J Natl Compr Canc Netw. 2014 Jun;12(6):916-46. doi: 10.6004/jnccn.2014.0086.
Non-Hodgkin's lymphomas (NHLs) are a heterogeneous group of lymphoproliferative disorders originating in B lymphocytes, T lymphocytes, or natural killer cells. Follicular lymphoma (FL) is the most common subtype of indolent NHL, accounting for approximately 22% of all newly diagnosed cases of NHL. The incorporation of rituximab to chemotherapy regimens has become a widely accepted standard of care for first-line therapy for patients with FL. Maintenance and consolidation therapy with rituximab and radioimmunotherapy have also been associated with improved progression-free survival in patients experiencing response to first-line therapy. Despite therapeutic advances that have improved outcomes, FL is generally considered a chronic disease characterized by multiple recurrences with current therapies. This manuscript discusses the recommendations outlined in the NCCN Guidelines for the diagnosis and management of patients with FL.
非霍奇金淋巴瘤(NHL)是一组起源于 B 淋巴细胞、T 淋巴细胞或自然杀伤细胞的异质性淋巴增生性疾病。滤泡性淋巴瘤(FL)是惰性 NHL 中最常见的亚型,约占所有新诊断 NHL 病例的 22%。利妥昔单抗联合化疗方案已成为 FL 患者一线治疗的广泛接受的标准治疗方法。利妥昔单抗维持和巩固治疗以及放射免疫治疗也与一线治疗有反应的患者无进展生存期的改善相关。尽管治疗进展改善了预后,但 FL 通常被认为是一种慢性疾病,其特征是当前治疗方法下存在多次复发。本文讨论了 NCCN 指南中针对 FL 患者诊断和管理的建议。