Lymphoma 101: The Plot Thickens

Presented by:
Leo I. Gordon
Search for other papers by Leo I. Gordon in
Current site
Google Scholar
PubMed
Close
 MD
Restricted access

Staging in lymphoma has changed significantly over time, from the Ann Arbor criteria (1971) to the Cotswolds criteria (1989) to the Lugano Classification (2011). The evolution of imaging technology has played a major role in these changes, and PET/CT is now standard for certain lymphomas, whereas chest radiographs are no longer routine. More recently, response criteria have been refined to account for possible flare reactions of immunomodulatory therapy with a provisional term called “indeterminate response.” The latest RECIL criteria use single-dimension measurements to assess response to therapy in patients with lymphoma. Finally, clinical data can be represented graphically in many ways, including the Kaplan-Meir plot, forest plot, waterfall plot, and swimmers plot. Each representation has its own strengths and limitations.

Disclosures: Dr. Gordon has disclosed that he has received grant/research support from Celgene Corporation and Juno Therapeutics, Inc., is a scientific advisor for Gilead Sciences, Inc.; and has an ownership/partnership/principal role with Zylem Biosciences.

Correspondence: Leo I. Gordon, MD, Northwestern University, 676 North St Clair, Suite 850, Chicago, IL 60611. Email: l-gordon@northwestern.edu
  • Collapse
  • Expand
  • 1.

    Carbone PP, Kaplan HS, Musshoff K, et al. Report of the Committee on Hodgkin’s Disease Staging Classification. Cancer Res 1971;31:18601861.

  • 2.

    Lister TA, Crowther D, Sutcliffe SB, et al. Report of a committee convened to discuss the evaluation and staging of patients with Hodgkin’s disease: Cotswolds meeting. J Clin Oncol 1989;7:16301636.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Cheson BD, Fisher RI, Barrington SF, et al. Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: the Lugano classification. J Clin Oncol 2014;32:30593068.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Cheson BD, Ansell S, Schwartz L, et al. Refinement of the Lugano Classification lymphoma response criteria in the era of immunomodulatory therapy. Blood 2016;128:24892496.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Younes A, Hilden P, Coiffier B, et al. International Working Group consensus response evaluation criteria in lymphoma (RECIL 2017). Ann Oncol 2017;28:14361447.

  • 6.

    Kaplan EL, Meier P. Nonparametric estimation from incomplete observations. J Am Stat Assoc 1958;53:457481.

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 1579 336 40
PDF Downloads 429 62 5
EPUB Downloads 0 0 0