Publications by authors named "Ewa Paszkiewicz-Kozik"

Background/objectives: Patients with chronic lymphocytic leukemia (CLL) are susceptible to infections that can affect their clinical outcomes.

Aims: The aims of this study were to assess the following: (1) the incidence of pneumonia in CLL patients treated with venetoclax-based regimens in a real-world setting, (2) the risk factors for event-free survival (EFS), and (3) overall survival (OS).

Methods: This multicenter study included 322 patients from eight centers.

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The key association between gut dysbiosis and cancer is already known. Here, we used whole-genome shotgun sequencing (WGS) and gas chromatography/mass spectrometry (GC/MS) to conduct metagenomic and metabolomic analyses to identify common and distinct taxonomic configurations among 40, 45, 71, 34, 50, 60, and 40 patients with colorectal cancer, stomach cancer, breast cancer, lung cancer, melanoma, lymphoid neoplasms and acute myeloid leukemia (AML), respectively, and compared the data with those from sex- and age-matched healthy controls (HC). α-diversity differed only between the lymphoid neoplasm and AML groups and their respective HC, while β-diversity differed between all groups and their HC.

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MALT lymphoma of the dura is a very rare type of low-grade B-cell lymphoma. Little more than 100 cases have been reported in the literature to date. We report a 43-year-old woman who was referred to hospital because of a series of three tonic-clonic seizures on the day of admission.

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Article Synopsis
  • - Richter transformation (RT) occurs in 2-10% of chronic lymphocytic leukemia patients, leading to aggressive lymphoma, and a study of 124 Polish patients was conducted to analyze RT demographics and treatment outcomes.
  • - Among the identified cases, 99 patients had diffuse large B-cell lymphoma (DLBCL-RT) with a median overall survival of 17.3 months, while those with Hodgkin lymphoma (HL-RT) had a better median survival of 21.3 months.
  • - Factors associated with poorer survival in DLBCL-RT included prior CLL therapy and elevated LDH levels, while patients undergoing hematopoietic stem cell transplantation (HSCT) had significantly better outcomes, especially
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The results of the MURANO trial showed encouraging progression-free survival (PFS) and overall survival (OS) in relapsed/refractory chronic lymphocytic leukemia (RR-CLL) patients treated with venetoclax-rituximab (VEN-R). A retrospective analysis was performed to evaluate the efficacy and safety of VEN-R within the Polish Adult Leukemia Study Group (PALG) centers. The study group included 117 patients with RR-CLL (with early relapse after immunochemotherapy or bearing TP53 aberrations) treated with VEN-R in 2019-2023 outside clinical trials.

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  • * The study emphasizes key molecules like CD30 and PD-1/PD-L1 that play critical roles in immune modulation within HL, alongside the influence of epigenetic modifications related to chromatin remodeling complexes.
  • * Despite ample molecular insights, the complete understanding of HL's development is still lacking; thus, further research on PD-1 signaling and epigenetic factors is suggested to discover new treatment targets for more effective therapies.
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  • Clinical data on primary central nervous system lymphoma (PCNSL) often excludes frail patients, and recent challenges in diagnosis and treatment arose due to the COVID-19 pandemic, especially concerning pneumonia risks with certain treatments.
  • The study reports on the R-MIV induction regimen, which includes intensive methotrexate, showing a high overall response rate of 73% among 64 patients, and low severe hematological toxicity rates.
  • There were three treatment-related fatalities, but most patients were eligible for further consolidation treatment, indicating that R-MIV is both effective and safe for PCNSL patients, even amidst the pandemic challenges.
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Background: The first-line obinutuzumab-based immunochemotherapy improves the outcome of patients with follicular lymphoma (FL) compared with rituximab-based regimens. However, infusion-related reactions occur in almost half of patients during the 1st obinutuzumab administration.

Objectives: The study aimed to evaluate the early effectiveness and safety of obinutuzumab-based induction regimens in a real-world setting.

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Objective: To investigate the prevalence of histopathological subtypes, the clinical stage at presentation and treatment modalities in Polish patients with orbital lymphoma (OL) and to determine prognostic outcomes.

Methods: The retrospective study of 107 patients with OL treated in a 14-year period in Polish hematological centers. The analysis included histopathological subtype, disease clinical advancement, treatment modalities, progression-free survival (PFS), and overall survival (OS).

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Several single nucleotide polymorphisms (SNPs) associated with susceptibility to Hodgkin lymphoma (HL) and diffuse large B-cell lymphoma (DLBCL) have been identified. The aim of this study was to identify susceptibility loci for HL and DLBCL in Polish patients. Altogether, DLBCL (n = 218 and HL patients (n = 224) and healthy individuals (n = 1181) were recruited.

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Article Synopsis
  • Primary mediastinal B-cell lymphoma (PMBL) has a high cure rate of 85-95%, with various treatment regimens including RCHOP and DAEPOCH-R; this study examined a protocol involving aggressive immunochemotherapy and intermediate-dose methotrexate.
  • The study involved 124 patients, with a median follow-up of 9 years, showing impressive 5-year overall survival (94%) and progression-free survival (92%), influenced by PET-CT results post-chemotherapy.
  • The intensive treatment showed low rates of severe side effects (0.8% treatment-related mortality) and late toxicities (2.4% for second malignancies and cardiotoxicity), indicating its effectiveness and safety in young
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Article Synopsis
  • * Out of 77 patients treated, the overall response rate was 54.5%, with median progression-free survival and event-free survival at 16.3 months, and median overall survival at 22.7 months.
  • * The research indicated that factors like age and previous therapies impacted survival, while treatment-related mortality was 15.5%, suggesting O-IVAC may be a viable option for bridging to more effective therapies.
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Article Synopsis
  • Follicular lymphoma (FL) is a common, low-grade B-cell lymphoma typically treated with rituximab and chemotherapy, with recent advancements in treatment options.
  • A study of 181 newly diagnosed FL patients revealed that 77% had advanced disease at diagnosis, and the median progression-free survival was 8.28 years, with some patients experiencing transformation to aggressive lymphoma.
  • Key factors for better survival rates included having a good performance status (ECOG 0), low PRIMA prediction index, and not relapsing within 24 months of treatment.
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Background: The severe acute respiratory syndrome coronavirus (SARS-CoV-2) has become the cause of a worldwide pandemic, and its clinical infection course in patients with hematological malignancies may be severe.

Methods: We performed a retrospective study on 188 chronic lymphocytic leukemia patients (CLL) with COVID-19 infection.

Results: At the time of infection 51 patients (27.

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KEYNOTE-204 (NCT02684292) demonstrated a progression-free survival advantage for pembrolizumab over brentuximab vedotin (BV) in patients who had relapsed or refractory classical Hodgkin lymphoma (R/R cHL) following, or who were ineligible for, autologous stem cell transplantation (ASCT). Health-related quality of life (HRQoL), measured by patient-reported outcomes (PROs) from KEYNOTE-204, are reported from patients who received ≥1 dose of study treatment and completed ≥1 PRO assessment. The EORTC QoL Questionnaire Core 30 (QLQ-C30) and EuroQoL EQ-5D were administered at baseline, every 6 weeks until week 24, and every 12 weeks thereafter.

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Background: PD-1 blockade via pembrolizumab monotherapy has shown antitumour activity and toxicity in patients with relapsed or refractory classical Hodgkin lymphoma. Here, we present interim analyses from the KEYNOTE-204 study evaluating pembrolizumab versus brentuximab vedotin for relapsed or refractory classical Hodgkin lymphoma.

Methods: In this randomised, open-label, phase 3 study, patients aged 18 years or older with relapsed or refractory classical Hodgkin lymphoma with measurable disease and an Eastern Cooperative Oncology Group performance status of 0 or 1 who were ineligible for or had relapsed after autologous haematopoietic stem-cell transplantation (HSCT) were enrolled at 78 hospitals and cancer centres in 20 countries and territories.

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Hodgkin lymphoma (HL) and diffuse large B cell lymphoma (DLBCL) represent 15% and 20%, respectively, of all lymphoma types. The aim of this study was to identify and compare circulating serum miRNA (c-miRNA) and peripheral whole blood miRNA (wb-miRNA) profiles in patients with these lymphomas. Serum samples (20 HL, 21 DLBCL, and 30 healthy controls) and whole blood samples (21 HL, 17 DLBCL patients, and 30 healthy controls) were collected at the time of diagnosis.

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The optimal salvage therapy in relapsed/refractory Hodgkin lymphoma (R/R HL) has not been defined so far. The goal of this multicenter retrospective study was to evaluate efficacy and safety of BGD (bendamustine, gemcitabine, dexamethasone) as a second or subsequent line of therapy in classical R/R HL. We have evaluated 92 consecutive R/R HL patients treated with BGD.

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Background/aim: Follicular lymphoma (FL) relapse within 24 months of the first immunochemotherapy (POD24) indicates more precisely poor overall survival and high risk of death. The aim of the study was to assess the potential value of POD24 in FL and describe the enhancer of zeste homolog 2 (EZH2) expression profile, in correlation with clinical/histopathological/immunophenotypical characteristics.

Materials And Methods: This retrospective single-center study included 75 patients with FL treated under watch and wait (W&W) and immunochemotherapy regimens.

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Available epidemiological reports on follicular lymphoma (FL) often highlight a significant discrepancy between its high and low incidence rates in Western and Eastern Europe, respectively. The reasons behind that difference are not fully understood, but underreporting is typically presumed as one of the main factors. This study aimed to assess FL epidemiology in Poland based on 2000-2014 data from the Polish National Cancer Registry, which has 100% population coverage and over 90% completeness of the registration.

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Follicular lymphoma (FL) is a well-studied microenvironment-dependent hematological malignancy, but the crosstalk between various involved cell subtypes is still not fully understood. Recent promising results of immunotherapy in recurrent FL warrant the need for an in-depth analysis of the expression and role of immune system-related proteins in the FL microenvironment. Seventy-one patients with FL and available diagnostic paraffin blocks were enrolled in the retrospective analysis.

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Introduction: Histopathological examination and immunohistochemistry (IHC) with a crucial role of CD10 expression remain a standard diagnostic tool in follicular lymphoma (FL). The results of IHC CD10 detection with different primary antibodies are not fully reproducible, but some reports show that flow cytometry (FCM) can be a reliable method of CD10 identification.

Methods: The aim of the study was to compare results of CD10 expression in FL by IHC and FCM including immunophenotypic features in the context of the BCL2 and BCL6 alterations.

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R-CVP (cyclophosphamide, vincristine, prednisone) and R-CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone + rituximab) are immunochemotherapy regimens frequently used for remission induction of indolent non-Hodgkin lymphomas (iNHLs). Rituximab maintenance (RM) significantly improves progression-free survival (PFS) in patients with complete/partial remission (CR/PR). Here we report the final results of a randomized study comparing R-CVP to R-CHOP both followed by RM.

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Some patients with relapsed/refractory Hodgkin lymphoma (HL) are not considered suitable for stem cell transplant (SCT) and have a poor prognosis. This phase IV study (NCT01990534) evaluated brentuximab vedotin (1·8 mg/kg intravenously once every 3 weeks) in 60 patients (aged ≥18 years) with CD30-positive relapsed/refractory HL, a history of ≥1 prior systemic chemotherapy regimen, who were considered unsuitable for SCT/multi-agent chemotherapy. Primary endpoint was overall response rate (ORR) per independent review facility (IRF).

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