J Natl Compr Canc Netw. 2017 Sep;15(9):1091-1102. doi: 10.6004/jnccn.2017.0147.
The prognosis for patients with newly diagnosed acute lymphoblastic leukemia (ALL) has improved with the use of more intensive chemotherapy regimens, tyrosine kinase inhibitors, targeted agents, and allogeneic hematopoietic cell transplantation. However, the management of relapsed or refractory (R/R) ALL remains challenging and prognosis is poor. The NCCN Guidelines for ALL provide recommendations on standard treatment approaches based on current evidence. These NCCN Guidelines Insights summarize treatment recommendations for R/R ALL and highlight important updates, and provide a summary of the panel's discussion and underlying data supporting the most recent recommendations for R/R ALL management.
新诊断的急性淋巴细胞白血病(ALL)患者的预后随着更强化疗方案、酪氨酸激酶抑制剂、靶向药物和同种异体造血细胞移植的应用而得到改善。然而,复发或难治性(R/R)ALL 的治疗仍然具有挑战性,预后较差。NCCN ALL 指南根据现有证据提供了关于标准治疗方法的建议。这些 NCCN 指南见解总结了 R/R ALL 的治疗建议,并强调了重要的更新,并提供了小组讨论和支持 R/R ALL 管理的最新建议的基础数据的摘要。