s Oncology Group. Pediatr Blood Cancer. 2013;60(7):1141–7. doi: 10.1002/pbc.24398.
  44. Schroeder H, Garwicz S, Kristinsson J, et al. Outcome after first relapse in children with acute lymphoblastic leukemia: a population-based study of 315 patients from the Nordic Society of Pediatric Hematology and Oncology (NOPHO). Med Pediatr Oncol. 1995;25(5):372–8. doi: 10.1002/mpo.2950250503.
  45. Rosenwald A, Wright G, Leroy K, et al. Molecular diagnosis of primary mediastinal B cell lymphoma identifies a clinically favourable subgroup of diffuse large B cell lymphoma related to Hodgkin lymphoma. J Exp Med. 2003;198(6):851–62. doi: 10.1084/jem.20031074.
  46. Borgmann A, von Stackelberg A, Hartmann R, et al. Unrelated donor stem cell transplantation compared with chemotherapy for children with acute lymphoblastic leukemia in a second remission: a matched-pair analysis. 2003;101(10):3835–9. doi: 10.1182/blood.v101.10.3835.
  47. Wheeler K, Richards S, Bailey C, et al. Comparison of bone marrow transplant and chemotherapy for relapsed childhood acute lymphoblastic leukaemia: the MRC UKALL X experience. Medical Research Council Working Party on Childhood Leukaemia. Br J Haematol. 1998;101(1):94–103. doi: 10.1046/j.1365-2141.1998.00676.x.
  48. Stein H, Mason DY, Gerdes J, et al. The expression of Hodgkin’s disease associated antigen Ki-1 in reactive and neoplasic lymphoid tissue: evidence that Reed-Sternberg cells and histiocytic malignancies are derived from avtivated lymphoid cells. Blood. 1985;66(4):848–58.
  49. Ferreri AJ, Govi S, Pileri SA, Savage KJ. Anaplastic large cell lymphoma, ALK-negative. Crit Rev Oncol Hematol. 2013;85(2):206–15. doi: 10.1016/j.critrevonc.2012.06.004.
  50. Sibon D, Fournier M, Briere J, et al. Prognostic Factors and Long Term Outcome of 138 Adults with Systemic Anaplastic Large-Cell Lymphoma: a Retrospective Study by the Groupe d’Etude Des Lymphomes De l’Adulte (GELA). Blood. 2010;116: Abstract 322.
  51. Park SJ, Kim S, Lee DH, et al. Primary Systemic Anaplastic Large Cell Lymphoma in Korean Adults: 11 Years’ Experience at Asan Medical Center. Yonsei Med J. 2008;49(4):601–9. doi: 10.3349/ymj.2008.49.4.601.
  52. Wang YF, Yang YL, Gao ZF, et al. Clinical and laboratory characteristics of systemic anaplastic large cell lymphoma in Chinese patients. J Hematol Oncol. 2012;5(1):38. doi: 10.1186/1756-8722-5-38.
  53. Amin HM, Lai R. Pathobiology of ALK+ anaplastic large-cell lymphoma. Blood. 2007;110(7):2259–67. doi: 10.1182/blood-2007-04-060715.
  54. Moreno L, Garzon L, Bautista FJ, et al. Diagnosis of paediatric anaplastic large-cell lymphoma: a historical perspective from a single institution. Clin Transl Oncol. 2009;11(5):318–21. doi: 10.1007/s12094-009-0360-
  55. Le Deley MC, Reiter A, Williams D, et al. Prognostic factors in childhood anaplastic large cell lymphoma: results of a large European intergroup study. Blood. 2008;111(3):1560–6. doi: 10.1182/blood-2007-07-
  56. Pillon M, Gregucci F, Lombardi A, et al. Results of AIEOP LNH-97 protocol for the treatment of anaplastic large cell lymphoma of childhood. Pediatr Blood Cancer. 2012;59(5):828–33. doi: 10.1002/pbc.24125.
  57. Gascoyne RD, Aoun P, Wu D, et al. Prognostic significance of anaplastic lymphoma kinase (ALK) protein expression in adults with anaplastic large cell lymphoma. Blood. 1999;93(11):3913–21.
  58. Savage KJ, Harris NL, Vose JM, et al. ALK- anaplastic large-cell lymphoma is clinically and immunophenotypically different from both ALK+ALCL and peripheral T-cell lymphoma, not otherwise specified: report from the International Peripheral Tcell Lymphoma Project. Blood. 2008;111(12):5496–504. doi: 10.1182/blood-2008-01-
  59. Abramov D, Oschlies I, Zimmermann M, et al. Expression of CD8 is associated with non-common type morphology and outcome in pediatric anaplastic lymphoma kinase-positive anaplastic large cell lymphoma. Haematologica. 2013;98(10):1547–53. doi: 10.3324/haematol.2013.085837.
  60. Damm-Welk C, Mussolin L, Zimmermann M, et al. Early assessment of minimal residual disease identifies patients at very high relapse risk in NPM-ALK-positive anaplastic large-cell lymphoma. Blood. 2014;123(3):334–7. doi: 10.1182/blood-2013-09-
  61. Bonvini P, Gastaldi T, Falini B, et al. Nucleophosmin-anaplastic lymphoma kinase (NPM-ALK), a novel Hsp90-client tyrosine kinase: down-regulation of NPM-ALK expression and tyrosine phosphorylation in ALK+ CD30+ lymphoma cells by Hsp90 antagonist 17-allylamino, 17-demethoxygeldanamycin. Cancer Res. 2002;62(5):1559–66.
  62. Ergin M, Denning MF, Izban KF, et al. Inhibition of tyrosine kinase activity induces caspase-dependent apoptosis in anaplastic large cell lymphoma with NPM-ALK (p80) fusion protein. Exp Hematol. 2001;29(9):1082–90. doi: 10.1016/s0301-472x(01)00688-
  63. Han Y, Amin HM, Franko B, et al. Loss of SHP1 enhances JAK3/STAT3 signaling and decreases proteasome degradation of JAK3 and NPM-ALK in ALK+ anaplastic large-cell lymphoma. Blood. 2006;108(8):2796–803. doi: 10.1182/blood-2006-04-
  64. Ogura M, Tobinai K, Hatake K, et al. Phase I/II study of brentuximab vedotin in Japanese patients with relapsed or refractory CD30-positive Hodgkin’s lymphoma or systemic anaplastic large-cell lymphoma. Cancer Sci. 2014;105(7):840–6. doi: 10.1111/cas.12435.
  65. Mosse YP, Lim MS, Voss SD, et al. Safety and activity of crizotinib for paediatric patients with refractory solid tumours or anaplastic large-cell lymphoma: a Children’s Oncology Group phase 1 consortium study. Lancet Oncol. 2013;14(6):472–80. doi: 10.1016/s1470-2045(13)70095-
  66. Brugieres L, Le Deley MC, Rosolen A, et al. Impact of the methotrexate administration dose on the need for intrathecal treatment in children and adolescents with anaplastic large-cell lymphoma: a results of a randomized trial of the EICNHL Group. J Clin Oncol. 2009;27(6):897–903. doi: 10.1200/jco.2008.18.1487.
  67. Seidemann K, Tiemann M, Schrappe M, et al. Short-pulse B-non-Hodgkin lymphoma-type chemotherapy is efficacious treatment for pediatric anaplastic large cell lymphoma: a report of the Berlin-Frankfurt-Munster Group Trial NHL-BFM 90. Blood. 2001;97(12):3699–706. doi: 10.1182/blood.v97.12.3699.
  68. Woessmann W, Zimmermann M, Lenhard M, et al. Relapsed or refractory anaplastic large-cell lymphoma in children and adolescents after Berlin-Frankfurt-Muenster (BFM)-type first-line therapy: a BFM-group study. J Clin Oncol. 2011;29(22):3065–71. doi: 10.1200/jco.2011.34.8417.
  69. Goldberg JD, Casulo C, Horwitz The role of hematopoietic stem cell transplantation in peripheral T-cell lymphomas. In: Non-Hodgkin Lymphoma Cancer Drug Discovery and Development. Springer; 2013. pp. 279–93. doi: 10.1007/978-1-4614-5851-7_16.
  70. Giulino-Roth L, Ricafort R, Kernan NA, et al. Ten-year follow-up of pediatric patients with non-Hodgkin lymphoma treated with allogeneic or autologous stem cell transplantation. Pediatr Blood Cancer. 2013;60(12):2018–24. doi: 10.1002/pbc.24722.
  71. Woessmann W, Peters C, Lenhard M. Allogeneic haematopoietic stem cell transplantation in relapsed or refractory anaplastic large cell lymphoma of children and adolescents – a Berlin-Frankfurt-Munster group report. Br J Haematol. 2006;133(2):176–82. doi: 10.1111/j.1365-2141.2006.06004.x.
  72. Mori T, Takimoto T, Katano N, et al. Recurrent childhood anaplastic large cell lymphoma: a retrospective analysis of registered cases in Japan. Br J Haematol. 2006;132(5):594–7. doi: 10.1111/j.1365-2005.05910.x.
  73. Луговская С.А., Почтарь М.Е., Тупицын Н.Н. Иммунофенотипирование в диагностике гемобластозов. М.: Триада, 2005. 165 с. [Lugovskaya SA, Pochtar’ ME, Tupitsyn NN. Immunofenotipirovanie v diagnostike gemoblastozov. (Immunophenotyping in diagnosis of hemoblastoses.) Moscow: Triada Publ.; 2005. 165 p. (In Russ)]
  74. Курильников А.Я. Мабтера — первые моноклональные антитела в терапии неходжкинских лимфом. Современная онкология. 2002;4(1):25–8. [Kuril’nikov AYa. Mabtera: first monoclonal antibodies in therapy of non-Hodgkin’s lymphomas. Sovremennaya onkologiya. 2002;4(1):25–8. (In Russ)]
  75. Reff M, Carner C, Chambers K, et al. Depletion of B-cells in vivo by a chimeric mouse human monoclonal antibody to CD20. Blood. 1994;83(2):435–45.
  76. Okur FV, Oguz A, Karadeniz C, et al. Refractoriness to rituximab monotherapy in a child with relapsed/refractory Burkitt non-Hodgkin lymphoma. Pediatr Hematol Oncol. 2006;23(1):25–31. doi: 10.1080/08880010500313298.
  77. Marcus R, Hagenbeek A. The therapeutic use of rituximab in non-Hodgkin’s lymphoma. Eur J Haematol. 2007;78(s67):5–14. doi: 10.1111/j.1600-0609.2006.00789.x.
  78. Plosker GL, Figgitt DP. Rituximab. Drugs. 2003;63(8):803–43. doi: 10.2165/00003495-200363080-
  79. Михайлова Н.Б. Роль ритуксимаба в лечении неходжкинских лимфом (реферативный обзор рандомизированных клинических исследований). Современная онкология. 2009;11(3):28–31. [Mikhailova NB. Role of rituximab in treatment of non-Hodgkin’s lymphomas (abstract review of randomized clinical trials). Sovremennaya onkologiya. 2009;11(3):28–31. (In Russ)]
  80. Li X, Liu Z, Cao J, et al. Rituximab in combination with CHOP chemotherapy for the treatment of diffuse large B cell lymphoma in China: a 10-year retrospective follow-up analysis of 437 cases from Shanghai Lymphoma Research Group. Ann Hematol. 2012;91(6):837–45. doi: 10.1007/s00277-011-1375-
  81. Thomas DA, Faderl S, O’Brien S, et al. Chemoimmunotherapy with hyper-CVAD plus rituximab for the treatment of adult Burkitt and Burkitt-type lymphoma or acute lymphoblastic leukemia. 2006;106(7):1569–80. doi: 10.1002/cncr.21776.
  82. Fayad L, Thomas D, Romaguera J. Update of the M. D. Anderson Cancer Center experience with hyper-CVAD and rituximab for the treatment of mantle cell and Burkitt-type lymphomas. Clin Lymph Myel. 2007;8(2):57–62. doi: 10.3816/clm.2007.s.034.
  83. Meinhardt A, Burkhardt B, Zimmermann M, et al. Phase II Window Study on Rituximab in Newly Diagnosed Pediatric Mature B-Cell Non-Hodgkin’s Lymphoma and Burkitt Leukemia. J Clin Oncol. 2010;28(19):3115–21. doi: 10.1200/jco.2009.26.6791.
  84. Bilic E, Femenic R, Conja J, et al. CD20-positive childhood B-non-Hodgkin lymphoma: morphology, immunophenotype and a novel treatment approach: a single center experience. Coll Antropol. 2010;34(1):171–5.
  85. Смирнова Н.В., Мякова Н.В., Белогурова М.Б. и др. Лечение зрелоклеточных В-клеточных неходжкинских лимфом с использованием комбинированной иммунохимиотерапии: возможности оптимизации терапевтической стратегии. Онкогематология. 2015;10(4):15–24. doi: 10.17650/1818-8346-2015-10-4-15-24. [Smirnova NV, Myakova NV, Belogurova MB, et al. Treatment of B-cells non-Hodgkin lymphomas with combined immunochemotherapy: ability to treatment optimization. Oncohematology. 2015;10(4):15–24. doi: 10.17650/1818-8346-2015-10-4-15-24. (In Russ)]
  86. Miyamoto KI, Kobayashi Y, Maeshima AM, et al. Clinicopathological prognostic factors of 24 patients with B-cell lymphoma, unclassifiable, with features intermediate between diffuse large B-cell lymphoma and Burkitt lymphoma. Int J Hematol. 2016;103(6):693–702. doi: 1007/s12185-016-1989-z.
  87. Gerrard M, Cairo MS, Weston C, et al. Excellent survival following two courses of COPAD chemotherapy. Br J Haematol. 2008;141(6):840–7. doi: 10.1111/j.1365-2008.07144.x.
  88. Patte C, Auperin A, Gerrard M, et al. Results of the randomized international FAB/LMB96 trial for intermediate risk B-cell non-Hodgkin lymphoma in children and adolescents: it is possible to reduce treatment for the early responding patients. Blood. 2007;109(7):2773–80. doi: 10.1182/blood-2006-07-
  89. Stary J, Zimmermann M, Campbell M, et al. Intensive chemotherapy for childhood acute lymphoblastic leukemia: results of the randomized intercontinental trial ALL IC-BFM 2002. J Clin Oncol. 2014;32(3):174–84. doi: 10.1200/jco.2013.48.6522.

A Case Report of Myeloid Sarcoma in a Child

TT Valiev1, AM Kovrigina2, TR Panferova1, TL Ushakova1, IN Serebryakova3, NN Tupitsyn3, LYu Grivtsova3, II Matveeva3, EV Mikhailova1, AV Popa1, GL Menkevich1

1 Institute of Pediatric Oncology and Hematology, NN Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

2 Hematology Research Center under the Ministry of Health of the Russian Federation, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167

3 Institute of Clinical Oncology, NN Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

For correspondence: Timur Teimurazovich Valiev, DSci, 24 Kashirskoye sh., Moscow, Russian Federation, 115478; Tel: +7(499)324-42-87; е-mail: timurvaliev@mail.ru

For citation: Valiev TT, Kovrigina AM, Panferova TR, et al. A Case Report of Myeloid Sarcoma in a Child. Clinical oncohematology. 2017;10(2):218–26 (In Russ).

DOI: 10.21320/2500-2139-2017-10-2-218-226


ABSTRACT

The diagnosis of myeloid tumors is based on a complex approach and causes significant difficulties especially in young children. Morphologic, immunologic, cytogenetic, molecular and biologic data on myeloid sarcoma are presented based on the literature data and own clinical case. Treatment results of myeloid sarcoma (especially in the high risk group) are unsatisfactory and should be improved.

Keywords: myeloid sarcoma, diagnosis, children.

Received: November 14, 2016

Accepted: February 9, 2017

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REFERENCES

  1. Кассирский И.А., Алексеев Г.А. Клиническая гематология, 4-е изд. М.: Медицина, 1970. 799 с. [Kassirskii IA, Alekseev GA. Klinicheskaya gematologiya. (Clinical hematology.) 4th edition. Moscow: Meditsina Publ.; 1970. 799 p. (In Russ)]
  2. Махонова Л.А., Дроздова Т.С., Протасова А.К. и др. Миелобластная саркома у детей. Гематология и трансфузиология. 1988;33(8): 34–7. [Makhonova LA, Drozdova TS, Protasova AK, et al. Myeloblastic sarcoma in children. Gematologiya i transfuziologiya. 1988;33(8):34–7. (In Russ)]
  3. Fonseca A, Scheinemann K, Jansen J, et al. Testicular myeloid sarcoma. J Pediatr Hematol Oncol. 2014;36(3):e155–7. doi: 10.1097/MPH.0000000000000097.
  4. Byrd JC, Weiss RB, Arthur DC, et al. Extramedullary leukemia adversely affects hematologic complete remission rate and overall survival in patients with t(8;21) (q22;q22): results from Cancer and Leukemia Group B 8461. J Clin Oncol. 1997;15(2):466–75. doi: 10.1200/jco.1997.15.2.466.
  5. Bain EE, Rothman I, Lin L. De novo myeloid sarcoma in a 4-month-old infant: a case report and review of the literature. J Cutan Pathol. 2013;40(3):321–5. doi: 10.1111/cup.12027.
  6. Delhi Kumar CG, Thilagavathy V, Arun Babu T. Granulocytic sarcoma of bladder in an 18-mo-old child with acute myeloid leukemia. Indian J Pediatr. 2014;81(10):1118–9. doi: 10.1007/s12098-014-1371-1.
  7. Vennepureddy A, Valecha G, Murukutla S, et al. Bronchial myeloid sarcoma with concurrent Aspergillus fumigatus infection in a patient presenting with hemoptysis. Expert Rev Hematol. 2015;8(4):433–7. doi: 10.1586/17474086.2015.1044747.
  8. Chen YI, Paci P, Michel RP, et al. Myeloid sarcoma of the duodenum: a rare cause of bowel obstruction and gastrointestinal bleeding. Endoscopy. 2015;47(Suppl 1):E181–2. doi: 10.1055/s-0034-1391502.
  9. Nalwa A, Nath D, Suri V, et al. Myeloid sarcoma of the breast in an aleukemic patient: a rare entity in an uncommon location. Malays J Pathol. 2015;37(1):63–6.
  10. Aboutalebi A, Korman JB, Sohani AR, et al. Aleukemic cutaneous myeloid sarcoma. J Cutan Pathol. 2013;40(12):996–1005. doi: 10.1111/cup.12231.
  11. Kobayashi R, Yamato K. Tanaka F, et al. Retrospective analysis of non-anaplastic peripheral T-cell lymphoma in pediatric patients in Japan. Pediatr Blood Cancer. 2010;54(2):212–5. doi: 10.1002/pbc.22329.
  12. Momota H, Kato S, Fujii M, et al. Primary peripheral T-cell lymphoma, not otherwise specified, of the central nervous system in a child. Brain Tumor Pathol. 2015;32(4):281–5. doi: 10.1007/s10014-015-0229-1.
  13. Al Mahmoud R, Weitzman S, Schechter T, et al. Peripheral T-cell lymphoma in children and adolescents: a single-institution experience. J Pediatr Hematol Oncol. 2012;34(8):611–6. doi: 10.1097/MPH.0b013e3182707592.
   

Recommendation for Sedation and General Anesthesia in Different Tests and Procedures in Pediatric Oncohematology

NV Matinyan, TT Valiev

NN Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

For correspondence: Nune Vanunievna Matinyan, DSci, 24 Kashirskoye sh., Moscow, Russian Federation, 115478; Tel: +7(499)324-32-12; e-mail: n9031990633@yandex.ru

For citation: Matinyan NV, Valiev TT. Recommendation for Sedation and General Anesthesia in Different Tests and Procedures in Pediatric Oncohematology. Clinical oncohematology. 2017;10(1):108–12 (In Russ).

DOI: 10.21320/2500-2139-2017-10-1-108-112


ABSTRACT

Current anti-tumor chemotherapy programs for pediatric oncohematological disorders treatment imply diagnostic and therapeutic procedures under sedation. Based on the international and our own experience, this paper lists recommendations for the optimal anesthesia method for different manipulations in oncohematology.

Keywords: anesthesia, oncohematology, children.

Received: August 1, 2016

Accepted: December 12, 2016

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REFERENCES

  1. Салтанов А.И., Матинян Н.В. Общая анестезия в клинике детской онкологии. М.: МИА, 2016. 256 с. [Saltanov AI, Matinyan NV. Obshchaya anesteziya v klinike detskoi onkologii. (General anesthesia in pediatric oncology.) Moscow: MIA Publ.; 2016. 256 p. (In Russ)]
  2. Алексеев Н.А. Гематология и иммунология детского возраста. СПб.: Гиппократ, 2009. 1039 с. [Alekseev NA. Gematologiya i immunologiya detskogo vozrasta. (Pediatric hematology and immunology.) Saint Petersburg: Gippokrat Publ.; 2009. 1039 p. (In Russ)]
  3. Александрович Ю.С., Пшенистов К.В., Гордеев В.И. Анестезия в педиатрии. СПб.: ЭЛБИ, 2013. 160 с. [Aleksandrovich YuS, Pshenistov KV, Gordeev VI. Anesteziya v pediatrii. (Anesthesia in pediatrics.) Saint Petersburg: ELBI Publ.; 2013. 160 p. (In Russ)]
  4. Горобец Е.С. Анестезиологические проблемы трахеобронхиальной обструкции у больных с опухолями средостения: Автореф. дис. ¼ д-ра мед. наук. М., 1993. 44 с. [Gorobets ES. Anesteziologicheskie problemy trakheobronkhial’noi obstruktsii u bol’nykh s opukholyami. (Anesthesiological problems of tracheobronchal obstruction in patients with mediastinal tumors.) [dissertation] Moscow; 1993. 44 p. (In Russ)]
  5. van Wijk RM, Watts RW, Ledowski T, et al. Deep neuromuscular block reduces intra-abdominal pressure requirements during laparoscopic cholecystectomy: a prospective observational study. Acta Anaesthesiol Scand. 2015;59(4):434–40. doi: 10.1111/aas.12491.
  6. Сатишур О.Е. Механическая вентиляция легких. М.: Медицинская литература, 2006. 352 с. [Satishur OE. Mekhanicheskaya ventilyatsiya legkikh. (Mechanical lung ventilation.) Moscow: Meditsinskaya literature Publ.; 2006. 352 p. (In Russ)]
 

Non-Hodgkin’s Lymphomas in Children: 25-Year Clinical Experience

TT Valiev, AV Popa, AS Levashov, ES Belyaeva, NS Kulichkina, BV Kurdyukov, RS Ravshanova, GL Mentkevich

Scientific Research Institute of Pediatric Oncology and Hematology, NN Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

For correspondence: Timur Teimurazovich Valiev, DSci, 24 Kashirskoye sh., Moscow, Russian Federation, 115478; Tel: +7(499)324-98-69; e-mail: timurvaliev@mail.ru

For citation: Valiev TT, Popa AV, Levashov AS, et al. Non-Hodgkin’s Lymphomas in Children: 25-Year Clinical Experience. Clinical oncohematology. 2016;9(4):420–37 (In Russ).

DOI: http://dx.doi.org/10.21320/2500-2139-2016-9-4-420-437


ABSTRACT

Background & Aims. Current polychemotherapeutic protocols based on differentiated and risk-adopted approaches permitted to consider non-Hodgkin’s lymphomas (NHL) potentially curable diseases although they had been considered fatal previously. The aim of this study is to summarize and analyze outcomes of NHL therapy over a 25-year period.

Methods. 246 patients were enrolled in the study. They were treated in the department of chemotherapy of hemoblastoses in the Scientific Research Institute of Pediatric Oncology and Hematology under the NN Blokhin Russian Cancer Research Center over the period of 25 years: from April 1, 1991, till June 1, 2016. B-NHL-BFM 90/95 protocols and a modified B-NHL-BFM 95 protocol (with rituximab) were used for B-cell NHLs (n = 130). Patients with lymphocytic leukemia (n = 75) were treated using ALL-mBFM 90/95 and ALL IC-BFM 2002 protocols. 21 patients with anaplastic large cell lymphomas (ALCL) received treatment according to the B-NHL-BFM 90/95 protocol, and 20 patients received the НИИ ДОГ-АККЛ-2007 protocol.

Results. Taking into account clinical and immunological characteristics of ALCL, the authors invented an original НИИ ДОГ-АККЛ-2007 protocol. Special attention was paid to potential modification of standard treatment regimens for B-cell NHL by adding rituximab. The article demonstrates the evolution in prescription of rituximab for B-cell NHL and possibilities for reduction of the total number of polychemotherapy cycles for late-stage tumors without deterioration of treatment outcomes.

Conclusion. The obtained results permit to conclude that introduction of achievements of oncoimmunology, molecular biology, and cytogenetics will become the basis for further modification of existing treatment options for NHL.

Keywords: Burkitt lymphoma, diffuse large B-cell lymphoma, anaplastic large-cell lymphoma, primary mediastinal (thymic) large B-cell lymphoma, T- and B-cell lymphoblastic lymphomas, treatment, children.

Received: June 12, 2016

Accepted: June 17, 2016

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REFERENCES

  1. Swerdlow SH, Campo E, Harris NL, et al, eds. WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. 4th edition. Lyon: IARC Press; 2008. pp. 439.
  2. Burkhardt B, Zimmermann M, Oschlies I, et al. The impact of age and gender on biology, clinical features and treatment outcome of non-Hodgkin lymphoma in childhood and adolescence. Br J Haematol. 2005;131(1):39–49. doi: 10.1111/j.1365-2005.05735.x.
  3. Hochberg J, Waxman IM, Kelly KM, et al. Adolescent non-Hodgkin lymphoma and Hodgkin lymphoma: state of the science. Br J Haematol. 2009;144(1):24–40. doi: 10.1111/j.1365-2008.07393.x.
  4. Baccarani M, Corbelli G, Amadori S, et al. Adolescent and adult lymphoblastic leukemia: prognostic features outcome of therapy. А study of 293 patients. Blood. 1982;60(3):677–84.
  5. Gill PS, Meyer PR, Pavlova Z, et al. B-cell acute lymphoblastic leukemia in adults: clinical, morphologic and immunologic findings. J Clin Oncol. 1986;4(5):737–43.
  6. Bernstein JI, Coleman CN, Strickler JG, et al. Combined modality therapy for adult with small noncleaved cell lymphoma (Burkitt and Burkitt-like type). J Clin Oncol. 1986;4(6):847–58.
  7. Reiter A, Schrappe M, Tiemann M, et al. Improved treatment results in childhood B-cell neoplasms with tailored intensification of therapy: a report of the Berlin-Frankfurt-Munster Group Trial NHL-BFM-90. Blood. 1999;94(10):3294–306.
  8. Patte C, J. Michon, Frappaz D, et al. Therapy of Burkitt and other B-cell acute lymphoblastic leukaemia and lymphoma: experience with the LMB protocols of the SFOP (French Paediatric Oncology Society) in children and adults. Bail Clin Haematol. 1994;7(2):339–48. doi: 10.1016/s0950-3536(05)80206-
  9. Patte C, Philip T, Rodary C, et al. High survival rate in advanced-stage B-cell lymphomas and leukemias without CNS involvement with a short intensive polychemotherapy: results from the French Pediatric Oncology Society of a randomized trial of 216 children. J Clin Oncol. 1991;9(1):123–32.
  10. Sun XF, Su YS, Liu DG, et al. Comparing CHOP, CHOP+HD-MTX, and BFM-90 regimens in the survival rate of children and adolescents with B cell non-Hodgkin’s lymphoma. Ai Zheng. 2004;23(8):933–8.
  11. Muller J, Csoka M, Jakab Z, et al. Hungarian experience with non-Hodgkin’s lymphoma in childhood. Magy Onkol. 2006;50(3):253–9.
  12. Cairo MS, Sposto R, Gerrard M, et al. Advanced stage, increased lactate dehydrogenase, and primary site, but not adolescent age (³ 15 years), are associated with an increased risk of treatment failure in children and adolescents with mature B-cell non-Hodgkin’s lymphoma: results of the FAB LMB 96 study. J Clin Oncol. 2012;30(4):387–93. doi: 10.1200/jco.2010.33.3369.
  13. Schwenn M, Blattner S, Lynch E, et al. HiC-COM: a 2-month intensive chemotherapy regimen for children with stage III and IV Burkitt’s lymphoma and B-cell acute lymphoblastic leukemia. J Clin Oncol. 1991;9(1):133–8.
  14. Bowman WP, Shuster JJ, Cook B, et al. Improved survival for children with B-cell acute lymphoblastic leukemia and stage IV small noncleaved-cell lymphoma: a pediatric oncology group study. J Clin Oncol. 1996;14(4):1252–61.
  15. Magrath I, Adde M, Shad A, et al. Adults and children with small non-cleaved-cell lymphoma have similar excellent outcome when treated with the same chemotherapy regimen. J Clin Oncol. 1996;14(3):925–34.
  16. Atra A, Gerrard M, Hobson R, et al. Improved cure rate in children with B-cell acute lymphoblastic leukemia and IV stage B-cell non-Hodgkin lymphoma – results of the UKCCSG 9003 protocol. Br J Cancer. 1998;77(12):2281–5. doi: 10.1038/bjc.1998.379.
  17. Burkhardt B, Oschlies I, Klapper W, et al. Non-Hodgkin’s lymphoma in adolescents: experiences in 378 adolescent NHL patients treated according to pediatric NHL-BFM protocols. Leukemia. 2011;25(1):153–60. doi: 10.1038/leu.2010.245.
  18. Patte C, Auperin A, Michon J, et al. The Societe Francaise d’Oncologie Pediatrique LMB89 protocol: highly effective multiagent chemotherapy tailored to the tumor burden and initial response in 561 unselected children with B-cell lymphomas and L3 leukemia. Blood. 2001;97(11):3370–9. doi: 10.1182/blood.v97.11.3370.
  19. Patte C, Auperin A, Gerrard M, et al. Results of the randomized international FAB/LMB96 trial for intermediate risk B-cell non-Hodgkin lymphoma in children and adolescents: it is possible to reduce treatment for the early responding patients. Blood. 2007;109(7):2773–80. doi: 10.1182/blood-2006-07-
  20. Laver JH, Kraveka JM, Hutchison RE, et al. Advanced-stage large-cell lymphoma in children and adolescents: results of a randomized trial incorporating intermediate-dose methotrexate and high-dose cytarabine in the maintenance phase of the APO regimen: a Pediatric Oncology Group phase III trial. J Clin Oncol. 2005;23(3):541–7. doi: 10.1200/jco.2005.11.075.
  21. Woessmann W, Seidemann K, Mann G.et al. The impact of the methotrexate administration schedule and dose in the treatment of children and adolescents with B-cell neoplasms: a report of the BFM Group Study NHL-BFM95. Blood. 2005;105(3):948–58. doi: 10.1182/blood-2004-03-
  22. Gerrard M, Cairo MS, Weston C, et al. Excellent survival following two courses of COPAD chemotherapy. Br J Haematol. 2008;141(6):840–87. doi: 10.1111/j.1365-2008.07144.x.
  23. Seidemann K, Tiemann M, Lauterbach I, et al. Primary mediastinal large B-cell lymphoma with sclerosis in pediatric and adolescent patients: treatment and results from three therapeutic studies of the Berlin-Frankfurt-Munster Group. J Clin Oncol. 2003;21(9):1782–19. doi: 10.1200/jco.2003.08.151.
  24. Akbayram S, Dogan M, Akgun C, et al. Use of rituximab in three children with relapsed/refractory Burkitt lymphoma. Target Oncol. 2010;5(4):291–4. doi: 10.1007/s11523-010-0161-
  25. Okur VF, Oguz A, Karadeniz C, et al. Refractoriness to rituximab monotherapy in a child with relapsed/refractory Burkitt non-Hodgkin lymphoma. Pediatr Hematol Oncol. 2006;23(1):25–31. doi: 10.1080/08880010500313298.
  26. Holmberg LA, Maloney D, Bensinger W. Immunotherapy with rituximab/interleukin-2 after autologous stem cell transplantation as treatment for CD20+ non-Hodgkin’s lymphoma. Clin Lymph Myel. 2006;7(2):135–9. doi: 10.3816/clm.2006.n.051.
  27. Cooney-Qualter E, Krailo M, Angiolillo A.et al. A Phase I Study of 90Yttrium-Ibritumomab-Tiuxetan in Children and Adolescents with Relapsed/Refractory CD20-Positive Non-Hodgkin’s Lymphoma: A Children’s Oncology Group study. Clin Cancer Res. 2007;13(Suppl 18):5652–60. doi: 10.1158/1078-ccr-07-1060.
  28. Richard H, Termuhlen A, Smith L, et al. Autologous peripheral blood stem cell transplantation in children with refractory or relapsed lymphoma: results of Children’s Oncology Group Study A5962. Biol Blood Marrow Transplant. 2011;17(2):249–58. doi: 10.1016/j.bbmt.2010.07.002.
  29. Pinkel D, Johnson W, Aur RJ. Non-Hodgkin’s lymphoma in children. Br J Cancer. 1975;2:298–23.
  30. Wollner N, Exelby PR, Lieberman PH. Non-Hodgkin’s lymphoma in children: a progress report on the original patients treated with the LSA2-L2 protocol. Cancer. 1979;44(6):1990–9. doi: 10.1002/1097-0142(197912)44:6<1990::aid-cncr2820440605>3.0.co;2-
  31. Asselin BL, Devidas M, Wang C, et al. Effectiveness of high-dose methotrexate in T-cell lymphoblastic leukemia and advanced-stage lymphoblastic lymphoma: a randomized study by the Children’s Oncology Group (POG 9404). Blood. 2011;118(4):874–83. doi: 10.1182/blood-2010-06-
  32. Wiernik P, Goldman J, Dutcher J. Neoplastic disease of the blood. Cambridge; 1216 p.
  33. Tubergen D, Krailo M, Meadows A, et al. Comparison of treatment regimens for pediatric lymphoblastic non-Hodgkin’s lymphoma: a Children’s Cancer Group study. J Clin Oncol Leuk. 1999;13(3):335–42.
  34. Amylon MD, Shuster J, Pullen J, et al. Intensive high-dose asparaginase consolidation improves survival for pediatric patients with T cell acute lymphoblastic leukemia and advanced stage lymphoblastic lymphoma; Pediatr Oncol Group study. Leukemia. 1999;13(3):335–42. doi: 1038/sj.leu.2401310.
  35. Patte C, Philip T, Rodary C, et al. Improved survival rate in children with stage III-IV B-cell non-Hodgkin lymphoma and leukemia using multiagent chemotherapy: results of a study of 114 children from the French Pediatric Oncology Society. J Clin Oncol. 1986;4(8):1219–26.
  36. Reiter A, Schrappe M, Ludwig WD, et al. Favorable outcome of B-cell acute lymphoblastic leukemia in childhood: a report of three consecutive studies of the BFM group. Blood. 1992;80(10):2471–8.
  37. Reiter A, Schrappe M, Parwaresch R, et al. Non-Hodgkin’s lymphomas of childhood and adolescence: results of a treatment stratified for biologic subtypes and stage – a report of the Berlin-Frankfurt-Munster Group. J Clin Oncol. 1995;13(2):359–72.
  38. Nachman J, Sather HN, Cherlow JM, et al. Response of children with high-risk acute lymphoblastic leukemia treated with and without cranial irradiation: a report from the Children’s Cancer Group. J Clin Oncol. 1998;16(3):920–30.
  39. Tang JY, Xue HL, Chen J, et al. Multi-center trial based on SCMC-ALL-2005 for children’s acute lymphoblastic leukemia. Zhonghua Er Ke Za Zhi. 2013;51(7):495–501.
  40. Tallen G, Ratei R, Mann G, et al. Long-term outcome in children with relapsed acute lymphoblastic leukemia after time-point and site-of-relapse stratification and intensified short-course multidrug chemotherapy: results of trial ALL-REZ BFM 90. J Clin Oncol. 2010;28(14):2339–47. doi: 10.1200/jco.2009.25.1983.
  41. Dunsmore KP, Devidas M, Linda SB, et al. Pilot study of nelarabine in combination with intensive chemotherapy in high-risk T-cell acute lymphoblastic leukemia: a report from the Children’s Oncology Group. J Clin Oncol. 2012;30(22):2753–9. doi: 10.1200/jco.2011.40.8724.
  42. Lambe CU, Averett DR, Paff MT, et al. 2-Amino-6-methoxypurine arabinoside: an agent for T-cell malignancies. Cancer Res. 1995;55(15):3352–6.
  43. Cooper TM, Razzouk BI, Gerbing R, et al. Phase I/II trial of clofarabine and cytarabine in children with relapsed/refractory acute lymphoblastic leukemia (AAML0523): a report from the Children’s Oncology Group. Pediatr Blood Cancer. 2013;60(7):1141–7. doi: 10.1002/pbc.24398.
  44. Schroeder H, Garwicz S, Kristinsson J, et al. Outcome after first relapse in children with acute lymphoblastic leukemia: a population-based study of 315 patients from the Nordic Society of Pediatric Hematology and Oncology (NOPHO). Med Pediatr Oncol. 1995;25(5):372–8. doi: 10.1002/mpo.2950250503.
  45. Rosenwald A, Wright G, Leroy K, et al. Molecular diagnosis of primary mediastinal B cell lymphoma identifies a clinically favourable subgroup of diffuse large B cell lymphoma related to Hodgkin lymphoma. J Exp Med. 2003;198(6):851–62. doi: 10.1084/jem.20031074.
  46. Borgmann A, von Stackelberg A, Hartmann R, et al. Unrelated donor stem cell transplantation compared with chemotherapy for children with acute lymphoblastic leukemia in a second remission: a matched-pair analysis. 2003;101(10):3835–9. doi: 10.1182/blood.v101.10.3835.
  47. Wheeler K, Richards S, Bailey C, et al. Comparison of bone marrow transplant and chemotherapy for relapsed childhood acute lymphoblastic leukaemia: the MRC UKALL X experience. Medical Research Council Working Party on Childhood Leukaemia. Br J Haematol. 1998;101(1):94–103. doi: 10.1046/j.1365-2141.1998.00676.x.
  48. Stein H, Mason DY, Gerdes J, et al. The expression of Hodgkin’s disease associated antigen Ki-1 in reactive and neoplasic lymphoid tissue: evidence that Reed-Sternberg cells and histiocytic malignancies are derived from avtivated lymphoid cells. Blood. 1985;66(4):848–58.
  49. Ferreri AJ, Govi S, Pileri SA, Savage KJ. Anaplastic large cell lymphoma, ALK-negative. Crit Rev Oncol Hematol. 2013;85(2):206–15. doi: 10.1016/j.critrevonc.2012.06.004.
  50. Sibon D, Fournier M, Briere J, et al. Prognostic Factors and Long Term Outcome of 138 Adults with Systemic Anaplastic Large-Cell Lymphoma: a Retrospective Study by the Groupe d’Etude Des Lymphomes De l’Adulte (GELA). Blood. 2010;116: Abstract 322.
  51. Park SJ, Kim S, Lee DH, et al. Primary Systemic Anaplastic Large Cell Lymphoma in Korean Adults: 11 Years’ Experience at Asan Medical Center. Yonsei Med J. 2008;49(4):601–9. doi: 10.3349/ymj.2008.49.4.601.
  52. Wang YF, Yang YL, Gao ZF, et al. Clinical and laboratory characteristics of systemic anaplastic large cell lymphoma in Chinese patients. J Hematol Oncol. 2012;5(1):38. doi: 10.1186/1756-8722-5-38.
  53. Amin HM, Lai R. Pathobiology of ALK+ anaplastic large-cell lymphoma. Blood. 2007;110(7):2259–67. doi: 10.1182/blood-2007-04-060715.
  54. Moreno L, Garzon L, Bautista FJ, et al. Diagnosis of paediatric anaplastic large-cell lymphoma: a historical perspective from a single institution. Clin Transl Oncol. 2009;11(5):318–21. doi: 10.1007/s12094-009-0360-
  55. Le Deley MC, Reiter A, Williams D, et al. Prognostic factors in childhood anaplastic large cell lymphoma: results of a large European intergroup study. Blood. 2008;111(3):1560–6. doi: 10.1182/blood-2007-07-
  56. Pillon M, Gregucci F, Lombardi A, et al. Results of AIEOP LNH-97 protocol for the treatment of anaplastic large cell lymphoma of childhood. Pediatr Blood Cancer. 2012;59(5):828–33. doi: 10.1002/pbc.24125.
  57. Gascoyne RD, Aoun P, Wu D, et al. Prognostic significance of anaplastic lymphoma kinase (ALK) protein expression in adults with anaplastic large cell lymphoma. Blood. 1999;93(11):3913–21.
  58. Savage KJ, Harris NL, Vose JM, et al. ALK- anaplastic large-cell lymphoma is clinically and immunophenotypically different from both ALK+ALCL and peripheral T-cell lymphoma, not otherwise specified: report from the International Peripheral Tcell Lymphoma Project. Blood. 2008;111(12):5496–504. doi: 10.1182/blood-2008-01-
  59. Abramov D, Oschlies I, Zimmermann M, et al. Expression of CD8 is associated with non-common type morphology and outcome in pediatric anaplastic lymphoma kinase-positive anaplastic large cell lymphoma. Haematologica. 2013;98(10):1547–53. doi: 10.3324/haematol.2013.085837.
  60. Damm-Welk C, Mussolin L, Zimmermann M, et al. Early assessment of minimal residual disease identifies patients at very high relapse risk in NPM-ALK-positive anaplastic large-cell lymphoma. Blood. 2014;123(3):334–7. doi: 10.1182/blood-2013-09-
  61. Bonvini P, Gastaldi T, Falini B, et al. Nucleophosmin-anaplastic lymphoma kinase (NPM-ALK), a novel Hsp90-client tyrosine kinase: down-regulation of NPM-ALK expression and tyrosine phosphorylation in ALK+ CD30+ lymphoma cells by Hsp90 antagonist 17-allylamino, 17-demethoxygeldanamycin. Cancer Res. 2002;62(5):1559–66.
  62. Ergin M, Denning MF, Izban KF, et al. Inhibition of tyrosine kinase activity induces caspase-dependent apoptosis in anaplastic large cell lymphoma with NPM-ALK (p80) fusion protein. Exp Hematol. 2001;29(9):1082–90. doi: 10.1016/s0301-472x(01)00688-
  63. Han Y, Amin HM, Franko B, et al. Loss of SHP1 enhances JAK3/STAT3 signaling and decreases proteasome degradation of JAK3 and NPM-ALK in ALK+ anaplastic large-cell lymphoma. Blood. 2006;108(8):2796–803. doi: 10.1182/blood-2006-04-
  64. Ogura M, Tobinai K, Hatake K, et al. Phase I/II study of brentuximab vedotin in Japanese patients with relapsed or refractory CD30-positive Hodgkin’s lymphoma or systemic anaplastic large-cell lymphoma. Cancer Sci. 2014;105(7):840–6. doi: 10.1111/cas.12435.
  65. Mosse YP, Lim MS, Voss SD, et al. Safety and activity of crizotinib for paediatric patients with refractory solid tumours or anaplastic large-cell lymphoma: a Children’s Oncology Group phase 1 consortium study. Lancet Oncol. 2013;14(6):472–80. doi: 10.1016/s1470-2045(13)70095-
  66. Brugieres L, Le Deley MC, Rosolen A, et al. Impact of the methotrexate administration dose on the need for intrathecal treatment in children and adolescents with anaplastic large-cell lymphoma: a results of a randomized trial of the EICNHL Group. J Clin Oncol. 2009;27(6):897–903. doi: 10.1200/jco.2008.18.1487.
  67. Seidemann K, Tiemann M, Schrappe M, et al. Short-pulse B-non-Hodgkin lymphoma-type chemotherapy is efficacious treatment for pediatric anaplastic large cell lymphoma: a report of the Berlin-Frankfurt-Munster Group Trial NHL-BFM 90. Blood. 2001;97(12):3699–706. doi: 10.1182/blood.v97.12.3699.
  68. Woessmann W, Zimmermann M, Lenhard M, et al. Relapsed or refractory anaplastic large-cell lymphoma in children and adolescents after Berlin-Frankfurt-Muenster (BFM)-type first-line therapy: a BFM-group study. J Clin Oncol. 2011;29(22):3065–71. doi: 10.1200/jco.2011.34.8417.
  69. Goldberg JD, Casulo C, Horwitz The role of hematopoietic stem cell transplantation in peripheral T-cell lymphomas. In: Non-Hodgkin Lymphoma Cancer Drug Discovery and Development. Springer; 2013. pp. 279–93. doi: 10.1007/978-1-4614-5851-7_16.
  70. Giulino-Roth L, Ricafort R, Kernan NA, et al. Ten-year follow-up of pediatric patients with non-Hodgkin lymphoma treated with allogeneic or autologous stem cell transplantation. Pediatr Blood Cancer. 2013;60(12):2018–24. doi: 10.1002/pbc.24722.
  71. Woessmann W, Peters C, Lenhard M. Allogeneic haematopoietic stem cell transplantation in relapsed or refractory anaplastic large cell lymphoma of children and adolescents – a Berlin-Frankfurt-Munster group report. Br J Haematol. 2006;133(2):176–82. doi: 10.1111/j.1365-2141.2006.06004.x.
  72. Mori T, Takimoto T, Katano N, et al. Recurrent childhood anaplastic large cell lymphoma: a retrospective analysis of registered cases in Japan. Br J Haematol. 2006;132(5):594–7. doi: 10.1111/j.1365-2005.05910.x.
  73. Луговская С.А., Почтарь М.Е., Тупицын Н.Н. Иммунофенотипирование в диагностике гемобластозов. М.: Триада, 2005. 165 с. [Lugovskaya SA, Pochtar’ ME, Tupitsyn NN. Immunofenotipirovanie v diagnostike gemoblastozov. (Immunophenotyping in diagnosis of hemoblastoses.) Moscow: Triada Publ.; 2005. 165 p. (In Russ)]
  74. Курильников А.Я. Мабтера — первые моноклональные антитела в терапии неходжкинских лимфом. Современная онкология. 2002;4(1):25–8. [Kuril’nikov AYa. Mabtera: first monoclonal antibodies in therapy of non-Hodgkin’s lymphomas. Sovremennaya onkologiya. 2002;4(1):25–8. (In Russ)]
  75. Reff M, Carner C, Chambers K, et al. Depletion of B-cells in vivo by a chimeric mouse human monoclonal antibody to CD20. Blood. 1994;83(2):435–45.
  76. Okur FV, Oguz A, Karadeniz C, et al. Refractoriness to rituximab monotherapy in a child with relapsed/refractory Burkitt non-Hodgkin lymphoma. Pediatr Hematol Oncol. 2006;23(1):25–31. doi: 10.1080/08880010500313298.
  77. Marcus R, Hagenbeek A. The therapeutic use of rituximab in non-Hodgkin’s lymphoma. Eur J Haematol. 2007;78(s67):5–14. doi: 10.1111/j.1600-0609.2006.00789.x.
  78. Plosker GL, Figgitt DP. Rituximab. Drugs. 2003;63(8):803–43. doi: 10.2165/00003495-200363080-
  79. Михайлова Н.Б. Роль ритуксимаба в лечении неходжкинских лимфом (реферативный обзор рандомизированных клинических исследований). Современная онкология. 2009;11(3):28–31. [Mikhailova NB. Role of rituximab in treatment of non-Hodgkin’s lymphomas (abstract review of randomized clinical trials). Sovremennaya onkologiya. 2009;11(3):28–31. (In Russ)]
  80. Li X, Liu Z, Cao J, et al. Rituximab in combination with CHOP chemotherapy for the treatment of diffuse large B cell lymphoma in China: a 10-year retrospective follow-up analysis of 437 cases from Shanghai Lymphoma Research Group. Ann Hematol. 2012;91(6):837–45. doi: 10.1007/s00277-011-1375-
  81. Thomas DA, Faderl S, O’Brien S, et al. Chemoimmunotherapy with hyper-CVAD plus rituximab for the treatment of adult Burkitt and Burkitt-type lymphoma or acute lymphoblastic leukemia. 2006;106(7):1569–80. doi: 10.1002/cncr.21776.
  82. Fayad L, Thomas D, Romaguera J. Update of the M. D. Anderson Cancer Center experience with hyper-CVAD and rituximab for the treatment of mantle cell and Burkitt-type lymphomas. Clin Lymph Myel. 2007;8(2):57–62. doi: 10.3816/clm.2007.s.034.
  83. Meinhardt A, Burkhardt B, Zimmermann M, et al. Phase II Window Study on Rituximab in Newly Diagnosed Pediatric Mature B-Cell Non-Hodgkin’s Lymphoma and Burkitt Leukemia. J Clin Oncol. 2010;28(19):3115–21. doi: 10.1200/jco.2009.26.6791.
  84. Bilic E, Femenic R, Conja J, et al. CD20-positive childhood B-non-Hodgkin lymphoma: morphology, immunophenotype and a novel treatment approach: a single center experience. Coll Antropol. 2010;34(1):171–5.
  85. Смирнова Н.В., Мякова Н.В., Белогурова М.Б. и др. Лечение зрелоклеточных В-клеточных неходжкинских лимфом с использованием комбинированной иммунохимиотерапии: возможности оптимизации терапевтической стратегии. Онкогематология. 2015;10(4):15–24. doi: 10.17650/1818-8346-2015-10-4-15-24. [Smirnova NV, Myakova NV, Belogurova MB, et al. Treatment of B-cells non-Hodgkin lymphomas with combined immunochemotherapy: ability to treatment optimization. Oncohematology. 2015;10(4):15–24. doi: 10.17650/1818-8346-2015-10-4-15-24. (In Russ)]
  86. Miyamoto KI, Kobayashi Y, Maeshima AM, et al. Clinicopathological prognostic factors of 24 patients with B-cell lymphoma, unclassifiable, with features intermediate between diffuse large B-cell lymphoma and Burkitt lymphoma. Int J Hematol. 2016;103(6):693–702. doi: 1007/s12185-016-1989-z.
  87. Gerrard M, Cairo MS, Weston C, et al. Excellent survival following two courses of COPAD chemotherapy. Br J Haematol. 2008;141(6):840–7. doi: 10.1111/j.1365-2008.07144.x.
  88. Patte C, Auperin A, Gerrard M, et al. Results of the randomized international FAB/LMB96 trial for intermediate risk B-cell non-Hodgkin lymphoma in children and adolescents: it is possible to reduce treatment for the early responding patients. Blood. 2007;109(7):2773–80. doi: 10.1182/blood-2006-07-
  89. Stary J, Zimmermann M, Campbell M, et al. Intensive chemotherapy for childhood acute lymphoblastic leukemia: results of the randomized intercontinental trial ALL IC-BFM 2002. J Clin Oncol. 2014;32(3):174–84. doi: 10.1200/jco.2013.48.6522.
 

Modern Aspects of Diagnosis and Treatment of Anaplastic Large Cell Lymphoma in Children (Literature Review)

AS Levashov1, TT Valiev1, AM Kovrigina2, AV Popa1, GL Mentkevich1

1 N.N. Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

2 Hematology Research Center, 4а Novyi Zykovskii pr-d, Moscow, Russian Federation, 125167

For correspondence: Andrei Sergeevich Levashov, scientific worker, 24 Kashirskoye sh., Moscow, Russian Federation, 115478; Tel.: +7(916)233-05-75; e-mail: andreyslevashov@mail.ru

For citation: Levashov AS, Valiev TT, Kovrigina AM, et al. Modern Aspects of Diagnosis and Treatment of Anaplastic Large Cell Lymphoma in Children (Literature Review). Clinical oncohematology. 2016;9(2):199–207 (In Russ).

DOI: 10.21320/2500-2139-2016-9-2-199-207


ABSTRACT

Anaplastic large cell lymphoma (ALCL) includes different types of the disease that are heterogeneous according to clinical, morphological, immunological, cytogenetic and molecular biological features. The review demonstrates not only main clinical and morphoimmunological characteristics of ALCL, but also presents data about expression and prognostic significance of STAT3, pSTAT3tyr705, and survivin (transcription factor). It demonstrates the value of defining the minimal disseminated disease (the minimal disseminated disease is evaluated using the PCR test before initiation of the treatment, and the minimal residual disease is evaluated during the treatment and after its completion), and clinical and molecular biological prognostic factors are also identified. There is still no a standard therapeutic regimen for pediatric ALCL patients. However, the following therapeutic protocols are considered most effective: NHL-BFM 90/95, CCG5941, SFOP-LM 89/91, UKCCSG, ALCL99-Vinblastine, POG АРО 9315, AIEOP LNH-92/97. Treatment outcomes are presented in this paper. Particular attention is paid to different molecular biological markers that allow further improvement of patients’ stratification in risk groups and possible use of target medications (multikinase inhibitors and monoclonal antibodies) improving the therapy outcomes.


Keywords: anaplastic large cell lymphoma, diagnosis, treatment, children.

Received: February 3, 2016

Accepted: February 10, 2016

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REFERENCES
  1. Reiter A. Diagnosis and Treatment of Childhood Non-Hodgkin Lymphoma. 2007;2007(1):285–96. doi: 10.1182/asheducation-2007.1.285.
  2. Stein H, Mason DY, Gerdes J, et al. The expression of the Hodgkin’s disease associated antigen Ki-1 in reactive and neoplastic lymphoid tissue: evidence that Reed-Sternberg cells and histiocytic malignancies are derived from activated lymphoid cells. 1985;66(4):848–58.
  3. Piccaluga PP, Gazzola A, Mannu C, et al. Pathobiology of Anaplastic Large Cell Lymphoma. Adv Hematol. 2010:345053. doi:10.1155/2010/345053.
  4. Swerdlow SH, Campo E, Harris NL, et al, eds. WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. 4th edition. Lyon: IARC Press; 2008.
  5. Ковригина А.М., Пробатова Н.А. Лимфома Ходжкина и крупноклеточные лимфомы. М.: МИА, 2007. С. 212.[Kovrigina AM, Probatova NA. Limfoma Khodzhkina i krupnokletochnye limfomy. (Hodgkin’s lymphoma and large cell lymphomas.) Moscow: MIA Publ.; 2007. pp. 212. (In Russ)]
  6. Валиев Т.Т., Морозова О.В., Ковригина А.М. и др. Диагностика и лечение анапластических крупноклеточных лимфом у детей. Гематология и трансфузиология. 2012;51(1):3–9. [Valiev TT, Morozova OV, Kovrigina AM, et al. Diagnosis and treatment of anaplastic large-cell lymphomas in children. Gematologiya i transfuziologiya. 2012;51(1):3–9. (In Russ)]
  7. Lamant L, McCarthy K, d’Amore E, et al. Prognostic Impact of Morphologic and Phenotypic Features of Childhood ALK-Positive Anaplastic Large-Cell. Lymphoma: Results of the ALCL99 Study. J Clin Oncol. 2011;29(35):4669–76. doi: 10.1200/JCO.2011.36.5411.
  8. Calzado-Villarreal L, Polo-Rodriguez I, Ortiz-Romerob PL, et al. Primary Cutaneous CD30+ Lymphoproliferative Disorders. Actas Dermosifiliogr. 2010;101(2):119–28. doi: 10.1016/s1578-2190(10)70598-9.
  9. Brugieres L, Deley MC, Pacquement H, et al. CD30 Anaplastic Large-Cell Lymphoma in Children: Analysis of 82 Patients Enrolled in Two Consecutive Studies of the French Society of Pediatric Oncology. 1998;92(10):3591–8.
  10. Williams DM, Hobson R, Imeson J, et al. Anaplastic large cell lymphoma in childhood: analysis of 72 patients treated on The United Kingdom Children’s Cancer Study Group chemotherapy regimens. Br J Haematol. 2002;117(4):812–20. doi: 10.1046/j.1365-2141.2002.03482.x.
  11. Seidemann K, Tiemann M, Schrappe M, et al. Short-pulse B-non-Hodgkin lymphoma-type chemotherapy is efficacious treatment for pediatric anaplastic large cell lymphoma: a report of the Berlin-Frankfurt-Munster Group Trial NHL-BFM 90. 2001;97(12):3699–706. doi: 10.1182/blood.v97.12.3699.
  12. Burkhardt В., Oschlies I, Klapper W, et al. Non-Hodgkin’s lymphoma in adolescents: experiences in 378 adolescent NHL patients treated according to pediatric NHL-BFM protocols. 2011;25(1):153–60. doi: 10.1038/leu.2010.245.
  13. Deley MC, Reiter A, Williams D, et al. Prognostic factors in childhood anaplastic large cell lymphoma: results of a large European intergroup study. 2008;111(3):1560–6. doi: 10.1182/blood-2007-07-100958.
  14. Rosolen A, Pillon M, Garaventa A, et al. Anaplastic Large Cell Lymphoma Treated with a Leukemia-Like Therapy: Report of the Italian Association of Pediatric Hematology and Oncology (AIEOP) LNH-92 Protocol. 2005;104(10):2133–40. doi: 10.1002/cncr.21438.
  15. Lowe EJ, Sposto R, Perkins SL, et al. Intensive Chemotherapy for Systemic Anaplastic Large Cell Lymphoma in Children and Adolescents: Final Results of Children’s Cancer Group Study 5941. Pediatr Blood Cancer. 2009;52(3):335–9. doi: 10.1002/pbc.21817.
  16. Laver JH, Kraveka JM, Hutchison RE, et al. Advanced-Stage Large-Cell Lymphoma in Children and Adolescents: Results of a Randomized Trial Incorporating intermediate-Dose Methotrexate and High-Dose Cytarabine in the Maintenance Phase of the APO Regimen: A Pediatric Oncology Group Phase III Trial. J Clin Oncol. 2005;23(3):541–7. doi: 10.1200/jco.2005.11.075.
  17. Pillon M, Gregucci F, Lombardi A, et al. Results of AIEOP LNH-97 Protocol for the Treatment of Anaplastic Large Cell Lymphoma of Childhood. Pediatr Blood Cancer. 2012;59(5):828–33. doi: 10.1002/pbc.24125.
  18. Jacobsen E. Anaplastic Large-Cell Lymphoma, T-/Null-Cell Type. The Oncologist. 2006;11(7):831–40. doi: 10.1634/theoncologist.11-7-831.
  19. Delsoll G, Brugieres L, Gaulard P, et al. Anaplastic large cell lymphoma, ALK-positive and anaplastic large cell lymphoma ALK-negative. Hematol Meet Rep. 2009;3(1):51–7.
  20. Zamo A, Chiarle R, Piva R, et al. Anaplastic lymphoma kinase (ALK) activates Stat3 and protects hematopoietic cells from cell death. 2002;21(7):1038–47. doi: 10.1038/sj.onc.1205152.
  21. Weinberg OK, Seo K, Arber DA. Prevalence of bone marrow involvement in systemic anaplastic large cell lymphoma: are immunohistochemical studies necessary? Hum Pathol. 2008;39(9):1331–40. doi: 10.1016/j.humpath.2008.01.005.
  22. Khoury JD, Medeiros LJ, Rassidakis GZ, et al. Differential expression and clinical significance of tyrosine-phosphorylated STAT3 in ALK+ and ALK- Anaplastic Large Cell Lymphoma. Clin Cancer Res. 2003;9:3692–9.
  23. Dourlat J, Liu W-Q, Florence S, et al. A novel non-phosphorylated potential antitumoral peptide inhibits STAT3 biological activity. 2009;91(8):996–1002. doi: 10.1016/j.biochi.2009.05.006.
  24. Schlette EJ, Medeiros LJ, Goy A, et al. Survivin Expression Predicts Poorer Prognosis in Anaplastic Large-Cell Lymphoma. J Clin Oncol. 2004;22(9):1682–8. doi: 10.1200/JCO.2004.10.172.
  25. Nasr MR, Laver JH, Chang M. Expression of Anaplastic Lymphoma Kinase, Tyrosine-Phosphorylated STAT3, and Associated Factors in Pediatric Anaplastic Large Cell Lymphoma. Am J Clin Pathol. 2007;127(5):770–8. doi: 10.1309/fny8y4h6pk1v2mge.
  26. Zhang J, Wang P, Wu F, et al. Aberrant expression of the transcriptional factor twist 1 promotes invasiveness in ALK-positive anaplastic large cell lymphoma. Cell Signalling. 2012;24(4):852–8. doi: 10.1016/j.cellsig.2011.11.020.
  27. Huang W, Li X, Yao X, et al. Expression of ALK protein, mRNA and fusion transcripts in anaplastic large cell lymphoma. Exper Mol Pathol. 2009;86(2):121–6. doi:10.1016/j.yexmp.2008.11.012.
  28. Damm-Welk C, Klapper W, Oschlies I, et al. Distribution of NPM1-ALK and X-ALK fusion transcripts in paediatric anaplastic large cell lymphoma: a molecular-histological correlation. Br J Haematol. 2009;146(3):306–9. doi: 10.1111/j.1365-2141.2009.07754.x.
  29. Ait-Tahar K, Damm-Welk C, Burkhardt B, et al. Correlation of the autoantibody response to the ALK oncoantigen in pediatric anaplastic lymphoma kinase-positive anaplastic large cell lymphoma with tumor dissemination and relapse risk. 2010;115(16):3314–9. doi: 10.1182/blood-2009-11-251892.
  30. Damm-Welk C, Busch K, Burkhardt B, et al. Prognostic significance of circulating tumor cells in bone marrow or peripheral blood as detected by qualitative and quantitative PCR in pediatric NPM-ALK–positive anaplastic large-cell lymphoma. 2007;110(2):670–7. doi: 10.1182/blood-2007-02-066852.
  31. Damm-Welk C, Mussolin L, Zimmermann M, et al. Early assessment of minimal residual disease identifies patients at very high relapse risk in NPM-ALK-positive anaplastic large-cell lymphoma. 2014;123(3):334–7. doi: 10.1182/blood-2013-09-526202.
  32. Jaffe ES. What’s new on the horizon in T-cell lymphoma. [Internet] Available from: http://www.ercongressi.it/t-cell-slide/April%2027,%202015/01.%20T-cell%20world/1%20-%20Jaffe.pdf. (accessed 18.04.2016).
  33. Parrilla Castellar ER, Jaffe ES, Said JW, et al. ALK-negative anaplastic large cell lymphoma is a genetically heterogeneous disease with widely disparate clinical outcomes. 2014;124(9):1473–80. doi: 10.1182/blood-2014-04-571091.
  34. Wrobel G, Mauguen A, Rosolen A, et al. Safety Assessment of Intensive Induction Therapy in Childhood Anaplastic Large Cell Lymphoma: Report of the ALCL99 Randomised Trial. Pediatr Blood Cancer. 2011;56(7):1071– doi: 10.1002/pbc.22940.
  35. Woessmann W, Seidemann K, Mann G, et al. The impact of the methotrexate administration schedule and dose in the treatment of children and adolescents with B-cell neoplasms: a report of the BFM group study NHL-BFM95. 2005;105(3):948–58. doi: 10.1182/blood-2004-03-0973.
  36. Le Deley MC, Rosolen A, Williams DM, et al. Vinblastine in Children and Adolescents With High-Risk Anaplastic Large-Cell Lymphoma: Results of the Randomized ALCL99-Vinblastine Trial. J Clin Oncol. 2010;28(25):3987–93. doi: 10.1200/JCO.2010.28.5999.
  37. Alexander S, Kraveka JM, Weitzman S, et al. Advanced stage anaplastic large cell lymphoma in children and adolescents: results of ANHL0131, a randomized Phase III Trial of APO versus a modified regimen with vinblastine: a report from the Children’s Oncology Group. Pediatr Blood Cancer. 2014;61(12):2236–42. doi: 10.1002/pbc.25187.
  38. Gross TG, Hale GA, He W, et al. Hematopoietic stem cell transplantation for refractory or recurrent non-Hodgkin lymphoma in children and adolescents. Biol Blood Marrow Transplant. 2010;16(2):223–30. doi: 10.1016/j.bbmt.2009.09.021.
  39. Brugieres L, Pacquement H, Le Deley MC, et al. Single-drug vinblastine as salvage treatment for refractory or relapsed anaplastic large-cell lymphoma: a report from the French Society of Pediatric Oncology. J Clin Oncol. 2009;27(30):5056–61. doi: 10.1200/JCO.2008.20.1764.
  40. Mori T, Takimoto T, Katano N, et al. Recurrent childhood anaplastic large cell lymphoma: a retrospective analysis of registered cases in Japan. Br J Haematol. 2005;132(5):594–7. doi: 10.1111/j.1365-2141.2005.05910.x.
  41. Woessmann W, Zimmermann M, Lenhard M, et al. Relapsed or Refractory Anaplastic Large-Cell Lymphoma in Children and Adolescents After Berlin-Frankfurt-Muenster (BFM)-Type First-Line Therapy: A BFM-Group Study. J Clin Oncol. 2011;29(22):3065–71. doi: 10.1200/JCO.2011.34.8417.
  42. Forero-Torres A, Leonard JP, Younes A, et al. A phase II study of SGN30 (anti-CD30 mab) in Hodgkin lymphoma or systemic anaplastic large cell lymphoma. Br J Haematol. 2009;146(2):171–9. doi: 10.1111/j.1365-2141.2009.07740.x.
  43. Ansell SM, Horwitz SM, Engert A, et al. Phase I/II Study of an Anti-CD30 Monoclonal Antibody (MDX-060) in Hodgkin’s Lymphoma and Anaplastic Large-Cell Lymphoma. J Clin Oncol. 2007;25(19):2764–9. doi 10.1200/jco.2006.07.8972.
  44. Pro B., Advani R, Brice P, et al. Brentuximab Vedotin (SGN-35) in patients with relapsed or refractory systemic anaplastic large-cell lymphoma: results of a phase II study. J Clin Oncol. 2012;30(18):2190–6. doi: 10.1200/JCO.2011.38.0402.
  45. Younes A, Bartlett NL, Leonard JP, et al. Brentuximab Vedotin (SGN-35) for Relapsed CD30-Positive Lymphomas. N Engl J Med. 2010;363(19):1812–21. doi: 10.1056/NEJMoa1002965.
  46. Mosse YP. Safety and activity of crizotinib for pediatric patients with refractory solid tumors or anaplastic large-cell lymphoma: a Children’s Oncology Group phase 1 consortium study. Lancet Oncol. 2013;14(6):472–80. doi: 10.1016/s1470-2045(13)70095-0.
  47. Passerini CG, Farina F, Stasia A, et al. Crizotinib in advanced, chemoresistant anaplastic lymphoma kinase-positive lymphoma patients. J Natl Cancer Inst. 2014;106(2):djt37 doi: 10.1093/jnci/djt378.
  48. National Cancer Insitute. A Randomized Phase II study of Brentuximab Vedotin (NSC# 749710) and Crizotinib (NSC# 749005) in Patients with Newly Diagnosed Anaplastic Large Cell Lymphoma (ALCL) IND #117117. In: ClinicalTrials.gov [Internet]. Bethesda (MD): National Library of Medicine (US). 2000 [cited 2016 April 18]. Available from: https://clinicaltrials.gov/ct2/show/NCT01979536?term=NCT01979536&rank=1. NLM Identifier: NCT01979536.
  49. Greengard Е, Mosse Y, Liu X, et al. Safety and tolerability of crizotinib in combination with chemotherapy for relapsed or refractory solid tumors or anaplastic large cell lymphoma: a Children’s Oncology Group phase I consortium study. J Clin Oncol. 2015;33(Suppl): Abstract 10058.
  50. Geoerger B. Phase I study of ceritinib (Zycadia) in pediatric patients (Pts) with malignancies harboring a genetic alteration in ALK (ALK+): Safety, pharmacokinetic (PK), and efficacy J Clin Oncol. 2015;33(Suppl): Abstract 10005.
  51. Friboulet L, Li N, Katayama R, et al. The ALK Inhibitor Ceritinib Overcomes Crizotinib Resistance in Non–Small Cell Lung cancer. Cancer Discovery. 2014;4(6):662–73. doi: 10.1158/2159-8290.CD-13-0846.

Treatment of Relapsed and Refractory Hodgkin’s Lymphoma in Children

NS Kulichkina, ES Belyaeva, GL Mentkevich, VK Boyarshinov, AS Levashov, IV Glekov, AV Popa

Scientific Research Institute of Pediatric Oncology and Hematology, N.N. Blokhin Russian Cancer Research Center, 24 Kashirskoye sh., Moscow, Russian Federation, 115478

For correspondence: Aleksandr Valentinovich Popa, DSci, 24 Kashirskoye sh., Moscow, Russian Federation, 115478; Tel.: +7(499)324-55-03; e-mail: apopa@list.ru

For citation: Kulichkina NS, Belyaeva ES, Mentkevich GL, et al. Treatment of Relapsed and Refractory Hodgkin’s Lymphoma in Children. Clinical oncohematology. 2016;9(1):13–21 (In Russ).

DOI: 10.21320/2500-2139-2016-9-1-13-21


ABSTRACT

Background & Aims. Most children with Hodgkin’s lymphoma (HL) can be cured irrespective of the disease stage using modern risk adapted protocols. But 3–5 % of children develop relapse of the disease or refractoriness to the treatment performed. The aim of the study was to perform a comparative analysis of ViGePP vs ICE antitumor treatment regimens in patients with relapsed and refractory Hodgkin’s lymphoma, as well as to evaluate the need in auto-HSCT and the site for a combined chemoradiation therapy in this patient population.

Methods. From June, 2003, till December, 2014, 35 patients with relapsed (18) and refractory (17) HL received chemotherapy based on two regimes: ICE (n = 14; 40 %) and ViGePP (n = 14; 40 %). 7 (20 %) children were switched to another regimen due to a poor antitumor response to the first two courses of chemotherapy.

Results. The direct effectiveness of the therapy was significantly higher in patients on ViGePP as compared to ICE irrespective of the disease status (relapsed or refractory). A complete response was achieved more often in those children with relapse HL whose initial treatment included radiation therapy. Higher survival rates were registered in girls, as well as in children with a complete overall response to the antirelapse therapy. In case of relapses, delayed treatment effects (disease free survival and overall survival) were higher in children treated with 4 courses of ViGePP than 2 courses of ICE. High-dose chemotherapy with subsequent auto-HSCT is not able to overcome refractoriness to the chemotherapy.

Conclusion. Children with relapsed and refractory HL need an intensive antirelapse chemotherapy with subsequent HDC and auto-HSCT to achieve CR.


Keywords: Hodgkin’s lymphoma, children, relapse, refractoriness, auto-HSCT.

Received: November 9, 2015

Accepted: December 25, 2015

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REFERENCES

  1. Беляева Е.С. Современные подходы к лечению детей с распространенными стадиями лимфомы Ходжкина: Автореф. дис. … канд. мед. наук. М., 2009. С. 1–29. [Belyaeva ES. Sovremennye podkhody k lecheniyu detei s rasprostranennymi stadiyami limfomy Khodzhkina. (Modern approaches to treatment of children with advanced Hodgkin’s lymphoma.) [dissertation] Moscow; 2009. p. 1–29. (In Russ)]
  2. Schellong G, Dorfell W, Claviez A, et al. Salvage therapy of progressive and recurrent Hodgkin’s disease: results from a multicenter study of the pediatric DAL/GPOH-HD study group. J Clin Oncol. 2005;23:6181–9. doi: 10.1200/JCO.2005.07.930.
  3. Behrend H, Van Buningen BN, Van Leeuwen EF. Treatment of Hodgkin’s disease in children with or without radiotherapy. Cancer. 1987;59:1870–3. doi: 10.1002/1097-0142(19870601)59:11<1870::aid-cncr2820591105>3.0.co;2-d.
  4. Hudson MM, Krasin M, Link MP, et al. Risk-adapted combined-modality therapy with VAMP/COP and response-based, involved-field radiation for unfavorable pediatric Hodgkin’s disease. J Clin Oncol. 2004;22:4541–50. doi: 10.1200/jco.2004.02.139.
  5. Gorde-Grosjean S, Oberlin O, Leblanc T, et al. Outcome of children and adolescents with recurrent/refractory classical Hodgkin lymphoma, a study from the Societe Francaise de Lutte contre le Cancer des Enfants et des Adolescents (SFCE). Br J Haematol. 2012;158(5):649–56. doi: 10.1111/j.1365-2141.2012.09199.x.
  6. Metzger ML, Hudson MM, Rrasin MJ, et al. Initial Response to Salvage Therapy Determines Prognosis in Relapsed Pediatric Hodgkin Lymphoma Patient. Cancer. 2010;116(18):4376–84. doi: 10.1002/cncr.25225.
  7. Schellong G, Dorfell W, Clavez A, et al. Salvage therapy of progressive and recurrent Hodgkin’s disease: results from multicenter study of the pediatric DAL/GPOH-HD study group. J Clin Oncol. 2005;23:6181–9. doi: 10.1200/jco.2005.07.930.
  8. Stoneham S, Ashley S, Pincerton CR, et al. Outcome after autologous stem cell transplantation in relapse or refractory childhood Hodgkin’s disease. J Pediatr Hematol Oncol. 2004;26:740–5. doi: 10.1097/00043426-200411000-00010.
  9. Brice P, Bouabdallah R, Moreau P, et al. Prognostic factors for survival after high-doses therapy and autologous stem cell transplantation for patients with relapsing Hodgkin’s lymphoma: analysis of 280 patients from the French registry. Society Francaise de Greefe de Moelle. Bone Marrow Transplant. 1997;20:21–6. doi: 10.1038/sj.bmt.1700838.
  10. Harris RT, Termuhlen AM, Smith LM, et al. Autologous Stem Cell Transplantation in Children with Refractory and Relapsed Lymphoma: Results of Children’s Oncology Group Study A5962. Biol Blood Marrow Transplant. 2011;17(2):249–58. doi: 10.1016/j.bbmt.2010.07.002.
  11. Morschhauser F, Brice P, Ferme C, et al. Risk-Adapted Salvage Treatment With Single or Tandem Autologous Stem-Cell Transplantation for First Relapse/Refractory Hodgkin’s Lymphoma: Results of the Prospective Multicenter H96 Trial by the GELA/SFGM Study Group. J Clin Oncol. 2008;26(36):5980–7. doi: 10.1200/jco.2007.15.5887.
  12. Claviez A, Canals C, Dierickx D, et al. Allogenic Hematopoietic Stem Sells Transplantation in Children and Adolescents with Recurrent and Refractory Hodgkin Lymphoma: an Analysis of the European Group for Blood and Marrow Transplantation. Blood. 2009;114(10):2060–7. doi: 10.1182/blood-2008-11-189399.
  13. Shafer JA, Heslop HE, Brenner MK, et al. Outcome of hematopoietic stem cell transplant as salvage therapy for Hodgkin’s lymphoma in adolescents and young adults at a single institution. Leuk Lymphoma. 2010;51(4):664–70. doi: 10.3109/10428190903580410.
  14. Okeley NM, Miyamoto JB, Zhang X, et al. Intracellular activation of SGN-35, a potent anti-CD30 antibody–drug conjugate. Clin Cancer Res. 2010;163:888–97. doi: 10.1158/1078-0432.ccr-09-2069.
  15. Bonthapally V, Yang H, Ayyagari R, et al. Brentuximab Vedotin Compared with Other Therapies in Relapsed/Refractory Hodgkin Lymphoma Post ASCT: Median Overall Survival Meta-Analysis. Curr Med Res Opin. 2015;7:1–48. doi: 10.1185/03007995.2015.1048208.

Unknown bacteria in oral flora of children with hematological malignancies

M.F. Vecherkovskaya, G.V. Tetz, and V.V. Tetz

I.P. Pavlov Saint Petersburg State Medical University, Saint Petersburg, Russian Federation


ABSTRACT

The objective of this study was to investigate the oral flora of children with hematological malignancies. The variance in the oral microflora of healthy children and children with hematological malignancies are shown. An unknown bacterium was isolated from the mixed biofilms obtained from the saliva of children with hematological malignancies that was absent in the saliva of healthy children of the same age. The microbiological data combined with the proteome assessment and genome sequence analysis indicate that the isolated microorganism belongs to the previously undescribed Streptococcus species.


Keywords: uncultured bacteria, biofilms, microbiota, children

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REFERENCES

  1. Sommer F., Backhed F. The gut microbiota — masters of host development and physiology. Nat. Publ. Group 2013; 11: 227–38.
  2. Lewis K., Epstein S.S. Persisters, biofilms, and the problem of culturability in incultivated microorganisms. In Series: Microbiology Monographs. Ed. by A. Steinbuchel. Berlin, Heidelberg: Springer, 2009: 181–94.
  3. Epstein S.S. General model of microbial uncultivability in uncultivated microorganisms. In Series: Microbiology Monographs. Ed. by A. Steinbuchel. Berlin, Heidelberg: Springer, 2009: 131–50.
  4. Тец В.В., Вечерковская М.Ф., Доморад А.А. и др. Микробы, неизвестные как представители нормальной микрофлоры ротовой полости человека. Ученые записки СПбГМУ им. И.П. Павлова 2012; 3: 5–9. 5. [Tets V.V., Vecherkovskaya M.F., Domorad A.A., et al. Microbes unknown as members of normal human oral microflora. Uchenyye zapiski SPbGMU im. I.P. Pavlova 2012; 3: 5–9. (In Russ.)].
  5. Тец Г.В., Викина Д.С., Вечерковская М.Ф., Доморад А.А. и др. Новые подходы к изучению условно патогенных бактерий микрофлоры ротовой полости человека. Стоматология 2013; 1: 14–6. [Tets G.V., Vikina D.S., Vecherkovskaya M.F., Domorad A.A., et al. New approaches to studying opportunistic bacteria of human oral microflora. Stomatologiya 2013; 1: 14–6. (In Russ.)].
  6. Crielaard W., Zaura E., Schuller A.A. et al. Exploring the oral microbiota of children at various developmental stages of their dentition in the relation to their oral health. BMC Med. Genom. 2011; 4: 22.
  7. Johansson M.A., Sjogren Y.M., Persson J.O. et al. Early Colonization with a Group of Lactobacilli Decreases the Risk for Allergy at Five Years of Age Despite Allergic Heredity. PLoS One 2011; 29(35): 5860–8.
  8. Candela M., Rampelli S., Turroni S. et al. Unbalance of intestinal microbiota in atopic children. BMC Microbiol. 2012; 12: 95.
  9. Tanner A.C., Kent R.L. Jr., Holgerson P.L. et al. Microbiota of severe early childhood caries before and after therapy. J. Dent. Res. 2011; 90: 1298–305.
  10. Payne A.N., Chassard C., Zimmermann M. et al. The metabolic activity of gut microbiota in obese children is increased compared with normal-weight children and exhibits more exhaustive substrate utilization. Nutr. Diab. 2011; 1(7): e12.
  11. Javed F., Utrija A., Bello Correa F.O. et al. Oral health status in children with acute lymphoblastic leukemia. Crit. Rev. Oncol. Hematol. 2012; 83: 303–9.
  12. Lanzos I., Herrera D., Santos S. et al. Microbiological effects of an antiseptic mouth-rinse in irradiated cancer patients. Med. Oral Patol. Oral Cir. Bucal. 2011; 16(7): e1036–42.
  13. Wilson K. Preparation of Genomic DNA from Bacteria. Curr. Prot. Mol. Biol. John Wiley and Sons, Inc., 2003.
  14. Wright E.S., Yilmaz L.S., Noguera D.R. DECIPHER, a search-based approach to chimera identification for 16S rRNA sequences. Appl. Environ. Microbiol. 2012; 78: 717–25.
  15. Ludwig W., Strunk O., Westram R. et al. ARB: a software environment for sequence data. Nucl. Acids Res. 2004; 32: 1363–71.
  16. Tetz V.V. Colony-like communities of bacteria. Microbios. 1994; 80: 63–5.
  17. Tetz V.V. Formation and structure of mixed bacterial communities. APMIS 1999; 107: 645–54.
  18. Тец В.В. Роль микрофлоры полости рта в развитии заболеваний человека. Стоматология 2008; 3: 76–80. [Tets G.V. Role of oral microflora in development of human diseases. Stomatologiya 2008; 3: 76–80. (In Russ.)].

Optimization of diagnosis and treatment of Burkitt’s lymphoma in children, adolescents, and young adults

T.T. Valiyev1, Ye.A. Baryakh2, P.A. Zeynalova3, A.M. Kovrigina2, S.K. Kravchenko2, T.N. Obukhova2, N.А. Falaleyeva3, A.I. Senderovich3, I.N. Serebryakova3, I.V. Kaminskaya1, A.S. Levashov1, and G.L. Mentkevich1

1 Pediatric Oncology and Hematology Research Institute, N.N. Blokhin Russian Cancer Center, Moscow, Russian Federation

2 Hematology Research Center, RF Ministry of Health, Moscow, Russian Federation

3 Clinical Oncology Research Institute, N.N. Blokhin Russian Cancer Research Center, Moscow, Russian Federation


ABSTRACT

We present the combined experience of the leading centers in diagnosis and treatment of Burkitt’s lymphoma (BL) in children, adolescents, and young adults, that is the first one in the national scientific literature. It includes immunolomorphologic and cytogenetic criteria of BL. The clinical features of BL in various age groups and treatment outcomes according to B-NHL-BFM 90/95 and CODOX-M/IVAC programs are described. Also, the treatment outcomes according to the original national LB-M-04 protocol are shown. The place of rituximab in BL treatment is discussed.


Keywords: Burkitt’s lymphoma, children, adolescents, young adults, clinical features, diagnosis, treatment.

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REFERENCES

  1. Kasili E.G. Paediatric malignancy in tropical Africa — a growing concern. East. Afr. Med. J. 1986; 63: 685–6.
  2. Thomas D., Cortes J., O’Brien S. et al. Hyper-CVAD program in Burkitt’s type adult acute lymphoblastic leukemia. J. Clin. Oncol. 1999; 17(8): 2461–70.
  3. Ferry J.A. Burkitt’s Lymphoma: Clinicopathologic Features and Differential Diagnosis. Oncologist 2006; 11: 375–83.
  4. Swerdlow S.H., Campo E., Lee H.N. et al. WHO Classification of Tumours of Haematopoetic and Lymphoid tissues, 4th edn. Lyon: IARC Press, 2008: 439.
  5. Agugua N.E., Okeahialam T. Malignant diseases of childhood seen at the University of Nigeria Teaching Hospital, Enugu, Nigeria. East. Afr. Med. J. 1986; 63: 717–23.
  6. Oguonu T., Emodi E., Kaine W. Epidemiologie of Burkitt’s lymphoma in Enugu, Nigeria. Ann. Trop. Paediatr. 2002; 22: 369–74.
  7. Amusa Y.B., Adediran I.A., Akinpelu V.O. et al. Burkitt’s lymphoma of the head and neck region in a Nigeria tertiary hospital. East. Afr. J. Med. 2005; 24(3): 139–42.
  8. Kittivorapart J., Chinthammitr Y. Incidence and risk factors of bone marrow involvement by non-Hodgkin lymphoma. J. Med. Assoc. Thai. 2011; 94(Suppl. 1): S239–45.
  9. Барях Е.А., Кравченко С.К., Обухова Т.Н. и др. Лимфома Беркитта: клиника, диагностика, лечение. Клин. онкогематол. 2009; 2(2): 137–46. [Baryakh Ye.A., Kravchenko S.K., Obukhova T.N., et al. Burkitt’s lymphoma: clinical presentation, diagnosis, management. Klin. onkogematol. 2009; 2(2): 137–47. (In Russ.)].
  10. Blum K.A., Lozansky G., Byrd J. Adult Burkitt’s leukemia and lymphoma. Blood 2004; 20: 32–7.
  11. Braziel R.M., Arber D.A., Slovac M.L. et al. The Burkitt-like lymphoma: a Southwest Oncologie Group study delineating phenotypic, genotypic and clinical features. Blood 2001; 97(12): 3713–20.
  12. Martinez-Maza O., Breen E.C. B-cell activation and lymphoma in patients with HIV. Curr. Opin. Oncol. 2002; 14: 528–32.
  13. Magrath I.T. Malignant Non-Hodgkin’s Lymphomas in Children. Pediatr. Oncol. 2002; 119: 661–705.
  14. Zeigler J. Burkitt’s lymphoma. N. Engl. J. Med. 1981; 305: 735–45.
  15. Kelly G., Bell A., Rickinson A. Epstein-Barr virus-associated Burkitt lymphoma genesis selects for down-regulation of the nuclear antigen EBNA2. Nat. Med. 2002; 8(10): 1098–104.
  16. Гурцевич В.Э. Роль вируса Эпштейна—Барр в онкогематологиче- ских заболеваниях человека. Клин. онкогематол. 2010; 3(3): 222–35. [Gurtsevich V.E. Role of Epstein—Barr virus in human hematological malignancies. Klin. onkogematol. 2010; 3(3): 222–35. (In Russ.)].
  17. Magrath I. Epidemiology: clues to the pathogenesis of Burkitt lymphoma. Br. J. Haematol. 2012; 156(6): 744–56.
  18. Croce C. Role of chromosome translocations in human neoplasia. Cell 1987; 49(2): 155–6.
  19. Zech L., Haglund U., Nilsson K., Klein G. Characteristic chromosomal abnormalities in biopsies and lymphoid-cell lines from patients with Butkitt and non-Burkitt lymphomas. Int. J. Cancer 1976; 17: 47–56.
  20. Обухова Т.Н., Барях Е.А., Капланская И.Б. и др. Выявление диагности- ческих для лимфомы Беркитта транслокаций методом флюоресцентной in situ гибридизации на гистологических срезах парафиновых блоков. Тер. арх. 2007; 79(7): 80–3. [Obukhova T.N., Baryakh Ye.A., Kaplanskaya I.B., et al. Detection of translocations typical for Burkitt’s lymphoma using fluorescent hydrydization in situ in histological slices from paraffin blocks. Ter. arkh. 2007; 79(7): 80–3. (In Russ.)]
  21. Green T.M., Nielsen O., de Stricker K. et al. High levels of nuclear MYC protein predict the presence of MYC rearrangement in diffuse large B-cell lymphoma. Am. J. Surg. Pathol. 2012; 36(4): 612–9.
  22. Ben-Neriah S., Woods R., Steidl C. et al. Lymphomas with concurrent BCL2 and MYC translocations: the critical factors associated with survival. Blood 2009; 114: 2273–9.
  23. Tagawa H., Ikeda S., Sawada K. Role of microRNA in the pathogenesis of malignant lymphoma. Cancer Sci. 2013; 10; 121–6.
  24. Mead G.M., Sydes M.R., Walewski J. et al. An international evaluation of CODOX-M and CODOX-M alternating with IVAC in adult Burkitt’s lymphoma: results of United Kingdom Lymphoma Group LY06 study. Ann. Oncol. 2002; 13(8): 1264–74.
  25. Costa L.J., Xavier A.C., Wahlquist A.E. еt al. Trends in survival of patients with Burkitt lymphoma/leukemia in the USA: an analysis of 3691 cases. Blood 2013; 121(24): 4861–6.
  26. Fayad L., Thomas D., Romaguera J. Update of the M.D.Anderson Cancer Center experience with hyper-CVAD and rituximab for the treatment of mantle cell and Burkitt-type lymphomas. Clin. Lymph. Myel. 2007; 8(2): 57–62.
  27. Rizzieri D.A., Johnson J.L., Byrd J.C. et al. Efficacy and toxicity of rituximab and brief duration, high intensity chemotherapy with filgrastim support for Burkitt or Burkitt-like leukemia/lymphoma: Cancer and Leukemia Group B (CALGB) Study 10002 (abstract). Blood 2010; 116: Abstract 858.
  28. Dunleavy K., Pittaluga S., Wayne A.S. et al. MYC+ aggressive B-cell lymphomas: A novel therapy of untreated Burkitt lymphoma (BL) and MYC+ diffuse large B-cell lymphoma (DLBCL) with DA-EPOCH-R (abstract). Ann. Oncol. 2011; 22(4): Abstract 71.
  29. Griffin T.C., Weitzman S., Weinstein H. et al. A study of rituximab and ifosfamide, carboplatin, and etoposide chemotherapy in children with recurrent/ refractory B-cell (CD20+) non-Hodgkin lymphoma and mature B-cell acute lymphoblastic leukemia: A report from the Childrens Oncology Group. Pediatr. Blood Cancer 2009; 52: 177–81.
  30. Российские клинические рекомендации по диагностике и лечению лимфопролиферативных заболеваний. Под ред. И.В. Поддубной, В.Г. Савченко. М.: Медиа Медика, 2013: 102. [Rossiyskie klinicheskie rekomendatsii po diagnostike i lecheniyu limfoproliferativnykh zabolevaniy. Pod red. I.V. Poddubnoy, V.G. Savchenko (Russian clinical guidelines for diagnosis and treatment of lymphoproliferative disorders. Ed. by: I.V. Poddubnaya, V.G. Savchenko) M.: Media Medika, 2013: 102.]
  31. Барях Е.А., Валиев Т.Т., Яцков К.В. и др. Интенсивная терапия лимфомы Беркитта: описание двух клинических случаев. Гематол. и транс- фузиол. 2007; 52(1): 41–3. [Baryakh Ye.A., Valiyev T.T., Yatskov K.V., et al. Intensive therapy for Burkitt’s lymphoma: presentation of two clinical cases. Gematol. i transfuziol. 2007; 1: 41–3. (In Russ.)].
  32. Барях Е.А., Звонков Е.Е., Кременецкая А.М. Лечение беркиттопо- добной лимфомы взрослых. Тер. арх. 2006; 7: 53. [Baryakh Ye.A., Zvonkov Ye.Ye., Kremenetskaya A.M. Management of adult Burkitt-like lymphoma. Ter. arkh. 2006; 7: 53. (In Russ.)].
  33. Rosenfeld A., Arrington D., Miller J. et al. A review of childhood and adolescent craniopharyngiomas with particular attention to hypothalamic obesity. Pediatr. Neurol. 2014; 50(1): 4–10. doi: 10.1016/j.pediatrneurol.2013.09.003. Epub 2013 Nov 1.
  34. Senerchia A.A., Ribeiro K.B., Rodriguez-Galindo C. Trends in incidence of primary cutaneous malignancies in children, adolescents, and young adults: A population-based study. Pediatr. Blood Cancer 2014; 61(2): 211–6. doi: 10.1002/pbc.24639. Epub 2013 Oct 30.
  35. Тур А.Ф., Тарасов О.Ф., Шабалов Н.П. и др. Детские болезни, 2-е изд. М.: Медицина, 1985. [Tur A.F., Tarasov O.F., Shabalov N.P., et al. Detskiye bolezni, 2-e izd. (Pediatric disorders. 2nd ed.) M.: Meditsina, 1985]
  36. Bleyer A., Viny A., Barr R. Cancer in 15- to 29-year-olds by primary site. Oncologist 2006; 11(6): 590–601.
  37. Bleyer A. Young adult oncology: the patients and their survival challenges. СА Cancer J. Clin. 2007; 57(4): 242–55.
  38. Wood W.A., Lee S.J. Malignant hematologic diseases in adolescents and young adults. Blood 2011; 117: 5803–15.
  39. Sandlund J.T. Should adolescents with NHL be treated as old children or young adults? Hematol. Am. Soc. Hematol. Educ. Progr. 2007; 2007(1): 297–303.
  40. Cairo M.S., Sposto R., Gerrard M. et al. Advanced stage, increased, lactate dehydrogenase, and primary site, but not adolescent age (³ 15 years)are associated with an increased risk of treatment failure in children and adolescents with mature B-cell non-Hodgkins lymphoma: results of FAB LMB 96 Study. J. Clin. Oncol. 2012; 30(4): 387–93.
  41. Coiffier B. State-of-the-art therapeutics: diffuse large B-cell lymphoma. J. Clin. Oncol. 2005; 23(26): 6387–93.
  42. Pfreundschuh M., Trumper L., Osterborg A. et al. CHOP-like chemotherapy plus rituximab versus CHOP-like chemotherapy alone in young patients with good prognosis diffuse large B-cell lymphoma: a randomized controlled trial by the MabThera International Trial (MinT). Lancet Oncol. 2006; 7(5): 379–91.

Childhood testicular diffuse large B-cell lymphoma

T.T. Valiev1, A.M. Kovrigina2, I.N. Serebryakova3, E.V. Mikhailova1, A.V. Popa1, G.L. Mentkevich1

1-Paediatric Research Institute of FSBI «Named after N.N. Blokhin Russian Cancer Research Center» RAMS, Moscow.

2-FSBI «Haematology Research Center of The Ministry of Health of the Russian Federation», Moscow, Russian Federation

3-Clinical Oncology Research Institute of FSBI «Named after N.N. Blokhin Russian Cancer Research Center» RAMS, Moscow, Russian Federation


ABSTRACT

Non-Hodgkin’s lymphomas with primary testis involvement is a rare heterogeneous group of lymphoid tumours. In adults testicular lymphomas (TL) are characterized by aggressive clinical progression, frequent relapses and metastases to CNS, and poor response to standard therapy. According to literature data, pediatric TL presented as clinical cases. In the article Diffuse large B-cell TL in 10-year old boy presented. Authors discuss in details successful intensive chemotherapy treatment.


Keywords: testicular lymphoma, diagnosis, treatment, children

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REFERENCES

  1. Petrescu A., Dobrea C., Vasilicа M. et al. Primary malignant lymphoma of the testis. Rom. J. Morphol. Embryol. 2005; 46(2): 83–6.
  2. Kondo T., Wada H., Yata K. et al. Seven patients with stage I and II primary testicular lymphoma. Rinsho Ketsueki. 2002; 43(6): 473–6.
  3. Darby S., Hancock B.W. Localised non-Hodgkin lymphoma of the testis: the Sheffield Lymphoma Group experience. Int. J. Oncol. 2005; 26(4): 1093–9.
  4. Licci S., Morelli L., Covello R. Primary mantle cell lymphoma of the testis. Ann. Hematol. 2011; 90(4): 483–4.
  5. Li D., Xie P., Mi C. Primary testicular diffuse large B-cell lymphoma shows an activated B-cell-like phenotype. Pathol. Res. Pract. 2010; 206(9): 611–5.
  6. Chan J.T., Tsang W.Y., Lau W.H. et al. Aggressive T/NK cell lymphoma presenting as testicular tumour. Cancer 1996; 77: 1198–205.
  7. Тумян Г.С., Ковригина А.М., Тимофеева О.Л. и др. Особенности клинического течения и прогноз больных неходжкинской лимфомой с первичной локализацией в яичке. Совр. онкол. 2006; 8(4): 22–6.
  8. Saha P.K., Sakai H., Nomata K. et al. Malignant lymphoma of the testis presenting as primary testicular tumor. Hinyokika Kiyo 1991; 37(9): 1061–4.
  9. Feugier P., Virion J., Tilly H. Incidence and risk factors for central nervous system occurrence in elderly patients with diffuse large B-cell lymphoma: influence of rituximab. Ann. Oncol. 2004; 15: 129–33.
  10. Asensio A.J., Besses C., Palacin A. et al. Primary testicular lymphoma. A report of 3 cases. Med. Clin. (Barc.) 1994; 103(9): 339–41.
  11. Takeuchi Y., Sawada Y., Yabuki D. et al. Testicular malignant lymphoma: a case report. Hinyokika Kiyo 2003; 49(11): 675–8.
  12. Heller K.N., Teruya-Feldstein J., La Quaglia M.P. et al. Primary follicular lymphoma of the testis: excellent outcome following surgical resection without adjuvant chemotherapy. J. Pediatr. Hematol. Oncol. 2004; 26(2): 104–7.
  13. Koksal Y., Yalcin B., Uner A. et al. Primary testicular Burkitt lymphoma in a child. Pediatr. Hematol. Oncol. 2005; 22(8): 705–9.
  14. Bacon C.M., Ye H., Diss T.C. et al. Primary follicular lymphoma of the testis and epididymis in adults. Am. J. Surg. Pathol. 2007; 31(7): 1050–8.
  15. Finn L.S., Viswanatha D.S., Belasco J.B. et al. Primary follicular lymphoma of the testis in childhood. Cancer 1999; 85(7): 1626–35.
  16. Shahab N., Doll D.C. Testicular lymphoma. Semin. Oncol. 1999; 26(3): 259–69.
  17. Bavai D.P., Roger A.J., Arino B.A. et al. Primary testicular lymphoma. Report of two cases and bibliographic review. Arch. Esp. Urol. 2008; 61(4): 527–31.