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SEOM 临床指南:滤泡性非霍奇金淋巴瘤的治疗。

SEOM clinical guidelines for the treatment of follicular non-Hodgkin's lymphoma.

机构信息

Servicio de Oncología Médica, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Canarias, Spain.

出版信息

Clin Transl Oncol. 2010 Nov;12(11):760-4. doi: 10.1007/s12094-010-0592-7.

Abstract

Follicular lymphoma (FL) is the second most common subtype of non-Hodgkin's lymphoma (NHL) in the Western world. FL constitutes the most frequent indolent lymphoma, well characterized by its clinical presentation related to nodal involvement and its morphologic and biologic features. It is often managed as an incurable disease. However, several active therapeutic approaches from the "wait and watch" strategy to the allogeneic transplantation are available for management of patients with FL and clearly have changed the natural history of this disease, achieving a long-term disease-free survival. Therapeutic decision is mostly conditioned by patient's characteristics, stage, histological grade, tumor burden, and risk-predicting factors. This article try to summarizes the diagnosis and treatment of this heterogeneous group of patients.

摘要

滤泡性淋巴瘤(FL)是西方世界第二常见的非霍奇金淋巴瘤(NHL)亚型。FL 构成了最常见的惰性淋巴瘤,其临床表现与淋巴结受累以及形态学和生物学特征有关。它通常被视为一种不可治愈的疾病。然而,从“等待观察”策略到同种异体移植的几种积极治疗方法可用于管理 FL 患者,并且显然已经改变了这种疾病的自然史,实现了长期无病生存。治疗决策主要取决于患者的特征、分期、组织学分级、肿瘤负荷和风险预测因素。本文旨在总结这组异质性患者的诊断和治疗。

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