Diagnosis and management of lymphoblastic lymphoma in children, adolescents and young adults

IF 2.2 4区 医学 Q3 HEMATOLOGY Best Practice & Research Clinical Haematology Pub Date : 2023-03-01 DOI:10.1016/j.beha.2023.101449
William C. Temple , Stephanie Mueller , Michelle L. Hermiston , Birgit Burkhardt
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引用次数: 1

Abstract

Lymphoblastic lymphoma (LBL) is the second most common type of non-Hodgkin Lymphoma (NHL) in children, adolescents, and young adults (CAYA), accounting for 25–35% of all cases. T-lymphoblastic lymphoma (T-LBL) comprises 70–80% of cases, while precursor B-lymphoblastic lymphoma (pB-LBL) makes up the remaining 20–25% of cases. Event-free and overall survival (EFS and OS) for paediatric LBL patients both exceed 80% with current therapies. Treatment regimens, especially in T-LBL with large mediastinal tumours, are complex with significant toxicity and long-term complications. Though prognosis overall is good for T-LBL and pB-LBL with upfront therapy, outcomes for patients with relapsed or refractory (r/r) disease remain dismal. Here, we review new understanding about the pathogenesis and biology of LBL, recent clinical results and future directions for therapy, and remaining obstacles to improve outcomes while reducing toxicity.

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儿童、青少年和年轻人淋巴母细胞淋巴瘤的诊断和治疗
淋巴母细胞淋巴瘤(LBL)是儿童、青少年和年轻人中第二常见的非霍奇金淋巴瘤(NHL)类型,占所有病例的25-35%。T淋巴细胞淋巴瘤(T-LBL)占病例的70-80%,而前体B淋巴细胞淋巴瘤(pB-LBL)则占剩余病例的20-25%。在目前的治疗中,儿科LBL患者的无事件生存率和总生存率(EFS和OS)均超过80%。治疗方案,特别是对于患有纵隔大肿瘤的T-LBL,是复杂的,具有显著的毒性和长期并发症。尽管通过前期治疗,T-LBL和pB-LBL的总体预后良好,但复发或难治性(r/r)疾病患者的预后仍然令人沮丧。在这里,我们回顾了对LBL发病机制和生物学的新理解,最近的临床结果和未来的治疗方向,以及在降低毒性的同时改善疗效的剩余障碍。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
42
审稿时长
35 days
期刊介绍: Best Practice & Research Clinical Haematology publishes review articles integrating the results from the latest original research articles into practical, evidence-based review articles. These articles seek to address the key clinical issues of diagnosis, treatment and patient management. Each issue follows a problem-orientated approach which focuses on the key questions to be addressed, clearly defining what is known and not known, covering the spectrum of clinical and laboratory haematological practice and research. Although most reviews are invited, the Editor welcomes suggestions from potential authors.
期刊最新文献
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