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‹ Wed · 22 Apr 2026
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Clinical Characteristics and Prognostic Prediction of Secondary Solid Malignancies in Patients With Diffuse Large B-Cell Lymphoma and Follicular Lymphoma

Lymphoma patients who develop secondary cancers show different survival patterns depending on lymphoma subtype, and a prediction tool can help doctors assess prognosis after a second cancer appears.

In a Chinese single-center cohort of 1,866 lymphoma patients, secondary solid malignancies occurred more frequently in FL than DLBCL, with thyroid cancer predominating; DLBCL patients with SPSMs had inferior OS particularly in non-GCB subtypes. A nomogram incorporating lymphoma-related factors achieved AUC 0.761 for OS prediction after SPSM diagnosis.

What the study was

Study design
Retrospective observational, single-center cohort
Population
DLBCL (n=1,377) and FL (n=489) patients; 81 with secondary solid malignancies
Sample size
1866
Category
Diagnostics
Maturity
Exploratory
Journal
Cancer Medicine

Why it surfaced

Single-center Chinese cohort with small SPSM subgroup (n=81); adds subtype-specific data on SPSMs but limited generalizability; nomogram requires multi-center validation.

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