From the Department of Medicine, Division of Hematology/Oncology, University of Wisconsin School of Medicine and Public Health, and the UW Carbone Cancer Center, University of Wisconsin, Madison, Wisconsin.
J Natl Compr Canc Netw. 2014 Sep;12(9):1311-8; quiz 1318. doi: 10.6004/jnccn.2014.0126.
Mantle cell lymphoma (MCL) is a heterogenous disease with historically relative poor outcomes. However, new treatment strategies seem to be improving the prognosis for patients. Although no universally accepted standard of care exists, options for patients with newly diagnosed MCL include intensive and nonintensive strategies. Generally, intensive strategies produce more durable remissions and are selected for younger patients, whereas nonintensive strategies are most appropriate for older patients or patients with comorbidities. However, new options are closing the treatment gap between intensive and nonintensive strategies. Treatment options are also increasing for patients with relapsed/refractory MCL and include agents targeting the microenvironment and the B-cell receptor signaling pathway.
套细胞淋巴瘤(MCL)是一种异质性疾病,历史上预后相对较差。然而,新的治疗策略似乎正在改善患者的预后。虽然没有普遍接受的标准治疗方法,但新诊断的 MCL 患者的治疗选择包括强化和非强化策略。一般来说,强化策略产生更持久的缓解,并且适用于年轻患者,而非强化策略最适合老年患者或合并症患者。然而,新的选择正在缩小强化和非强化策略之间的治疗差距。对于复发/难治性 MCL 患者,治疗选择也在增加,包括针对微环境和 B 细胞受体信号通路的药物。