Patients with enteropathy-associated T-cell lymphoma in the United States from 2000 to 2018: SEER data-base analysis

Background: Enteropathy-Associated T-Cell Lymphoma (EATL) is a rare lymphoma of T-cell origin associated with celiac disease. There is limited evidence in the literature about the incidence and causes of death in patients with EATL. Methods: We performed a retrospective study through analyzing the S...

Full description

Bibliographic Details
Main Authors: Ahmed K. Awad, Rehmat Ullah Awan, Ayman K. Awad, Ambreen Nabeel, Sophia Dar, Ayokunle T. Abegunde
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Cancer Treatment and Research Communications
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468294223000679
_version_ 1797732838682918912
author Ahmed K. Awad
Rehmat Ullah Awan
Ayman K. Awad
Ambreen Nabeel
Sophia Dar
Ayokunle T. Abegunde
author_facet Ahmed K. Awad
Rehmat Ullah Awan
Ayman K. Awad
Ambreen Nabeel
Sophia Dar
Ayokunle T. Abegunde
author_sort Ahmed K. Awad
collection DOAJ
description Background: Enteropathy-Associated T-Cell Lymphoma (EATL) is a rare lymphoma of T-cell origin associated with celiac disease. There is limited evidence in the literature about the incidence and causes of death in patients with EATL. Methods: We performed a retrospective study through analyzing the Surveillance, Epidemiology, and End Results (SEER) data base to determine the incidence, trends and causes of death of patients with EATL in the U.S from 2000 to 2018. Baseline characteristics with treatment options (surgery, radiotherapy, and chemotherapy), status of patients either alive, dead due to cancer itself or other non-cancerous causes with listing of those non-cancerous causes was retrieved. Sub-group analysis based on sex was also done. Multiple latency periods (<2 year, 2–5, 6–10, 11–15, and more than 15 years) were analyzed following EATL diagnosis. Results: There were 259 EATL patients, majority were aged 70–74 years old (n = 36, 13.9%), predominantly males 155 (59.8%), most common in whites, (76.4%, n = 198), EATL was the only primary tumor in 177 (68.3%) cases, most common site was small bowel at different sites 84 (32.4%) followed by jejunum specifically 57 (22%), majority went for surgical resection (69.9%, n = 181) followed by chemotherapy (47.5%, n = 123), 217 (83.7%) died during follow-up in this study, Conclusion: EATL is a rare entity, mostly seen in males, between 70 and 74 years, and mostly originated in the small bowel. With over 80% death in five-year follow up period, EATL patients showed better survival if they underwent chemotherapy. More studies are needed for further understanding of this rare entity.
first_indexed 2024-03-12T12:20:19Z
format Article
id doaj.art-10ce8cafb7224d70acc8cb6c376ea93d
institution Directory Open Access Journal
issn 2468-2942
language English
last_indexed 2024-03-12T12:20:19Z
publishDate 2023-01-01
publisher Elsevier
record_format Article
series Cancer Treatment and Research Communications
spelling doaj.art-10ce8cafb7224d70acc8cb6c376ea93d2023-08-30T05:54:28ZengElsevierCancer Treatment and Research Communications2468-29422023-01-0136100745Patients with enteropathy-associated T-cell lymphoma in the United States from 2000 to 2018: SEER data-base analysisAhmed K. Awad0Rehmat Ullah Awan1Ayman K. Awad2Ambreen Nabeel3Sophia Dar4Ayokunle T. Abegunde5Faculty of Medicine, Ain-Shams University, Cairo, Egypt; Corresponding author at: Faculty of Medicine, Ain-Shams University, Cairo, Egypt.Ochsner Rush Health, Dept Internal Medicine, Meridian, MS, USAFaculty of Medicine, El-Galala University, Suez, EgyptOchsner Rush Health, Dept Internal Medicine, Meridian, MS, USANorthshore University-Long Island Jewish Medical Center, Dept Internal Medicine, Manhasset, NY, USALoyola University Medical Center Chicago, Department of Gastroenterology, Chicago, IL, USABackground: Enteropathy-Associated T-Cell Lymphoma (EATL) is a rare lymphoma of T-cell origin associated with celiac disease. There is limited evidence in the literature about the incidence and causes of death in patients with EATL. Methods: We performed a retrospective study through analyzing the Surveillance, Epidemiology, and End Results (SEER) data base to determine the incidence, trends and causes of death of patients with EATL in the U.S from 2000 to 2018. Baseline characteristics with treatment options (surgery, radiotherapy, and chemotherapy), status of patients either alive, dead due to cancer itself or other non-cancerous causes with listing of those non-cancerous causes was retrieved. Sub-group analysis based on sex was also done. Multiple latency periods (<2 year, 2–5, 6–10, 11–15, and more than 15 years) were analyzed following EATL diagnosis. Results: There were 259 EATL patients, majority were aged 70–74 years old (n = 36, 13.9%), predominantly males 155 (59.8%), most common in whites, (76.4%, n = 198), EATL was the only primary tumor in 177 (68.3%) cases, most common site was small bowel at different sites 84 (32.4%) followed by jejunum specifically 57 (22%), majority went for surgical resection (69.9%, n = 181) followed by chemotherapy (47.5%, n = 123), 217 (83.7%) died during follow-up in this study, Conclusion: EATL is a rare entity, mostly seen in males, between 70 and 74 years, and mostly originated in the small bowel. With over 80% death in five-year follow up period, EATL patients showed better survival if they underwent chemotherapy. More studies are needed for further understanding of this rare entity.http://www.sciencedirect.com/science/article/pii/S2468294223000679Enteropathy-associated T-cell lymphomaNon-Hodgkin lymphomaSEER database
spellingShingle Ahmed K. Awad
Rehmat Ullah Awan
Ayman K. Awad
Ambreen Nabeel
Sophia Dar
Ayokunle T. Abegunde
Patients with enteropathy-associated T-cell lymphoma in the United States from 2000 to 2018: SEER data-base analysis
Cancer Treatment and Research Communications
Enteropathy-associated T-cell lymphoma
Non-Hodgkin lymphoma
SEER database
title Patients with enteropathy-associated T-cell lymphoma in the United States from 2000 to 2018: SEER data-base analysis
title_full Patients with enteropathy-associated T-cell lymphoma in the United States from 2000 to 2018: SEER data-base analysis
title_fullStr Patients with enteropathy-associated T-cell lymphoma in the United States from 2000 to 2018: SEER data-base analysis
title_full_unstemmed Patients with enteropathy-associated T-cell lymphoma in the United States from 2000 to 2018: SEER data-base analysis
title_short Patients with enteropathy-associated T-cell lymphoma in the United States from 2000 to 2018: SEER data-base analysis
title_sort patients with enteropathy associated t cell lymphoma in the united states from 2000 to 2018 seer data base analysis
topic Enteropathy-associated T-cell lymphoma
Non-Hodgkin lymphoma
SEER database
url http://www.sciencedirect.com/science/article/pii/S2468294223000679
work_keys_str_mv AT ahmedkawad patientswithenteropathyassociatedtcelllymphomaintheunitedstatesfrom2000to2018seerdatabaseanalysis
AT rehmatullahawan patientswithenteropathyassociatedtcelllymphomaintheunitedstatesfrom2000to2018seerdatabaseanalysis
AT aymankawad patientswithenteropathyassociatedtcelllymphomaintheunitedstatesfrom2000to2018seerdatabaseanalysis
AT ambreennabeel patientswithenteropathyassociatedtcelllymphomaintheunitedstatesfrom2000to2018seerdatabaseanalysis
AT sophiadar patientswithenteropathyassociatedtcelllymphomaintheunitedstatesfrom2000to2018seerdatabaseanalysis
AT ayokunletabegunde patientswithenteropathyassociatedtcelllymphomaintheunitedstatesfrom2000to2018seerdatabaseanalysis