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T细胞非霍奇金淋巴瘤

T-cell non-Hodgkin lymphoma.

作者信息

Rizvi Mujahid A, Evens Andrew M, Tallman Martin S, Nelson Beverly P, Rosen Steven T

机构信息

Division of Hematology/Oncology, Department of Medicine, Northwestern University Feinberg School of Medicine, 676 N St Clair St, Ste 850, Chicago, IL 60611, USA.

出版信息

Blood. 2006 Feb 15;107(4):1255-64. doi: 10.1182/blood-2005-03-1306. Epub 2005 Oct 6.

Abstract

T-cell non-Hodgkin lymphomas (NHLs) are uncommon malignancies. The current WHO/EORTC classification recognizes 9 distinct clinicopathologic peripheral T-cell NHLs. These disorders have unique characteristics and require individualized diagnostic and therapeutic strategies. Tremendous progress has been made in recent years in the understanding of the pathogenesis of these disorders. Specific chromosomal translocations and viral infections are now known to be associated with certain lymphomas. In this review, we describe their clinical and pathologic features. We also discuss the use of molecular studies in the diagnostic work-up of T-cell lymphomas. Because of the rarity of these disorders and the lack of well-designed clinical trials, the treatment of peripheral T-cell NHLs is often challenging. Additional studies are required to learn more about the biology of these diseases, which may lead to more optimal and possibly targeted therapies.

摘要

T细胞非霍奇金淋巴瘤(NHLs)是罕见的恶性肿瘤。当前的世界卫生组织/欧洲肿瘤内科学会(WHO/EORTC)分类认可9种不同的临床病理外周T细胞NHL。这些疾病具有独特的特征,需要个体化的诊断和治疗策略。近年来,在对这些疾病发病机制的理解方面取得了巨大进展。现在已知特定的染色体易位和病毒感染与某些淋巴瘤相关。在本综述中,我们描述了它们的临床和病理特征。我们还讨论了分子研究在T细胞淋巴瘤诊断检查中的应用。由于这些疾病罕见且缺乏精心设计的临床试验,外周T细胞NHL的治疗往往具有挑战性。需要更多研究来进一步了解这些疾病的生物学特性,这可能会带来更优化且可能具有靶向性的治疗方法。

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