4.6 Article

Elevated serum free light chains are associated with inferior event free and overall survival in Hodgkin lymphoma

Journal

AMERICAN JOURNAL OF HEMATOLOGY
Volume 86, Issue 12, Pages 998-1000

Publisher

WILEY
DOI: 10.1002/ajh.22168

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Funding

  1. University of Iowa/Mayo Clinic Lymphoma SPORE [CA97274]
  2. Paul Calabresi Award for Clinical Oncology [K12 CA90628]
  3. Henry J. Predolin Foundation

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The serum free light chain (FLC) assay quantitates free immunoglobulin kappa and lambda light chains, which has prognostic value in plasma cell dyscrasias. However, there is limited data on serum FLC in lymphoid malignancies. We analyzed the association of pretreatment FLC with event-free survival (EFS) and overall survival (OS) in 100 patients with Hodgkin lymphoma (HL). Elevated polyclonal FLC were present in 30% of patients; these patients had an inferior EFS (HR = 4.84; 95% CI: 1.8412.7) and OS (HR = 8.87; 95% CI: 2.3533.52) compared to patients with normal FLC. Further studies of FLC in HL are warranted. Am. J. Hematol., 2011. (c) 2011 Wiley-Liss, Inc.

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