Department of Dermatology, University Hospital Zürich, Zürich, Switzerland.
J Invest Dermatol. 2012 Mar;132(3 Pt 1):517-25. doi: 10.1038/jid.2011.370. Epub 2011 Dec 8.
Currently, cutaneous lymphomas represent a paradigm for the heterogeneity and the dynamic variability of neoplastic disorders resulting in the accumulation of clonal lymphocytes in the skin, and thus mirror the complexity of lymphocytic populations. Increasing knowledge and insight in pathobiology offer new opportunities for targeted interventions to selectively hit the tumor populations. mAbs, rexinoids, small kinase inhibitors, or molecules interfering with methylation or histone acetylation contribute to disease control. The rational and well-coordinated application of these tools, together with improved chemotherapeutic options, will hopefully further improve treatment success in the near future.
目前,皮肤淋巴瘤代表了肿瘤疾病异质性和动态可变性的范例,导致克隆性淋巴细胞在皮肤中积累,从而反映了淋巴细胞群体的复杂性。对病理生物学的深入了解和认识为有针对性的干预提供了新的机会,以便选择性地攻击肿瘤群体。单克隆抗体、维甲酸类药物、小分子激酶抑制剂或干扰甲基化或组蛋白乙酰化的分子有助于控制疾病。这些工具的合理和协调应用,以及改进的化疗选择,有望在不久的将来进一步提高治疗成功率。