Research Article

Clinical Factors Associated with Response or Survival after Chemotherapy in Patients with Waldenström Macroglobulinemia in Korea

Table 1

Clinical and laboratory characteristics.

Characteristic (%) or median (range)

Patients71
Age, years, median (range)66 (37–92)
Gender
 Male 59 (83.1)
 Female 12 (16.9)
Hemoglobin, g/dL, median (range)9.6 (3.80–17.10)
Platelet count, ×109/L, median (range)213 (23–575)
ALC, ×109/L, median (range)1.70 (0.10–12.30)
CRP, mg/dL, median (range)2.44 (0.05–23.80)
Serum 2-microglobulin, mg/L, median (range)4.20 (1.34–30.00)
Serum albumin, g/dL, median (range)3.2 (1.50–4.60)
LDH, IU/L, median (range)261.0 (74.0–968.0)
BM lymphocyte, %, median (range)14 (5–100)
Cytogenetic abnormalities, present (%) 8 (11.3%)
Serum monoclonal protein, mg/dL, median (range) 3640.0 (18.30–10795.0)
B symptom, present (%)8 (11.3)
ECOG (%) ≥223 (32.4)
Hyperviscosity, present (%)8 (11.3)
Lymphadenopathy, yes (%)27 (38.0)
Extranodal involvement, yes (%)29 (40.8)
Splenomegaly, yes (%)18 (25.4)
Hepatomegaly, yes (%)7 (9.9)
ISS (%)
 I13 (18.3)
 II 26 (36.6)
 III 26 (36.6)
 Unknown 6 (8.5)
Treatment regimen
 Novel agent combined  chemotherapy 14 (19.7)
 Conventional chemotherapy57 (80.3)
Treatment
Novel group
 R-combined CTx; R-CVP, R-CHOP6 (8.5)
 VD5 (7.0)
 TD2 (2.8)
 Bendamustine plus prednisolone1 (1.4)
Conventional group
 Chlorambucil25 (35.2)
 CVP or CHOP14 (19.7)
 MP or CP15 (21.1)
 FC or FCM3 (4.2)

ALC: absolute lymphocyte count; CRP: C-reactive protein; LDH: lactate dehydrogenase; BM: bone marrow; ECOG: Eastern Cooperative Oncology Group performance status; ISS: international staging system; R-combined CTx: rituximab combined chemotherapy; R-CVP: rituximab, cyclophosphamide, vincristine, and prednisolone; R-CHOP: rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisolone; VD: bortezomib plus dexamethasone; TD: thalidomide plus dexamethasone; MP: melphalan plus prednisolone; CP: cyclophosphamide plus prednisolone; FC: fludarabine plus cyclophosphamide; FCM: fludarabine plus cyclophosphamide and mitoxantrone.