Rogalski C, Dummer R, Burg G
Clinic of Dermatology, University Hospital of Zürich, Switzerland.
J Eur Acad Dermatol Venereol. 1999 Sep;13(2):83-90.
Cutaneous lymphoma involves clonal proliferation of immunocompetent cells. Immunointerventional strategies are a rational approach to the treatment of cutaneous lymphoma given the pathophysiological aspects of the disease.
Immunomodulatory therapies in cutaneous lymphoma are reviewed, including interferons, interleukin-2, cyclosporin A, monoclonal antibodies, autologous bone marrow transplantation, fusion toxins, thymopentin and extracorporeal photopheresis as well as recently reported methods such as vaccination therapy, mycophenolate, and new retinoids.
RESULTS/CONCLUSION: Cutaneous lymphoma is sensitive to immunointerventions. This approach should be used in early stages of the disease when it is more susceptible and benefits better from immunomodulatory treatment modalities.
皮肤淋巴瘤涉及免疫活性细胞的克隆性增殖。鉴于该疾病的病理生理方面,免疫干预策略是治疗皮肤淋巴瘤的合理方法。
综述皮肤淋巴瘤的免疫调节治疗,包括干扰素、白细胞介素-2、环孢素A、单克隆抗体、自体骨髓移植、融合毒素、胸腺五肽和体外光化学疗法,以及最近报道的方法,如疫苗治疗、霉酚酸酯和新型维甲酸。
结果/结论:皮肤淋巴瘤对免疫干预敏感。这种方法应在疾病早期使用,此时疾病更易治疗,且能从免疫调节治疗模式中获得更好的疗效。