A. Aviles et al., Angiocentric nasal T/natural killer cell lymphoma: a single centre study of prognostic factors in 108 patients, CLIN LAB H, 22(4), 2000, pp. 215-220
Angiocentric T cell/natural killer (NK) nasal lymphoma remains a rare clini
cal presentation in North America and Europe but is more common in Asia and
Latin America. We have reviewed 108 cases of angiocentric T/NK cell lympho
ma of the nasal cavity with a view to establishing prognostic factors. Most
patients were high or high intermediate clinical risk and had additional p
oor prognostic factors such as bulky disease, high levels of beta 2 microgl
obulin, advanced stage and multiple extranodal involvement. At 8 years, ove
rall survival was 82%, 90% and 84% for low-intermediate, high-intermediate
and high clinical, respectively. Disease free survival was very similar: 79
%, 83% and 80%, respectively.
Multivariate analysis did not identify any factor influencing overall survi
val and disease-free survival. There was no evidence that the international
prognostic index (IPI) was applicable in these patients and it appears tha
t angiocentric T/NK cell lymphoma is an independent prognostic factor itsel
f.