Chinese Clinical Oncology

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Clinical significance of serum lactate dehydrogenase and β2-microglobulinin in patients with diffuse large Bcell lymphoma

ZHAO Shuqing, LI Junmin,CHEN Li,YANG Chenmin.

  

  1. Department of Hematology, RuiJin Hospital Luwan Branch, Medical College Shanghai Jiao Tong University
  • Received:2015-06-12 Revised:2015-09-27 Online:2015-12-31 Published:2015-12-31

Abstract: Objective To investigate the clinical significance of serum levels of lactate dehydrogenase(LDH) and β2-microglobulin(β2-MG) in diffuse large Bcell lymphoma(DLBCL). Methods The serum levels of LDH and β2-MG of 58 patients with DLBCL were measured by rate method and radioimmunoassay. Besides, the clinicopathological characteristics of the patients such as gender, age, B symptoms, clinical stages, ECOG score of performance status(ECOG-PS) and bone marrow invasion were summarized and anylyzed. Meanwhile, the association between the level change of LDH and β2-MG after chemotherapy and therapeutic effectiveness was also evaluated. Results The levels of LDH and β2MG in the advanced stage group,ECOG≥2 group, bone marrow invasion group were significantly higher than those of their counterpart (P<0.05).The level of β2MG in aged over 60 patients was higher than that of younger ones (P<0.05),but there was no statistical significance in the LDH level(P>0.05). The level of LDH in B symptoms group was higher than that of without B symptoms(P<0.05),but there was no statistical significance in the β2MG level(P>0.05). There was no statistical significance about LDH and β2MG levels in gender(P>0.05). The levels of LDH and β2-MG in positive response group significantly decreased after chemotherapy (P<0.05). Conclusion LDH and β2-MG can be taken as indicators in classifying the clinical phase and judging whether there is bone marrow infiltration or not, and evaluating the chemotherapeutic effectiveness of DLBCL patients.

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