Friedberg Jonathan W, Fisher Richard I
James P. Wilmot Cancer Center, University of Rochester, 601 Elmwood Avenue, Box 704, Room 1-4118C, Rochester, NY 14642, USA.
Hematol Oncol Clin North Am. 2008 Oct;22(5):941-52, ix. doi: 10.1016/j.hoc.2008.07.002.
Diffuse large B-cell lymphoma (DLBCL) remains a curable lymphoma, with improved outcome resulting in large part from the incorporation of rituximab in standard regimens. The disease is heterogeneous clinically, morphologically, and molecularly. Recent insights into the molecular heterogeneity of DLBCL are beginning to yield novel therapeutics with significant promise for key subsets of patients. Although cyclophosphamide, hydroxydaunorubicin, vincristine, and prednisone chemotherapy with rituximab remains a standard therapeutic approach for most patients who have DLBCL, it is anticipated that novel agents will be included in treatment regimens for many patients in the near future.
弥漫性大B细胞淋巴瘤(DLBCL)仍然是一种可治愈的淋巴瘤,其预后的改善很大程度上得益于利妥昔单抗纳入标准治疗方案。该疾病在临床、形态学和分子水平上具有异质性。最近对DLBCL分子异质性的深入了解开始产生具有重大前景的新型疗法,有望惠及关键亚组的患者。虽然环磷酰胺、羟基柔红霉素、长春新碱和泼尼松联合利妥昔单抗化疗仍然是大多数DLBCL患者的标准治疗方法,但预计在不久的将来,新型药物将被纳入许多患者的治疗方案中。