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人类免疫缺陷病毒(HIV)阴性的浆母细胞淋巴瘤:单中心经验及文献复习。

Human immunodeficiency virus (HIV)-negative plasmablastic lymphoma: a single institutional experience and literature review.

机构信息

Department of Hematology and Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.

出版信息

Leuk Res. 2011 Dec;35(12):1571-7. doi: 10.1016/j.leukres.2011.06.023. Epub 2011 Jul 12.

Abstract

Plasmablastic lymphoma (PBL) is a rare aggressive B-cell lymphoproliferative disorder. HIV-negative PBL has not been extensively reported. Nine HIV-negative PBL patients evaluated at Moffitt Cancer Center were studied. Eight patients had extranodal diseases. All patients were treated with CHOP or hyper-CVAD. Responses were observed in 8 cases (7 complete, 1 partial responses). Four patients underwent consolidation with autologous hematopoietic stem cell transplant (HSCT) in first complete remission (CR1). At median follow-up of 23.9 months, 7 patients were alive and 5 were disease-free. Aggressive induction chemotherapy and consolidation with autologous HSCT in CR1 might be considered for patients with HIV-negative PBL.

摘要

弥漫性大 B 细胞淋巴瘤(DLBCL)是一种侵袭性 B 细胞淋巴瘤。HIV 阴性的弥漫性大 B 细胞淋巴瘤尚未得到广泛报道。本文对在 Moffitt 癌症中心评估的 9 例 HIV 阴性弥漫性大 B 细胞淋巴瘤患者进行了研究。8 例患者患有结外疾病。所有患者均接受 CHOP 或 hyper-CVAD 治疗。8 例患者观察到应答(7 例完全缓解,1 例部分缓解)。4 例患者在首次完全缓解(CR1)时接受自体造血干细胞移植(HSCT)巩固治疗。在中位随访 23.9 个月时,7 例患者存活,5 例无疾病。对于 HIV 阴性弥漫性大 B 细胞淋巴瘤患者,可考虑采用强化诱导化疗联合自体 HSCT 在 CR1 时进行巩固治疗。

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