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滤泡性淋巴瘤管理的未来:即将出现的策略

英文原题:The future of follicular lymphoma management: strategies on the horizon.

PubMed 2025/10/09(内容时间) Blood Q1 · IF 23.9(JCR 2025)

研究概要

滤泡性淋巴瘤(FL)是最常见的惰性淋巴瘤亚型,近年来其治疗取得了进展,中位总生存期显著改善。

中文摘要

近年来,滤泡性淋巴瘤(FL)——最常见的惰性淋巴瘤亚型——的治疗取得了进展,中位总生存期显著改善。如今,大多数诊断为 FL 的患者最终将死于其他原因。多种新型免疫治疗及其他靶向治疗现已获批用于复发和难治性疾病。然而,早期进展和向侵袭性淋巴瘤转化仍是需要进一步创新的关键问题。我们预计双特异性抗体可能会更早使用并进入新型联合方案。未来几代此类药物及CAR-T 细胞治疗将被开发,以尽量减少毒性并提高疗效。新技术,如循环肿瘤 DNA 检测,可能使治疗选择更加合理,并指导治疗持续时间或治疗变更,还可能在监测患者时替代随访影像学检查。我们还期待更广泛地使用生活质量工具,为长期预后良好且拥有多种选择的患者选择治疗。最后,患者和临床医生如今已展望有一天 FL 不再被称为“不可治愈”。拥有“治愈”的定义和可能性,并能够在 FL 的治疗方法中优化这种心态,将代表我们未来管理策略的重大进步。

展开英文摘要原文

Progress in the therapy of follicular lymphoma (FL), the most common indolent lymphoma subtype, has been achieved in recent years with significant improvement in median overall survival. Most patients diagnosed with FL will now die from other causes. Multiple novel immunotherapy and other targeted therapies are now approved for relapsed and refractory disease. However, early progression and transformation to aggressive lymphoma remain key issues requiring further innovation. We expect that bispecific antibodies will likely move to earlier use and in novel combinations. Future generations of these and chimeric antigen receptor T-cell therapy will be developed in an effort to minimize toxicity and improve efficacy. New technologies, such as circulating tumor DNA assays, may enable more rational selection and guidance of therapy duration or changes in treatment, as well as possibly substituting for follow-up imaging while monitoring patients. We also look forward to more extensive use of quality-of-life tools to select treatment for patients who have a favorable long-term outlook with multiple options. Finally, patients and clinicians now envision a day when FL is no longer referred to as "incurable." Having a definition and possibility of a "cure" and being able to optimize such a mindset in the approach of FL would represent a major advance in our future management strategy.

论文信息

作者
Mulvey E、Rutherford SC、Leonard JP
单位
Division of Hematology and Medical Oncology, Weill Department of Medicine, Meyer Cancer Center, Weill Cornell Medicine and New York Presbyterian Hospital, New York, NY.United States
文献类型
综述
期刊
Blood2025 Oct 9
原文标识
PubMed 40019447 · DOI 10.1182/blood.2024026017