林宁晶, 郑 文, 张运涛, 王小沛, 宋玉琴, 谢 彦, 涂梅峰, 平凌燕, 朱 军. 13例伯基特和伯基特样淋巴瘤的临床特点分析[J]. 中国肿瘤临床, 2010, 37(1): 5-8. DOI: 10.3969/j.issn.1000-8179.2010.01.002
引用本文: 林宁晶, 郑 文, 张运涛, 王小沛, 宋玉琴, 谢 彦, 涂梅峰, 平凌燕, 朱 军. 13例伯基特和伯基特样淋巴瘤的临床特点分析[J]. 中国肿瘤临床, 2010, 37(1): 5-8. DOI: 10.3969/j.issn.1000-8179.2010.01.002
LIN Ningjing, ZHENG Wen, ZHANG Yuntao, WANG Xiaopei, SONG Yuqin, XIE Yan, TU Meifeng, PING Lingyan, ZHU Jun. Clinical Analysis of 13 Cases of Burkitt Lymphoma and Burkitt-like Lymphoma [J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2010, 37(1): 5-8. DOI: 10.3969/j.issn.1000-8179.2010.01.002
Citation: LIN Ningjing, ZHENG Wen, ZHANG Yuntao, WANG Xiaopei, SONG Yuqin, XIE Yan, TU Meifeng, PING Lingyan, ZHU Jun. Clinical Analysis of 13 Cases of Burkitt Lymphoma and Burkitt-like Lymphoma [J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2010, 37(1): 5-8. DOI: 10.3969/j.issn.1000-8179.2010.01.002

13例伯基特和伯基特样淋巴瘤的临床特点分析

Clinical Analysis of 13 Cases of Burkitt Lymphoma and Burkitt-like Lymphoma 

  • 摘要: 目的:分析伯基特淋巴瘤(BL)和伯基特样淋巴瘤(BLL)的临床特点,总结疗效,探讨可能的最佳方案和治疗相关合并症。方法:回顾性分析北京肿瘤医院1996年8 月至2008年10月收治的13例经病理确诊为伯基特淋巴瘤和伯基特样淋巴瘤患者的临床资料。所有患者均接受化疗为主的治疗方案,评价疗效和不良反应。结果:13例患者中,男12例,女1 例;发病年龄11~62岁,中位年龄15岁;Ⅰ期3 例,Ⅱ期2 例,Ⅲ期2 例,Ⅳ期6 例,其中晚期(Ⅲ、Ⅳ期)病例占61.5% ,初治时发生骨髓侵犯2 例(15.4%),中枢神经系统侵犯4 例(30.8%);常见的侵犯部位为浅表淋巴结(61.5%)、腹腔脏器(53.8%)和腹腔及腹膜后淋巴结(38.5%);有B 症状7 例(53.8%);8/10例(80.0%)血清乳酸脱氢酶(LDH )水平升高,1/10例血清尿酸升高;病理示BL11例,BLL 2 例。11例患者获得完全缓解或未经证实的完全缓解,1 例部分缓解,总有效率为92.3% 。中位随访时间8 个月(5~35个月),至随访截止6 例患者死亡,1 例失访。1 年总生存率(OS)、无进展生存率(PFS)和无瘤生存率(DFS)分别为 56.98%、32.31%和39.77%。化疗中Ⅲ~Ⅳ度骨髓抑制发生率为69.2% ,1 例患者出现肿瘤溶解综合征和Ⅳ度全消化道黏膜炎。结论:推荐高强度短疗程化疗方案作为BL和BLL 的一线治疗,应积极预防处理化疗不良反应。

     

    Abstract: Objective: To summarize the clinical characteristics of Burkitt lymphoma (BL) and Burkitt-like lymphoma (BLL) and the effect of treatment on 13cases, and to explore the treatment-related complications and optimal treatment. Methods:Clinical data of 13BL and BLL patients treated between August 1996and Oc-tober 2008 in our hospital were retrospectively analyzed. All of these patients received chemotherapy as the first-line treatment. The efficacy and adverse reactions were evaluated. Results: Of the 13patients, there were 12males and 1 female, with a median age of 15years (ranging from 11to 62). There were 3 stage Ⅰcases, 2 stage Ⅱcases, 2 stage Ⅲcases, and 6 stage Ⅳcases. The advanced stage (stage Ⅲand Ⅳ) patients ac -counted for61.5% (8 cases). CNS was involved in 4 cases and bone marrow was involved in 2 cases at diag -nosis. The commonly involved sites included superficial lymph nodes (61.5% ), abdominal organs ( 53.8% ), and celiac and retro-peritoneal lymph nodes (38.5%). B symptoms were observed in7 patients (53.8%). Se-rum lactate dehydrogenase level was elevated in 8 of 10cases, while serum uric acid level was elevated in 1 of 10cases. Eleven patients were diagnosed as BL and2 patients were diagnosed as BLL. Of the 13pa-tients, 11(84.6%) achieved complete remission (CR) or CR/unconfirmed (CRu), and 1 patient ( 7.7%) got partial remission (PR). During the follow-up of 8 months (ranging from 5 to 35), 6 patients were still alive. The 1-year overall survival, progression-free survival and disease-free survival were 56.98%,32.31% and 39.77%, respectively. Nine patients (69.2% ) developed grade Ⅲor Ⅳmyelosuppression. Conclusion:Intensive short-course chemotherapy is the optimal first-line treatment for BL and BLL.

     

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