Beyeler M, Dummer R
Dermatologische Klinik Universitätsspital Zürich, Zürich.
Hautarzt. 2003 Dec;54(12):1177-84. doi: 10.1007/s00105-003-0630-2.
Cutaneous T-cell lymphoma represent a heterogeneous group of diseases characterized by skin invasion of monoclonal T-lymphocytes. These cutaneous T-cell lymphomas are divided into 3 groups based on clinical, histological and immunohistological characteristics: Indolent with a survival time of over 10 years, aggressive with a survival time less than 10 years and provisional (EORTC classification). Standard treatments such as PUVA, total skin electron beam, methotrexate, polychemotherapy regimens, retinoids and photopheresis have been used for years. Bexarotene is a newly registered drug. To achieve better response rates, several new drugs are being evaluated in clinical trails, including imiquimod, denileukon-diftitox, liposomal doxorubicin, adeno-interferon-gamma and various combination approaches.
皮肤T细胞淋巴瘤是一组异质性疾病,其特征为单克隆T淋巴细胞浸润皮肤。这些皮肤T细胞淋巴瘤根据临床、组织学和免疫组织学特征分为3组:惰性(生存时间超过10年)、侵袭性(生存时间少于10年)和暂定组(欧洲癌症研究与治疗组织分类)。多年来一直使用诸如补骨脂素加长波紫外线照射、全身皮肤电子束照射、甲氨蝶呤、多药化疗方案、维甲酸和光分离置换法等标准治疗方法。贝沙罗汀是一种新注册的药物。为了获得更好的缓解率,几种新药正在临床试验中进行评估,包括咪喹莫特、地尼白介素-毒素融合蛋白、脂质体阿霉素、腺干扰素-γ以及各种联合治疗方法。