Characteristics of the 38 lymphoma cases
All lymphoma (n = 38) | Lymphoma in RA patients (n = 27) | |
Age, years | 61.3 (SD 12.3) (63.5) | 63.4 (SD 11.8) (64.0) |
Sex, female | 17 (44.7%) | 15 (55.6%) |
Underlying inflammatory disease | ||
RA | 27 (71.0%) | 27 |
Ankylosing spondylitis | 4 (10.5%) | |
Psoriatic arthritis | 3 (7.9%) | |
Crohn’s disease | 3 (7.9%) | |
Primary Sjögren’s syndrome | 1 (2.6%) | |
Duration of the underlying inflammatory disease before the first symptoms of lymphoma, years | 11.0 (SD 8.6) (8.9) | 11.3 (SD 9.0) (8.2) |
Activity of the underlying inflammatory disease at the time of diagnosis of lymphoma | ||
Null | 9 (26.5%) | 7 (29.2%) |
Fair | 8 (23.5%) | 5 (20.8%) |
Moderate | 7 (20.6%) | 5 (20.8%) |
High | 10 (29.4%) | 7 (29.2%) |
Lymphoma histological subtype | ||
Non-Hodgkin’s lymphoma | 31 (81.6%) | 22 (81.5%) |
B-cell lymphoma | 26 (83.9%) | 20 (74.1%) |
Diffuse large B-cell | 14 | 11 |
Follicular B-cell | 4 | 3 |
Marginal zone B-cell | 2 | 1 |
Lymphocytic | 2 | 1 |
Others | 4 | 4 |
T-cell lymphoma | 5 (16.1%) | 2 (7.4%) |
Pleiomorphic T-cell | 3 | 2 |
Sezary T-cell | 1 | 0 |
Lymphoblastic T-cell | 1 | 0 |
Hodgkin’s and Hodgkin’s-like lymphoma | 7 (18.4%) | 5 (18.5%) |
Hodgkin-like | 2 | 1 |
Scleronodular | 2 | 1 |
Mixed cellularity | 3 | 3 |
Anti-TNF treatment | ||
No of anti-TNF agents received | ||
1 | 31 (81.6%) | 20 (74.1%) |
2 | 6 (15.8%) | 6 (22.2%) |
3 | 1 (2.6%) | 1 (3.7%) |
First anti-TNF agent received | ||
Adalimumab | 8 (21.0%) | 8 (29.6%) |
Etanercept | 11 (29.0%) | 8 (29.6%) |
Infliximab | 19 (50.0%) | 11 (40.7%) |
Last anti-TNF agent received | ||
Adalimumab | 12 (31.6%) | 12 (44.4%) |
Etanercept | 7 (18.4%) | 4 (14.8%) |
Infliximab | 19 (50.0%) | 11 (40.7%) |
Ever used adalimumab | 12 (31.6%) | 12 (44.4%) |
Ever used etanercept | 13 (34.2%) | 10 (37.0%) |
Ever used infliximab | 21 (55.3%) | 13 (48.1%) |
Ever used infliximab or adalimumab | 32 (84.2%) | 24 (88.9%) |
Time since first anti-TNF treatment began,† months | 27.0 (SD 16.7) (23.6) | 29.2 (SD 17.2) (25.6) |
Time since last anti-TNF treatment began,† months | 23.7 (SD 16.0) (22.7) | 24.6 (SD 16.6) (22.5) |
DMARD use during the last 5 years | ||
Methotrexate | 27 (71.1%) | 23 (85.2%) |
Azathioprine | 3 (7.9%) | 0 (0.0%) |
Leflunomide | 7 (18.4%) | 7 (25.9%) |
Continuous variables are mean (SD) (median). Categorised variables are numbers (%). †Time from onset of the first/last anti-TNF treatment to first symptoms of lymphoma. DMARD, disease-modifying antirheumatic drug; RA, rheumatoid arthritis.