HIV/AIDS相关淋巴瘤:综述

Ayenew Berhan, Biruk Bayleyegn, Zegeye Getaneh
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引用次数: 5

摘要

淋巴瘤是人类免疫缺陷病毒感染者中发病率较高的血液恶性肿瘤之一。它是这些个体中最常见的肿瘤死亡原因之一。非霍奇金淋巴瘤和霍奇金淋巴瘤分别是获得性免疫缺陷综合征定义淋巴瘤和非获得性免疫缺陷综合征定义淋巴瘤。非霍奇金淋巴瘤是人类免疫缺陷病毒阳性人群中最常见的淋巴瘤类型。在感染人类免疫缺陷病毒/获得性免疫缺陷综合征的患者中发生的淋巴瘤在形态学、发病途径和细胞起源方面是异质的。本文在查阅本课题相关文献的基础上,对目前人类免疫缺陷病毒感染患者淋巴瘤的流行病学、发病机制、实验室诊断和治疗进行综述。研究结果表明,尽管在高效抗逆转录病毒疗法出现后,非霍奇金淋巴瘤的发病率有所下降,但人类免疫缺陷病毒感染者的发病率仍高于普通人群。另一方面,在引入高活性抗逆转录病毒治疗后,霍奇金淋巴瘤的发病率有所增加。因此,建议对人类免疫缺陷病毒/获得性免疫缺陷综合征患者进行淋巴瘤筛查,以提高其生存时间和生活质量,并对人类免疫缺陷病毒/获得性免疫缺陷综合征相关淋巴瘤的发病机制、治疗和实验室诊断进行进一步研究。
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HIV/AIDS Associated Lymphoma: Review
Abstract Lymphoma is one of the hematologic malignancies that occur at a higher rate in human immunodeficiency virus-infected individuals. It is one of the most frequent neoplastic causes of death in those individuals. Non-Hodgkin’s lymphoma and Hodgkin’s lymphomas are acquired immunodeficiency syndrome defining lymphoma and non-acquired immunodeficiency syndrome defining lymphoma, respectively. Non-Hodgkin’s lymphoma is the most common type of lymphoma in human immunodeficiency virus-positive people. The lymphoma that develops in patients infected with the human immunodeficiency virus/acquired immunodeficiency syndrome is heterogeneous in terms of morphology, pathogenesis pathways, and cellular derivation. A narrative review was conducted on the basis of relevant literature on the current topic to summarize the current epidemiology, pathogenesis, laboratory diagnosis, and treatment of lymphoma in human immunodeficiency virus-infected patients. The finding showed that although the incidence of non-Hodgkin’s lymphoma has decreased after the advent of highly active antiretroviral therapy, it has remained higher in human immunodeficiency virus-infected people than in the general population. On the other hand, the incidence of Hodgkin’s lymphoma has increased after the introduction of highly active antiretroviral therapy. Therefore, it is recommended that people living with human immunodeficiency virus/ acquired immunodeficiency syndrome be screened for the development of lymphoma to increase their survival time and quality of life, and further research is required regarding the pathogenesis, treatment, and laboratory diagnosis of human immunodeficiency virus/ acquired immunodeficiency syndrome-associated lymphoma.
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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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