宋玉琴. 外周T细胞及NK细胞淋巴瘤诊疗现状[J]. 中国肿瘤临床, 2014, 41(19): 1208-1212. DOI: 10.3969/j.issn.1000-8179.20141433
引用本文: 宋玉琴. 外周T细胞及NK细胞淋巴瘤诊疗现状[J]. 中国肿瘤临床, 2014, 41(19): 1208-1212. DOI: 10.3969/j.issn.1000-8179.20141433
SONG Yuqin. Progresses and challenges in diagnosis and treatment of peripheral T/NK cell lymphomas[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(19): 1208-1212. DOI: 10.3969/j.issn.1000-8179.20141433
Citation: SONG Yuqin. Progresses and challenges in diagnosis and treatment of peripheral T/NK cell lymphomas[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2014, 41(19): 1208-1212. DOI: 10.3969/j.issn.1000-8179.20141433

外周T细胞及NK细胞淋巴瘤诊疗现状

Progresses and challenges in diagnosis and treatment of peripheral T/NK cell lymphomas

  • 摘要: 外周T/NK细胞淋巴瘤(PT/NKCLs)是一组高度异质性的T/NK细胞恶性肿瘤,在全球平均发病率低,具有明显的地域和种族差异性,亚洲人群相对高发,病理亚型差异性更显著,也是影响预后的最关键因素。目前治疗以CHOP类方案为主,因此初治高危的侵袭性PTCLs、二线挽救化疗有效的复发难治患者,均应考虑大剂量化疗联合造血干细胞移植,自体干细胞移植仍然作为首选。新的化疗药物,如Pralatrexate、苯达莫司汀等,对复发难治的PTCLs有效率约30%。靶向药物包括单抗类药物、针对细胞内信号传导通路的小分子抗体药物以及免疫调节药物,也在不同亚型PTCLs中取得一定疗效。本综述对PT/NKCLs诊治现状做一总结。

     

    Abstract: The peripheral T/NK cell lymphomas (PT/NKCLs) encompass a heterogeneous group of malignant lymphoid diseases, which derived from mature T-cells and NK cells. PT/NKCLs are rare, and its epidemiology and pathological subtypes showed significant geographic and ethnic differences. PT/NKCLs, especially NK/T cell lymphoma (nasal type), are relatively common in Asian countries. The use of an anthracycline-containing regimen is not associated with an improved outcome in most subtypes of PT/NKCLs, but is associated with an improved outcome in anaplastic large-cell lymphoma, ALK positive. High-dosage chemotherapy combined with stem cell transplantation is a considerable choice for newly diagnosed high-risk or refractory/relapsed PT/NKCLs because of its generally poor clinical outcome. Advances in new drugs have lagged behind DLBCL because of the disease rarity of PT/NKCL and biological heterogeneity. Nevertheless, new chemotherapeutic drugs, such as pralatrexate and bendamustine, and targeted drugs, such as alemtuzumab, brentuximab vedotin, HDAC inhibitors, bortezomib, and lenalidomide, are recently emerging effective therapies in this area. We confidently believe that the era of PT/NKCLs is coming.

     

/

返回文章
返回