@article{3079080, title = "Small lymphocytic lymphoma: Analysis of two cohorts including patients in clinical trials of the German Chronic Lymphocytic Leukemia Study Group (GCLLSG) or in “real-life” outside of clinical trials", author = "Sachanas, S. and Pangalis, G.A. and Fink, A.-M. and Bahlo, J. and Fischer, K. and Levidou, G. and Kyrtsonis, M.-C. and Bartzi, V. and Vassilakopoulos, T.P. and Kalpadakis, C. and Koulieris, E. and Moschogiannis, M. and Yiakoumis, X. and Tsirkinidis, P. and Angelopoulou, M.K. and Eichhorst, B. and Hallek, M.", journal = "ANTICANCER RESEARCH", year = "2019", volume = "39", number = "5", pages = "2591-2598", publisher = "International Institute of Anticancer Research", issn = "0250-1291", doi = "10.21873/anticanres.13382", keywords = "bendamustine; chlorambucil; cyclophosphamide; fludarabine; prednisolone; rituximab; vincristine, adult; aged; Article; cancer combination chemotherapy; cancer immunotherapy; cancer patient; cancer radiotherapy; cancer survival; clinical trial (topic); controlled study; female; human; lymphocytic lymphoma; major clinical study; male; priority journal; small lymphocytic lymphoma; treatment response; cell proliferation; chronic lymphatic leukemia; disease free survival; genetics; Germany; lymph node; middle aged; pathology; prognosis, Adult; Aged; Cell Proliferation; Clinical Trials as Topic; Disease-Free Survival; Female; Germany; Humans; Leukemia, Lymphocytic, Chronic, B-Cell; Lymph Nodes; Male; Middle Aged; Prognosis", abstract = "Background: Only few studies have focused exclusively on patients with small lymphocytic lymphoma (SLL). Patients and Methods: In the present report, 103 SLL patients were analyzed from both, clinical trials of the German Chronic Lymphocytic Leukemia Study Group and Greek centers, and emphasis was placed on the therapeutic strategy. The impact of lymph node characteristics, such as the presence of proliferation centers (PCs) on response and survival was also assessed. Results: SLL patients included in clinical trials were treated mostly with fludarabine-based regimens while those in “real-life” were staged and treated mostly as patients with low-grade lymphomas. Our analysis showed a trend for better survival for patients with SLL without detectable PCs. Conclusion: Patients with SLL outside of clinical trials are usually treated as cases of lymphoma. In addition, this analysis supports published data regarding the adverse prognostic value of the presence of PCs in lymphoid nodes in SLL. © 2019 International Institute of Anticancer Research. All rights reserved." }