Koch R, Sander C A
Eduard-Arning-Klinik für Dermatologie und Allergologie, Asklepios Klinik St.Georg, Lohmühlenstr. 5, 20099, Hamburg.
Hautarzt. 2010 Nov;61(11):976-9. doi: 10.1007/s00105-009-1902-2.
Non-Hodgkin lymphomas (NHL) comprise a heterogeneous collection of lymphoproliferative malignancies. Follicular lymphoma (FL) is the second most common NHL sub-type. Over the last years, the introduction of the anti-CD20 monoclonal antibody rituximab has radically changed treatment of FL. After several large prospective randomized trials demonstrated prolongation of remission, current European indications for rituximab include the first-line treatment of patients with stage III-IV FL in combination with polychemotherapy such as CVP or CHOP. This paper discusses the treatment of primary nodal FL with secondary cutaneous involvement with rituximab as monotherapy without additional chemotherapy.
非霍奇金淋巴瘤(NHL)是一组异质性的淋巴增殖性恶性肿瘤。滤泡性淋巴瘤(FL)是第二常见的NHL亚型。在过去几年中,抗CD20单克隆抗体利妥昔单抗的引入彻底改变了FL的治疗方法。在几项大型前瞻性随机试验证明缓解期延长后,目前欧洲利妥昔单抗的适应证包括与CVP或CHOP等多药化疗联合用于Ⅲ-Ⅳ期FL患者的一线治疗。本文讨论了以利妥昔单抗作为单一疗法、不附加化疗治疗原发性淋巴结FL伴继发性皮肤受累的情况。