Transformation Scoring System (TSS): A new assessment index for clinical transformation of follicular lymphoma Article Swipe
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· 2020
· Open Access
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· DOI: https://doi.org/10.1002/cam4.3501
Although histologic analysis is the gold standard for diagnosing follicular lymphoma (FL) transformation, many patients are diagnosed with transformation by clinical factors as biopsy specimens often cannot be obtained. Despite the frequency of clinical diagnosis, no clinical assessment tool has yet been established for FL transformation in the rituximab era. We derived and validated a transformation scoring system (TSS) based on retrospective analyses of 126 patients with biopsy‐proven FL and histologic transformation (HT) at two hospitals of the National Cancer Center of Japan. In the derivation set (76 patients), the detailed analyses of the clinical characteristics at disease progression showed that lactate dehydrogenase (LDH) elevation, focal lymph nodal (LN) enlargement, hemoglobin upper limit of normal [ULN], ≤ULN ×2) (1 point), (≥ULN ×2) (2 points); focal LN enlargement, (≥3 cm, <7 cm) (1 point), (≥7 cm) (2 points); hemoglobin <12 g/dl (1 point); poor PS (2 points). We identified a high positive predictive value (PPV) (96.4%) and negative predictive value (NPV) (85.4%) for diagnosing HT when a cutoff score of 2 was selected for our TSS. In an external validation set (50 patients), the probability of HT was high with scores ≥2 (PPV, 93.3%; NPV, 82.9%). We developed a TSS that offers a simple, yet, valuable tool, for diagnosing HT, especially in patients who cannot undergo biopsy.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/cam4.3501
- OA Status
- gold
- Cited By
- 9
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3092081180
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3092081180Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/cam4.3501Digital Object Identifier
- Title
-
Transformation Scoring System (TSS): A new assessment index for clinical transformation of follicular lymphomaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-10-06Full publication date if available
- Authors
-
Takafumi Shichijo, Dai Maruyama, Nobuhiko Yamauchi, Akiko Miyagi Maeshima, Masato Sugano, Sayako Yuda, Kinuko Tajima, Hiroaki Kurihara, Kaoru Shimada, Tomotaka Suzuki, Kosuke Toyoda, Shinichi Makita, Suguru Fukuhara, Wataru Munakata, Tatsuya Suzuki, Yukio Kobayashi, Hirokazu Taniguchi, Yosuke Minami, Koji Izutsu, Kensei TobinaiList of authors in order
- Landing page
-
https://doi.org/10.1002/cam4.3501Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.1002/cam4.3501Direct OA link when available
- Concepts
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Medicine, Follicular lymphoma, Cutoff, Internal medicine, Diffuse large B-cell lymphoma, International Prognostic Index, Receiver operating characteristic, Rituximab, Biopsy, Retrospective cohort study, Gastroenterology, Lymphoma, Nuclear medicine, Physics, Quantum mechanicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
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9Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 3, 2023: 2, 2022: 1, 2021: 1Per-year citation counts (last 5 years)
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43Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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