Clinical application of circulating cell-free lymphoma DNA for fast and precise diagnosis of Burkitt lymphoma: Precision medicine for sub-Saharan Africa.

Cambridge prisms, Precision medicine Pub Date : 2023-01-13 eCollection Date: 2023-01-01 DOI:10.1017/pcm.2023.1
Clara Chamba, Sam M Mbulaiteye, Emmanuel Balandya, Anna Schuh
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Abstract

Burkitt lymphoma (BL) has a cure rate of around 95% when treated with chemo-immunotherapy that is standard of care in high-income countries (Minard-Colin et al., 2020, New England Journal of Medicine 382, 2207-2219), but currently, more than 50% of children and young adults with endemic BL (Epstein Barr virus driven BL) in sub-Saharan Africa (SSA) do not survive. Treatment for BL is largely free of charge, but there is limited access to reliable diagnostic services leading to significant delays and misdiagnoses. Innovations in histopathology such as whole slide imaging and the use of novel diagnostic approaches, in particular using circulating cell-free viral and/or lymphoma DNA (liquid biopsy), could increase access to timely and reliable diagnosis and improve outcomes in SSA.

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循环无细胞淋巴瘤DNA在快速准确诊断伯基特淋巴瘤中的临床应用:撒哈拉以南非洲地区的精准医学
伯基特淋巴瘤(Burkitt lymphoma,BL)采用化疗免疫疗法治疗时,治愈率约为 95%,这在高收入国家是标准疗法(Minard-Colin 等人,2020 年,《新英格兰医学杂志》,382, 2207-2219),但目前在撒哈拉以南非洲地区(SSA),50% 以上的地方性伯基特淋巴瘤(Epstein Barr 病毒驱动的伯基特淋巴瘤)患儿和年轻成人无法存活。BL的治疗基本上是免费的,但获得可靠诊断服务的机会有限,导致了严重的延误和误诊。组织病理学方面的创新,如全切片成像和新型诊断方法的使用,特别是使用循环无细胞病毒和/或淋巴瘤 DNA(液体活检),可以增加撒哈拉以南非洲地区获得及时可靠诊断的机会,并改善治疗效果。
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