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韩国胃黏膜相关边缘区 B 细胞淋巴瘤:临床特征、治疗和预后因素。

Non-gastric marginal zone B-cell lymphoma in Korea: clinical features, treatment, and prognostic factors.

机构信息

Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.

出版信息

Korean J Intern Med. 2010 Sep;25(3):227-36. doi: 10.3904/kjim.2010.25.3.227. Epub 2010 Aug 31.

Abstract

Marginal zone B-cell lymphoma (MZL) is the second most common subtype of non-Hodgkin's lymphoma in Korea (17.3%). Mucosa-associated lymphoid tissue (MALT) can develop in almost any organ as a result of exposure to a persistent stimulus, such as chronic infection or certain autoimmune processes. Under conditions of prolonged lymphoid proliferation, a malignant clone may emerge, which is followed by the development of a MALT lymphoma. Whereas MALT lymphoma of the stomach is the most common and the most extensively studied, we focus on non-gastric MZL studies conducted in Korea that highlight the most recent advances with respect to MZL definition, etiology, clinical characteristics, natural history, treatment approaches, outcomes, and prognostic factors. Moreover, we discuss current organ-specific considerations and controversies, and identify areas for future research.

摘要

边缘区 B 细胞淋巴瘤(MZL)是韩国第二常见的非霍奇金淋巴瘤亚型(17.3%)。黏膜相关淋巴组织(MALT)可因持续刺激(如慢性感染或某些自身免疫过程)而在几乎任何器官中发展。在淋巴细胞持续增殖的情况下,可能会出现恶性克隆,随后发展为 MALT 淋巴瘤。胃 MALT 淋巴瘤最为常见,也是研究最多的,但我们重点关注韩国开展的非胃 MZL 研究,这些研究突出了 MZL 定义、病因、临床特征、自然史、治疗方法、结果和预后因素方面的最新进展。此外,我们还讨论了当前特定器官的考虑因素和争议,并确定了未来研究的领域。

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