淋巴瘤一线治疗的下一步:前进的道路

J. Bell
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摘要

Zelenetz教授在研讨会上以滤泡性淋巴瘤(FL)的前沿治疗方案为开场,并讨论了替代化疗的新药物的潜力。Zelenetz教授介绍了弥漫性大B细胞非霍奇金淋巴瘤(DLBCL)在诊断和亚型方面的异质性,以描述新药物对某些DLBCL亚组的特异性,而Dreyling教授则谈到了套细胞淋巴瘤(MCL)的当前诊断和治疗途径,并简要描述了最近的试验结果。最后一位主讲人Coiffier教授讨论了外周T细胞淋巴瘤(PTCL)一线化疗方案缺乏疗效,并强调了基于CHOP(环磷酰胺、羟基柔红霉素、长春新碱、强的松)的潜在新疗法。然后,他谈到了移植在一线和难治性疾病中的应用,并呼吁研究利用现有药物优化治疗。
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Next Steps in Front-Line Treatment of Lymphoma: The Road Ahead
Prof Zelenetz opened the symposium on the evolving front-line treatment options for follicular lymphoma (FL) and discussed the potential of novel agents to replace chemotherapy. Prof Zelenetz presented the heterogeneity of diffuse large B cell non-Hodgkin’s lymphoma (DLBCL) with regard to the diagnosis and subtypes of DLBCL to describe the specificity of new agents towards certain DLBCL subgroups, whilst Prof Dreyling spoke about the current diagnosis and treatment pathways for mantle cell lymphoma (MCL), and briefly described recent trial results. The final presenter, Prof Coiffier, discussed the lack of efficacy of front-line chemotherapy regimens for peripheral T cell lymphoma (PTCL), and highlighted potential new treatments based upon CHOP (cyclophosphamide, hydroxydaunorubicin, vincristine, prednisone). He then addressed the use of transplantation for first-line and refractory disease, and called for research to optimise therapy using existing agents.
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