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Symptom-oriented clinical detection versus routine imaging as a monitoring policy of relapse in patients with diffuse large B-cell lymphoma
- Title
- Symptom-oriented clinical detection versus routine imaging as a monitoring policy of relapse in patients with diffuse large B-cell lymphoma
- Authors
- Hong, Junshik; Kim, Ji Hyun; Lee, Kyoung Hwa; Ahn, Hee Kyung; Park, Sanghui; Sym, Sun Jin; Park, Jinny; Cho, Eun Kyung; Shin, Dong Bok; Lee, Jae Hoon
- Ewha Authors
- 박상희
- SCOPUS Author ID
- 박상희
- Issue Date
- 2014
- Journal Title
- LEUKEMIA & LYMPHOMA
- ISSN
- 1042-8194
1029-2403
- Citation
- LEUKEMIA & LYMPHOMA vol. 55, no. 10, pp. 2312 - 2318
- Keywords
- Lymphoma; diffuse large B-cell lymphoma; surveillance; medical imaging
- Publisher
- INFORMA HEALTHCARE
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- This study aimed at evaluating the role of routine imaging versus symptom-directed unplanned early outpatient department (OPD) visits in patients with diffuse large B-cell lymphoma (DLBCL) in complete remission (CR) by analyzing the patterns and outcomes of OPD visits for disease monitoring. Patients with DLBCL in CR after treatment in the rituximab era with any OPD monitoring visit were analyzed. A total of 856 OPD visits were recorded: 501 visits were with routine imaging, 322 were without routine imaging and 33 visits (3.9%) were unplanned early visits due to abnormal symptoms. Of the 106 analyzed patients, 15 experienced a relapse (median follow-up duration of 38.1 months). Routine imaging showed an unsatisfactory positive predictive value due to frequent false-positive visits, and a substantial number of patients with false-positive imaging underwent unnecessary biopsies or additional scans. Compared with planned OPD visits, unplanned early visits were highly related to relapse.
- DOI
- 10.3109/10428194.2014.882505
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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