Clinical Study

HIV-Associated Burkitt Lymphoma: Good Efficacy and Tolerance of Intensive Chemotherapy Including CODOX-M/IVAC with or without Rituximab in the HAART Era

Table 1

Clinical characteristics and initial treatment of 14 patients with HIV-associated Burkitt lymphoma.

Characteristicn

Age at BL presentation (years)
 ≤457
 >457
Age in years, median (range)
 45.5 (32–56)
Gender
 Male14
BL stage
 I2
 II1
 III4
 IV7
Magrath risk1
 Low3
 High11
BCCA risk2
 Low0
 High14
LDH
 Normal6
 Increased8
ECOG PS3
 0-14
 ≥25
Extranodal sites
 ≥17
HIV risk4
 Sexual9
 IDU3
CD4 at BL diagnosis
 <2004
 ≥20010
Prior AIDS5
 No13
 Yes1
Coinfections
 Hepatitis B
  Known negative9
  Known positive3
 Hepatitis C
  Known negative10
  Known positive3
HAART6
 No1
 Yes13
G-CSF
 Yes13
Number of cycles of HD-CT
 1-24
 3-410
Received rituximab
 No4
 Yes10

1Magrath risk: low risk has ≤1 extranodal site of BL and LDH ≤350 IU/L; all others are high risk.
²BCCA risk: low risk has Ann Arbor stage I, II, or III; bulk <5 cm; normal LDH level; all others are high risk.
3ECOG Performance Status, not recorded.
4HIV Risk, not recorded.
5Kaposi sarcoma, .
6HAART usually includes one nucleoside analog, one protease inhibitor, and either a second nucleoside analog or a nonnucleoside reverse transcription inhibitor (NNRTI).
AIDS: acquired immunodeficiency syndrome; BCCA: British Columbia Cancer Agency; BL: Burkitt lymphoma; ECOG PS: Eastern Cooperative Oncology Group; G-CSF: granulocyte colony stimulating factor; HIV: Human Immunodeficiency virus; HAART: highly active antiretroviral therapy; HD-CT: high dose chemotherapy; IDU: injection drug use; LDH: lactate dehydrogenase; : number of patients.