According to other literatures, factors that could predict the prognosis of MCL patients also included the gender, age, B symptoms, spleen involvement, bone marrow involvement, tumor diameter, peripheral white blood cell count, monocyte count, hemoglobin, β2 microglobulin, and albumin level.[27,31–38] In this study, we also found that B symptoms, monocyte count, serum macroglobulin level, and albumin level had significant effects on the OS of patients. Here, ALB is linked to mantle cell lymphoma.