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用贝沙罗汀治疗皮肤T细胞淋巴瘤

[Treatment of cutaneous T-cell lymphomas with bexarotene].

作者信息

Lasa Olatz, Izu Rosa, Acebo Elvira, Eguino Patricia, Díaz-Pérez José L

机构信息

Servicio de Dermatología, Hospital de Cruces, Bilbao, Spain.

出版信息

Actas Dermosifiliogr. 2005 Dec;96(10):669-73. doi: 10.1016/s0001-7310(05)73155-0.

Abstract

INTRODUCTION

The choice of treatment in cutaneous T-cell lymphomas (CTCLs) depends on the clinical stage of the disease and the patient's general condition. To date, there is no curative treatment for this disease, and the objective is to control the symptoms and prevent the disease from progressing. Bexarotene is an X receptor-specific retinoid with anti-tumor activity. Its use as treatment for CTCLs refractory to at least one prior systemic therapy has been approved by the FDA.

PATIENTS AND METHODS

We carried out a descriptive study of 9 patients treated with bexarotene in the Lymphoma Unit of our department. We analyzed the clinical characteristics of the patients and the efficacy of the treatment, and we collected data on the side effects that appeared.

RESULTS

The overall response to the treatment was 44.4% (4/9). 2 patients had full remission and 2 had partial remission. Tolerance to the treatment was good, and the most frequent side effects were hypertriglyceridemia, hypercholesterolemia and central hypothyroidism.

CONCLUSIONS

Even though this is a series of only 9 patients, the results that we obtained are similar to ones previously described. Bexarotene is an effective therapeutic option in this heterogeneous group of diseases.

摘要

引言

皮肤T细胞淋巴瘤(CTCLs)的治疗选择取决于疾病的临床分期和患者的一般状况。迄今为止,尚无治愈该疾病的疗法,目标是控制症状并防止疾病进展。贝沙罗汀是一种具有抗肿瘤活性的X受体特异性维甲酸。其作为至少一种先前全身治疗难治的CTCLs的治疗方法已获美国食品药品监督管理局(FDA)批准。

患者与方法

我们对在本部门淋巴瘤病房接受贝沙罗汀治疗的9例患者进行了描述性研究。我们分析了患者的临床特征和治疗效果,并收集了出现的副作用数据。

结果

治疗的总体缓解率为44.4%(4/9)。2例患者完全缓解,2例部分缓解。治疗耐受性良好,最常见的副作用是高甘油三酯血症、高胆固醇血症和中枢性甲状腺功能减退。

结论

尽管这只是一个仅包含9例患者的系列研究,但我们获得的结果与先前描述的结果相似。贝沙罗汀在这类异质性疾病中是一种有效的治疗选择。

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