中文摘要
原发性纵隔大B细胞淋巴瘤(PMBCL)根据世界卫生组织淋巴系统肿瘤分类被视为一种独立病理类型。在蒽环类化疗中加入利妥昔单抗后,患者预后得到改善。剂量调整的R-EPOCH获批后,巩固放疗的作用仍有争议,是否放疗通常依据治疗结束时的PET-CT结果决定。对于复发/难治性疾病,已获批新药及其他在研药物改善了患者结局。本文综述PMBCL初治及复发/难治情境下的不同治疗方式。
展开英文摘要原文
Primary mediastinal B cell lymphoma (PMBCL) is considered a distinct pathology according to the WHO classification of lymphoid malignancies. Patients have a better prognosis after the addition of Rituximab to anthracycline-based chemotherapy.
The role of consolidative radiotherapy is controversial after the approval of dose-adjusted R-EPOCH and the selection of patients to undergo radiotherapy is based on end-of-therapy PET CT. In the relapsed/refractory setting, new approved drugs and other under investigation have improved patient outcomes. This review summarizes the different treatment modalities in (PMBCL) in the frontline and the relapsed/refractory settings.
论文信息
- 作者
- Soueidy C、Kourie HR
- 单位
- Hematology Oncology Department, Hotel Dieu de France Hospital, Beirut, Lebanon. Electronic address: charbelelsoueidy@gmail.com.France
- 文献类型
- 综述
- 期刊
- Clinical lymphoma, myeloma & leukemia2023 Dec