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Are there clinically relevant prognostic factors in diffuse large B-cell lymphoma beyond International Prognostic Index? Cover

Are there clinically relevant prognostic factors in diffuse large B-cell lymphoma beyond International Prognostic Index?

Open Access
|Dec 2025

Figures & Tables

FIGURE 1.

New genetic subtypes in the context of COO groups ABC and GCB, as determined by NGS (N1 group is not included in the Figure since there were no patients with this subtype).
ABC = activated B-cell; COO = cell of origin; GCB = germinal center B-cell; NGS = next generation sequencing
New genetic subtypes in the context of COO groups ABC and GCB, as determined by NGS (N1 group is not included in the Figure since there were no patients with this subtype). ABC = activated B-cell; COO = cell of origin; GCB = germinal center B-cell; NGS = next generation sequencing

FIGURE 2.

New genetic subtypes in the context of COO unclassified group, as determined by NGS (N1 group is not included in the Figure since there were no patients with this subtype).
COO = cell of origin; NGS = next generation sequencing
New genetic subtypes in the context of COO unclassified group, as determined by NGS (N1 group is not included in the Figure since there were no patients with this subtype). COO = cell of origin; NGS = next generation sequencing

FIGURE 3.

Overall survival (Kaplan-Meier) of all patients (N = 131).
Overall survival (Kaplan-Meier) of all patients (N = 131).

FIGURE 4.

Overall survival (Kaplan-Meier) of patients according to International Prognostic Index (IPI) risk groups; (p < 0.0001).
Overall survival (Kaplan-Meier) of patients according to International Prognostic Index (IPI) risk groups; (p < 0.0001).

Concordance between the IHC and NGS method in determination of the COO_ The reference method was NGS_ A pairwise comparison between the results of both methods was performed for each patient_ Each patient who was subclassified into the same (ABC or GCB) subtype by both NGS and IHC was considered concordant_ Patients who were subclassified differently by IHC and NGS were considered discordant

COO by NGSCOO by IHCConcordance (%)
ABC subtype423173.8
GCB subtype625080.6

Patients’ characteristics

N%
Number of patients:131
Gender
 Male5945.0%
 Female7255.0%
Age
 Age range28–89/
 Median age65/
Stages (Ann Arbor):
 Stage I1914.5%
 Stage II2519.0%
 Stage III2116.0%
 Stage IV6650.4%
 Median stage:4 (range 1–4)
Other characteristics
 Bone marrow involvement4131.3%
 Elevated LDH level7758.8%
 B symptoms6549.6%
IPI group:
 Low risk3224.4%
 Low-intermediate risk3123.7%
 High-intermediate risk3728.2%
 High risk3123.7%
 Median IPI value:3 (range 0-5)
Treatment
 R-CHOP/R-CHOP like12897.7%
 R-COEP21.5%
 Palliative care10.8%
Treatment response130
 CR6550.0%
 PR4836.9%
 SD10.8%
 PD1612.3%
DOI: https://doi.org/10.2478/raon-2025-0028 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 607 - 616
Submitted on: Mar 3, 2025
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Accepted on: Mar 28, 2025
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Published on: Dec 16, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Milica Miljkovic, Vita Setrajcic Dragos, Gorana Gasljevic, Srdjan Novakovic, Lucka Boltezar, Barbara Jezersek Novakovic, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.