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Purpose: The modified Glasgow Prognostic Score (mGPS) consisting of serum C-reactive protein and albumin levels, shows significant prognostic value in severaltypes of tumors. We evaluated the prognostic significance of mGPS in 285 patientswith diffuse large B cell lymphoma (DLBCL), retrospectively. Materials and Methods: According to mGPS classification, 204 patients (71.5%) had an mGPS of 0, 57 (20%) had an mGPS of 1, and 24 (8.5%) had an mGPS of 2. Results:Our study found that high mGPS were associated with poor prognostic factorsincluding older age, extranodal involvement, advanced disease stage, unfavorableInternational Prognostic Index scores, and the presence of B symptoms. The complete response (CR) rate after 3 cycles of R-CHOP chemotherapy was higher in patients with mGPS of 0 (53.8%) compared to those with mGPS of 1 (33.3%) or 2 (25.0%) (p=0.001). Patients with mGPS of 0 had significantly better overall survival (OS) than those with mGPS=1 and those with mGPS=2 (p=0.036). Multivariateanalyses revealed that the GPS score was a prognostic factor for the CR rate of 3 cycle R-CHOP therapy (p=0.044) as well as OS (p=0.037). Conclusion: mGPS can be considered a potential prognostic factor that may predict early responsesto R-CHOP therapy in DLBCL patients.

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