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Publication Name World Journal of Gastroenterology
Manuscript ID 115406
Country China
Category Hematology
Manuscript Type Retrospective Study
Article Title Anatomical laterality of primary intestinal diffuse large B-cell lymphoma independently stratifies survival: New prognostic nomogram incorporating tumor location
Manuscript Source Unsolicited Manuscript
All Author List Rui-Xin Zeng, Cai-Qin Wang, Hang Yang, Peng Sun, Pan-Pan Liu, Lin-Chuan Wei, Ting-Ting Chen, Zhao Wang, He Huang, Zhi-Ming Li, Xiao-Peng Tian and Yu Wang
Funding Agency and Grant Number
Funding Agency Grant Number
National Natural Science Foundation of China No. 82104273
National Natural Science Foundation of China No. 82422010
National Natural Science Foundation of China No. 82370190
National Natural Science Foundation of China No. 82204414
Guangdong Basic and Applied Basic Research Foundation No. 2024B1515020026
Hunan Provincial Natural Science Foundation of China No. 2025JJ60485
Innovative Tumor Supportive Care Research Project No. cphcf-2023-157
Corresponding Author Yu Wang, MD, Department of Medical Oncology, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, No. 651 Dongfeng Road East, Yuexiu District, Guangzhou 510060, Guangdong Province, China. wangyu@sysucc.org.cn
Key Words Primary intestinal diffuse large B-cell lymphoma; Prognostic model; SEER; External validation; Risk factors
Core Tip This study identifies intestinal laterality (left vs right of the splenic flexure) as a key, previously overlooked prognostic factor in primary intestinal diffuse large B-cell lymphoma (DLBCL): Left-sided disease confers worse overall survival, whereas right-sided disease even surpasses intra-abdominal nodal DLBCL. Leveraging SEER (n = 3832) and an external validation cohort (n = 107), we built and validated a simple nomogram (age, stage, chemotherapy, surgery, laterality) that delivered higher discrimination than the international prognostic index. The model operationalizes tumor location for individualized prognosis and may inform risk-adapted clinical decisions.
Citation Zeng RX, Wang CQ, Yang H, Sun P, Liu PP, Wei LC, Chen TT, Wang Z, Huang H, Li ZM, Tian XP, Wang Y. Anatomical laterality of primary intestinal diffuse large B-cell lymphoma independently stratifies survival: New prognostic nomogram incorporating tumor location. World J Gastroenterol 2025; In press
Received
2025-10-21 07:25
Peer-Review Started
2025-10-21 07:26
First Decision by Editorial Office Director
2025-11-19 10:43
Return for Revision
2025-11-19 10:43
Revised
2025-12-02 17:30
Publication Fee Transferred
2025-12-08 11:57
Second Decision by Editor
2025-12-26 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-26 08:01
Articles in Press
2025-12-26 08:01
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 1007-9327 (print) and 2219-2840 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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