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c-myc基因重排对弥漫大B细胞淋巴瘤预后影响的Meta分析
引用本文:王晓江,林贤东,何银珠,师怡,陈宝珍,陈刚. c-myc基因重排对弥漫大B细胞淋巴瘤预后影响的Meta分析[J]. 白血病.淋巴瘤, 2016, 25(1): 61-64. DOI: 10.3760/cma.j.issn.1009-9921.2016.01.017
作者姓名:王晓江  林贤东  何银珠  师怡  陈宝珍  陈刚
作者单位:福建省肿瘤医院分子病理研究室, 福州,350014;350014 福州,福建省肿瘤医院分子病理研究室;350014 福州,福建省肿瘤医院转化医学实验室;350014 福州,福建省肿瘤医院转化医学实验室;350014 福州,福建省肿瘤医院病理科
基金项目:福建省医学创新课题(2012-cx-7) Fund program:Medical Innovation Project of Fujian Province (2012-cx-7)
摘    要:目的探讨c-myc基因重排对弥漫大B细胞淋巴瘤(DLBCL)远期疗效的影响,为DLBCL预后判断提供循证医学依据。方法计算机检索中英文数据库,收集国内外公开发表的关于c-myc基因重排DLBCL的相关文献,采用RevMan5.2软件进行Meta分析。结果筛选文献,共有8篇纳入研究。Meta分析显示,c-myc重排阳性的DLBCL患者5年无进展生存和总生存较c-myc重排阴性患者差(HR=2.28,95%CI 1.64~3.18;lib=2.35,95%CI1.93~2.85)。结论c-myc基因重排是潜在的DLBCL预后不良的生物标志物。

关 键 词:基因  c—myc  淋巴瘤  大B一细胞  弥漫性  预后  Meta分析

Meta analysis of prognosis in diffuse large B-cell lymphoma patients with c-myc gene rearrangement
Abstract:Objective To investigate the significance of c-myc gene rearrangement on the long term efficacy of diffuse large B-cell lymphoma (DLBCL), and to provide the evidence-based medicine for prognosis of DLBCL. Methods The Chinese and English database were searched to identify all the articles about the DLBCL with c-myc gene rearrangement by computer. Meta-analysis was completed by RevMan 5.2 software. Results A total of eight studies were included. The Meta-analysis results displayed that DLBCL patients with c-myc gene rearrangement had the poor prognosis. Five years progression free survival (PFS) and overall survival (OS) were significantly worse (HR= 2.28, 95 %CI 1.64-3.18 and HR= 2.35, 95 %CI 1.93-2.85). Conclusion C-myc gene rearrangement is a potential biomarker for the poor prognosis of DLBCL.
Keywords:Gene  c-myc  Lymphoma  large B-cell  diffuse  Prognosis  Meta analysis
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