Treatment Strategies for Patients with Diffuse Large B-Cell Lymphoma: Past, Present, and Future.

Rajni Sinha, Loretta Nastoupil, Christopher R Flowers
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引用次数: 16

Abstract

Diffuse large B-cell lymphoma (DLBCL) is the most commonly occurring lymphoma in the Western world. DLBCL is a clinically, biologically, and pathologically heterogeneous entity with biologically distinct subtypes that have different expected treatment outcomes. The addition of rituximab to combination chemotherapy has improved outcomes for all patients with DLBCL and can produce cure for many individuals. Relapsed DLBCL is generally managed with salvage chemo-immunotherapy followed by high dose therapy and autologous stem cell transplantation which can cure additional patients. However, outcomes for patients who relapse early after upfront rituximab and chemotherapy have a poorer prognosis. Novel therapies and strategies are desperately needed for these patients and several emerging treatments hold promise for improving DLBCL treatment outcomes in the future.

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弥漫性大b细胞淋巴瘤患者的治疗策略:过去、现在和未来。
弥漫性大B细胞淋巴瘤(DLBCL)是西方世界最常见的淋巴瘤。DLBCL是一种临床、生物学和病理学上的异质性实体,具有生物学上不同的亚型,具有不同的预期治疗结果。在联合化疗中加入利妥昔单抗可以改善所有DLBCL患者的预后,并可以治愈许多人。复发性DLBCL通常通过挽救性化学免疫治疗,然后进行高剂量治疗和自体干细胞移植来治疗,这可以治愈更多的患者。然而,前期使用利妥昔单抗和化疗后早期复发的患者预后较差。这些患者迫切需要新的治疗方法和策略,一些新兴的治疗方法有望在未来改善DLBCL的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
7.10%
发文量
16
审稿时长
16 weeks
期刊介绍: Blood and Lymphatic Cancer: Targets and Therapy is an international, peer reviewed, open access journal focusing on blood and lymphatic cancer research, identification of therapeutic targets, and the optimal use of preventative and integrated treatment interventions to achieve improved outcomes, enhanced survival, and quality of life for the cancer patient. Specific topics covered in the journal include: Epidemiology, detection and screening Cellular research and biomarkers Identification of biotargets and agents with novel mechanisms of action Optimal clinical use of existing anticancer agents, including combination therapies Radiation, surgery, bone marrow transplantation Palliative care Patient adherence, quality of life, satisfaction Health economic evaluations.
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