Application of IPNHLSS and response criteria to newly diagnosed pediatric patient with mature B cell lymphoma and its prognostic significance / (رقم التسجيلة. 179625)
[ عرض عادي ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 08954namaa22004571i 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | EG-GICUC |
| 005 - أخر تعامل مع التسجيلة | |
| control field | 20260420195801.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 260420s2025 ua a|||frm||| 000 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Original cataloguing agency | EG-GICUC |
| Language of cataloging | eng |
| Transcribing agency | EG-GICUC |
| Modifying agency | EG-GICUC |
| Description conventions | rda |
| 041 0# - LANGUAGE CODE | |
| Language code of text/sound track or separate title | eng |
| Language code of summary or abstract | eng |
| -- | ara |
| 049 ## - Acquisition Source | |
| Acquisition Source | Deposit |
| 082 04 - DEWEY DECIMAL CLASSIFICATION NUMBER | |
| Classification number | 618.9299446 |
| 092 ## - LOCALLY ASSIGNED DEWEY CALL NUMBER (OCLC) | |
| Classification number | 618.9299446 |
| Edition number | 21 |
| 097 ## - Degree | |
| Degree | Ph.D |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| Local Call Number | Cai01.19.05.Ph.D.2025.Ma.A |
| 100 0# - MAIN ENTRY--PERSONAL NAME | |
| Authority record control number or standard number | Mai Mohamed Adel Mohamed Abdelrahman, |
| Preparation | preparation. |
| 245 10 - TITLE STATEMENT | |
| Title | Application of IPNHLSS and response criteria to newly diagnosed pediatric patient with mature B cell lymphoma and its prognostic significance / |
| Statement of responsibility, etc. | by Mai Mohamed Adel Mohamed Abdelrahman ; Supervision Dr. Sherif Abou Elnaga Abou Elnaga, Dr. Hany Abdelrahman Sayed, Dr. Asmaa Mohamed Hamoda, Dr. Amal Refaat Sayed. |
| 246 15 - VARYING FORM OF TITLE | |
| Title proper/short title | تطبيق النظام الدولي لتصنيف مراحل سرطان الغدد الليمفاوية غير الهودجكينية عند الأطفال ومعايير الاستجابة على مريض الأطفال الذي تم تشخيصه حديثا |
| 264 #0 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Date of production, publication, distribution, manufacture, or copyright notice | 2025. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 93 pages : |
| Other physical details | illustrations ; |
| Dimensions | 25 cm. + |
| Accompanying material | CD. |
| 336 ## - CONTENT TYPE | |
| Content type term | text |
| Source | rda content |
| 337 ## - MEDIA TYPE | |
| Media type term | Unmediated |
| Source | rdamedia |
| 338 ## - CARRIER TYPE | |
| Carrier type term | volume |
| Source | rdacarrier |
| 502 ## - DISSERTATION NOTE | |
| Dissertation note | Thesis (Ph.D)-Cairo University, 2025. |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE | |
| Bibliography, etc. note | Bibliography: pages 83-93. |
| 520 #3 - SUMMARY, ETC. | |
| Summary, etc. | Introduction: Burkitt lymphoma (BL) is the most common mature B cell <br/>lymphoma, representing 40% of NHL in CAYA. accounting for <br/>approximately 40% of non-Hodgkin lymphoma (NHL) cases in this <br/>population. Accurate staging and response assessment are crucial for <br/>optimizing treatment strategies and improving outcomes <br/>Aim of the work: This study aimed to evaluate the application of the <br/>International Pediatric Non-Hodgkin Lymphoma Staging System (IPSS) <br/>at initial diagnosis and assess response to treatment using FDG-PET CT. <br/>Biopsy confirmation of residual disease was performed when feasible. <br/>Methodology: A prospective study was conducted on 100 newly <br/>diagnosed Burkitt lymphoma patients with a median age of 9 years, <br/>treated at the Children’s Cancer Hospital Egypt (CCHE-57357) between <br/>January 2019 and May 2023. All patients received the LMB 96 protocol <br/>and were followed for a minimum of one year after the end of treatment. <br/>Event-free survival (EFS), defined as the time from diagnosis to relapse, <br/>progression, death, or last follow-up, was estimated using the Kaplan-<br/>Meier method, and survival distributions were compared across <br/>subgroups using the log-rank test. Statistical significance was set at a p-<br/>value < 0.05. Statistical analyses were conducted using SPSS version 20. <br/>Results: Of the 100 patients, the male-to-female ratio was 5:1. Using <br/>Murphy staging, 93% were stage III and 5% stage IV, while IPSS <br/>classified 81% as stage III and 18% as stage IV. Applying IPSS response <br/>criteria, 22% achieved complete remission (CR), 23% biopsy-confirmed <br/>CR (CRb), and 37% unconfirmed CR (CRu). Relapse rates were 4% for <br/>both systems, with no relapses in the CRb category and 1% in the CRu <br/>category. Event-free survival (EFS) for stage III was 84.1% (Murphy) vs. <br/>87.8% (IPSS), and for stage IV, 40% (Murphy) vs. 55.6% (IPSS). The 3-<br/>year EFS for the CR group was 85.2%. In IPSS, the CRu group had a <br/>higher 3-year EFS (94.4%), with no events in the CRb group, suggesting <br/>excellent long-term outcomes for biopsy-confirmed CR patients. The <br/>CRu category had a higher survival rate than CR, with a non-significant <br/>(p = 0.19). <br/>Conclusion: The application of the International Pediatric Non-Hodgkin <br/>Lymphoma Staging System (IPSS) and its response criteria provides a <br/>more refined stratification of patients, particularly in advanced-stage <br/>disease. The higher EFS observed in the CRb and CRu groups suggests that IPSS may offer better prognostic information than traditional Murphy <br/>staging. Further studies are warranted to confirm these findings and <br/>establish IPSS as a standard tool for staging and response assessment in <br/>pediatric Burkitt lymphoma. |
| 520 #3 - SUMMARY, ETC. | |
| Summary, etc. | المقدمة<br/>تمثل الأورام اللمفاوية mature B-Non-hodgkinأكثر من نصف الأورام اللمفاوية غير الهودجكينية التي تحدث عند الأطفال والمراهقين والشباب. سرطان الغدد الليمفاوية Burkitt هو الأكثر شيوعًا، ويمثل حوالي 40% من سرطان الغدد الليمفاوية غير هودجكين في جميع أنحاء العالم. تطبيق التدريج الدقيق و تحديد درجه الاستجابه للمرض ذات اهميه بالغه لتحديد العلاج المناسب و تحسين النتائج.<br/>الهدف من الدراسة<br/>لذلك، تهدف هذه الدراسة إلى تقييم تطبيق النظام الدولي لتشخيص الغدد الليمفاويةNon-hodgkin من الأطفال الذين تم تشخيصهم حديثًا و تقييم الاستجابه للعلاج ، باستخدام التصوير المقطعي بالإصدار البوزيتروني (PET-CT) ، في تقييم المرض المتبقي وتأكيده عن طريق اخذ عينه اذا كان متاحا.<br/>المرضى وطرق البحث: <br/>تم إجراء هذه الدراسة الاستباقية غير العشوائية على 001 مريض من الأطفال المصابين بسرطان الغدد الليمفاوية Burkitt و متوسط عمر الطفل تسعه سنوات من يناير) 2019 الي مايو 2023 ( في مستشفي سرطان الاطفال 57357, كل الاطفال تلقوا (LMB Protocol 96) و متابعه عام علي الاقل من نهايه العلاج. <br/>النتائج<br/>• كشفت هذه الدراسة أن متوسط عمر المجموعة بأكملها كان 9 سنوات ، مع نسبة الذكور إلى الإناث 5:1. طبقا لنظام لتحديد مراحل سرطان الغدد الليمفاويه غير الهودجكينية عند الأطفال: Murphy المرحلة الثالثة:نسبتها 93% ؛و المرحلة الرابعة نسبتها: (5%). <br/>• مع تطبيق النظام الدولي IPSS, نسبه المرحله الثالثه81 % و المرحله الرابعه 18 % و مع تطبيق تعريفات الاستجابه للنظام الحديث: 22% للاستجابه الكامله (شفاء تام) و 23% شفاء مثبت عن طريق اخذ العينه (CR b) و 37 % شفاء غير مؤكد , طبقا لتعريفات النظام الدولي . <br/>• نسبه الارتداد )4 %( لكلا النظامين Murphy and IPSS, و لايوجد ارتداد نهائي لحالات الشفاء المثبت عن طريق اخذ العينه, 1 % في حالات الشفاء الغير مؤكد <br/>• نسبه فتره البقاء بدون مرض للمرحله الثالثه) 84.1 %( بنظام) Murphy VS (87.8 % بنظام IPSS و نسبه فتره البقاء بدون مرض للمرحله الرابعه) 40%( بنظام Murphyو) 55.6%( بنظام IPSS <br/>• الثلاث اعوام البقاء بدون مرض لمجموعه الاستجابه الكامله) 85.2 %(, ومع تطبيق النظام الدولي لمجموعه الشفاء الغير مؤكد و نسبه فتره البقاء بدون مرض) 94.4%( و لا يوجد احداث في المجموعه المؤكده باخذ عينه و هذا يؤكد نتائج افضل لهذه المجموعه. <br/>الاستنتاج<br/>يعد النظام الدولي لتحديد مراحل سرطان الغدد الليمفاوية Non-hodgkin لدى الأطفال ومعايير الاستجابة نظامًا تشخيصيًا فعالاً لدى مرضى الأطفال المصابين بسرطان الغدد الليمفاوية. لانه اكثر دقه و حساسيه في اختيار البروتوكول المناسب للعلاج. |
| 530 ## - ADDITIONAL PHYSICAL FORM AVAILABLE NOTE | |
| Issues CD | Issues also as CD. |
| 546 ## - LANGUAGE NOTE | |
| Text Language | Text in English and abstract in Arabic & English. |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Pediatric lymphomas |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | الأورام اللمفاوية لدى الأطفال |
| 653 #1 - INDEX TERM--UNCONTROLLED | |
| Uncontrolled term | Burkitt lymphoma |
| -- | pediatric non-Hodgkin lymphoma |
| -- | International Pediatric Staging System (IPSS) |
| -- | FDG-PET CT |
| -- | response assessment |
| -- | biopsy-confirmed remission |
| -- | LMB 96 protocol |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Sherif Abou Elnaga Abou Elnaga |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Hany Abdelrahman Sayed |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Asmaa Mohamed Hamoda |
| Relator term | thesis advisor. |
| 700 0# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Amal Refaat Sayed |
| Relator term | thesis advisor. |
| 900 ## - Thesis Information | |
| Grant date | 01-01-2025 |
| Supervisory body | Sherif Abou Elnaga Abou Elnaga |
| -- | Hany Abdelrahman Sayed |
| -- | Asmaa Mohamed Hamoda |
| -- | Amal Refaat Sayed |
| Universities | Cairo University |
| Faculties | National Cancer Institute |
| Department | Department of Pediatric Oncology |
| 905 ## - Cataloger and Reviser Names | |
| Cataloger Name | Shimaa |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | Dewey Decimal Classification |
| Koha item type | Thesis |
| Edition | 21 |
| Suppress in OPAC | No |
| Source of classification or shelving scheme | Home library | Current library | Date acquired | Inventory number | Full call number | Barcode | Date last seen | Effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|
| Dewey Decimal Classification | المكتبة المركزبة الجديدة - جامعة القاهرة | قاعة الرسائل الجامعية - الدور الاول | 20.04.2026 | 93840 | Cai01.19.05.Ph.D.2025.Ma.A | 01010110093840000 | 20.04.2026 | 20.04.2026 | Thesis |