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老年弥漫性大B细胞淋巴瘤的治疗:整合老年肿瘤学主题的策略

Treatment of diffuse large B-cell lymphoma in the elderly: strategies integrating oncogeriatric themes.

作者信息

Lugtenburg Pieternella J, Sonneveld Pieter

机构信息

Department of Hematology, Erasmus MC, University Medical Center, PO Box 2040, 3000 CA Rotterdam, The Netherlands.

出版信息

Curr Oncol Rep. 2008 Sep;10(5):412-9. doi: 10.1007/s11912-008-0063-2.

Abstract

With an increasingly aged population, many patients will present with diffuse large B-cell lymphoma in their 70s and 80s. Recently, several randomized studies have confirmed the benefit of rituximab in combination with CHOP (cyclophosphamide, doxorubicin, vincristine, prednisone) and showed a substantial improvement in the outcome of fit elderly patients. This article reviews the efficacy and toxicity of the current treatment regimens applied for the treatment of diffuse large B-cell lymphoma in elderly patients and provides practical recommendations for the management of these patients.

摘要

随着人口老龄化加剧,许多患者在七八十岁时会患上弥漫性大B细胞淋巴瘤。最近,多项随机研究证实了利妥昔单抗联合CHOP(环磷酰胺、阿霉素、长春新碱、泼尼松)的益处,并显示适合的老年患者的治疗结果有显著改善。本文综述了目前用于治疗老年弥漫性大B细胞淋巴瘤的治疗方案的疗效和毒性,并为这些患者的管理提供了实用建议。

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