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T细胞γ/δ型肝脾淋巴瘤——积极一线治疗诱导长期缓解

T-cell gamma/delta hepatosplenic lymphoma - prolonged remission induced by aggressive first line treatment.

作者信息

Procházka Vít, Papajík Tomás, Jarosová Marie, Pikalová Zuzana, Indrák Karel, Tichý Martin, Kucerová Ladislava, Fakan Frantisek, Bílý Milan, Starostka David

机构信息

Department of Hemato-oncology, Teaching Hospital, Olomouc, Czech Republic.

出版信息

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2005 Dec;149(2):275-6.

Abstract

T-cell gamma/delta hepatosplenic lymphoma is a primary extranodal lymphoma, distinct from other T/LGL lymphomas. The clinical course is aggressive, and despite use of the multiagent chemotherapy and young age of the patients, the median survival is less than 1 year. Curability of this disease is still uncertain. We reported a case of the successful intensive treatment with splenectomy, chemotherapy a first line autologous stem cell transplant. High intensity cytarabine- platinum containing regimen (EDHAP) may overcome primary resistance to conventional alkylating agents.

摘要

T细胞γ/δ型肝脾淋巴瘤是一种原发性结外淋巴瘤,有别于其他T/LGL淋巴瘤。其临床病程进展迅速,尽管患者采用了多药联合化疗且较为年轻,但中位生存期仍不足1年。该疾病的可治愈性仍不确定。我们报告了一例通过脾切除术、化疗及一线自体干细胞移植成功进行强化治疗的病例。含高强度阿糖胞苷-铂的方案(EDHAP)可能克服对传统烷化剂的原发性耐药。

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