Without any doubt the
nowadays known clinical and paraclinical elements as
well as the prognosis factors only represent the
expression of heterogeneity and biological
complexity of Non Hodgkin Lymphoma (NHL), but it is
also obvious that the ensemble of infrastructural
and molecular parameters affect the evolution and
prognosis of NHL patients in the most profound way
9.
Material and methods:
The present study refers to the recognition and
correlation of prognosis factors with the treatment
and evolution of patients and was undertaken on a
group of patients, the essential selection criteria
being the framing in the agressive (medium and
highly agressive) non-Hodgkin lymphoma category as
seen from the clinical, hystological and
immunological point of view. 134 patients have been
studied during 2006-2008. The prognosis factors that
have been studied are: factors that depend on the
individual, factors that depend on the tumor mass
and biological factors. The data obtained in this
study has been structured as follows. The considered
prognosis factors have been divided into three
categories: general, clinical and paraclinical.
Conclusions: Male
gender has been more frequently associated to an
advanced clinical stage. The existence of B signs in
elderly patients represents a negative prognosis
factor. The best results have been obtained in young
patients, phenotype B, without other associated
conditions, in early stages, without B symptoms,
without extra-nodal or marrow determination.
Key words: agressive
Non Hodgkin Lymphoma, prognosis factors, evolution,
treatment