Table 1.

Patient characteristics


No.

Age, y/sex

TNM stage

Pretreatment therapy

TBI before treatment

TBI after treatment

Clinical response

DTH
1   47/F   IIb   PUVA   3.3   1   PR   Lysate−  
    IFN-α      Lysate/DC+++  
    RT      KLH+++  
    Retinoids      
    MTX      
2   52/F   Ib   PUVA   3.0   1   PR   Lysate−  
    Retinoids      Lysate/DC++  
    IFN-α      KLH+++  
    RT      
3   64/F   Ib   PUVA   3.0   4.3   PD   Lysate−  
    Retinoids      Lysate/DC+  
    RT      KLH+++  
4   62/M*  IIb   Steroids   2.3   4.3   PD   Lysate−  
    RT      Lysate/DC+  
        KLH++  
5   62/M   Ia   PUVA   1   0   CR   Lysate+  
    Steroids      Lysate/DC+  
        KLH+++  
6   65/M*  IVa   PUVA   4.3   6.3   PD   ND  
    RT      
    IFN-α      
    Chemotherapy      
7   74/M*  IIb   PUVA   5.3   6.3   PD   ND  
    UVB      
    RT      
8   57/M   Ib   Steroids   3   1   PR   Lysate+  
        Lysate/DC++  
        KLH+++  
9   47/M   IIb   UVB   4.3   6.3   PD   Lysate+  
    RT, IFN-α      Lysate/DC+  
    Retinoids      KLH++  
    Chemotherapy      
    PUVA      
10   69/F   III   UVB   NA   NA   PR   Lysate−  
    RT      Lysate/DC+  

 

 

 
Photopheresis
 

 

 

 
KLH++
 

No.

Age, y/sex

TNM stage

Pretreatment therapy

TBI before treatment

TBI after treatment

Clinical response

DTH
1   47/F   IIb   PUVA   3.3   1   PR   Lysate−  
    IFN-α      Lysate/DC+++  
    RT      KLH+++  
    Retinoids      
    MTX      
2   52/F   Ib   PUVA   3.0   1   PR   Lysate−  
    Retinoids      Lysate/DC++  
    IFN-α      KLH+++  
    RT      
3   64/F   Ib   PUVA   3.0   4.3   PD   Lysate−  
    Retinoids      Lysate/DC+  
    RT      KLH+++  
4   62/M*  IIb   Steroids   2.3   4.3   PD   Lysate−  
    RT      Lysate/DC+  
        KLH++  
5   62/M   Ia   PUVA   1   0   CR   Lysate+  
    Steroids      Lysate/DC+  
        KLH+++  
6   65/M*  IVa   PUVA   4.3   6.3   PD   ND  
    RT      
    IFN-α      
    Chemotherapy      
7   74/M*  IIb   PUVA   5.3   6.3   PD   ND  
    UVB      
    RT      
8   57/M   Ib   Steroids   3   1   PR   Lysate+  
        Lysate/DC++  
        KLH+++  
9   47/M   IIb   UVB   4.3   6.3   PD   Lysate+  
    RT, IFN-α      Lysate/DC+  
    Retinoids      KLH++  
    Chemotherapy      
    PUVA      
10   69/F   III   UVB   NA   NA   PR   Lysate−  
    RT      Lysate/DC+  

 

 

 
Photopheresis
 

 

 

 
KLH++
 

Patient 1 continued subcutaneous IFN-α treatment during vaccination. Patient 8 used an intermediate potency topical steroid once a week. Patient 9 continued to use retinoids and intralesional IFN-α. Partial remission in the stage 3 patient 10 with Sézary syndrome was defined as greater than 50% reduction in erythroderma lasting for more than 1 month. Some additional tumors were treated with radiotherapy or topical imiquimod. Stabilization and regression occurred, even for tumors that received no additional therapy.

RT indicates radiotherapy; MTX, methotrexate; ND, not done; NA, not applicable; PD, progressive disease; −, less than 3 mm; +, 3-10 mm; ++, 11-20 mm; and +++, more than 20 mm.

*

indicates deceased.

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