Selective peripheral blood eosinophilia associated with survival advantage in Hodgkin's disease (BNLI Report No 31). British National Lymphoma Investigation

J Clin Pathol. 1987 Mar;40(3):247-50. doi: 10.1136/jcp.40.3.247.

Abstract

A peripheral blood eosinophilia was found at presentation in 193 of 1260 (15%) patients with Hodgkin's disease who had been entered into clinical studies by the British National Lymphoma Investigation (BNLI). Eosinophilia as a component of a general leucocytosis conferred no survival advantage. Eosinophilia without a general leucocytosis was present in 95 patients, and this selective eosinophilia was associated with a clear survival advantage. The association of selective eosinophilia and improved survival was limited to patients with mixed cellularity and grade I nodular sclerosis histology. Selective eosinophilia was found to be a good prognostic indicator both in local and generalised disease. Its survival advantage seemed to lie in the response to second line treatment following relapse.

MeSH terms

  • Eosinophilia / blood
  • Eosinophilia / etiology*
  • Eosinophilia / mortality
  • Hodgkin Disease / blood
  • Hodgkin Disease / complications*
  • Hodgkin Disease / mortality
  • Humans
  • Leukocyte Count