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[长期使用本妥昔单抗治疗使异基因骨髓移植后复发的霍奇金淋巴瘤患者获得持久缓解]

[Durable remission attained by long-term brentuximab vedotin administration in a relapsed post-allogeneic bone marrow transplant Hodgkin lymphoma patient].

作者信息

Ono Yuichiro, Hiramoto Nobuhiro, Yoshioka Satoshi, Yabushita Tomohiro, Koba Yusuke, Tabata Sumie, Imai Yukihiro, Ishikawa Takayuki

机构信息

Department of Hematology, Kobe City Medical Center General Hospital.

Department of Hematology, Hyogo Prefectural Amagasaki Hospital.

出版信息

Rinsho Ketsueki. 2017;58(12):2397-2401. doi: 10.11406/rinketsu.58.2397.

Abstract

The prognosis for relapsed Hodgkin lymphoma after allogeneic hematopoietic cell transplantation (HSCT) is poor, partly because of limited treatment options. Here we present a case of a Hodgkin lymphoma patient who relapsed after allogeneic HSCT but remains in complete remission (CR) at 38 months from the start of extended brentuximab vedotin (BV) dosing. A 33-year-old man with refractory and relapsed nodular sclerosis classical Hodgkin lymphoma who underwent previous treatments, including adriamycin, bleomycin, vinblastine, and dacarbazine (ABVD) ; seven combination regimens; and autologous HSCT, prior to allogeneic HSCT achieved CR after three cycles of BV. BV was continued for 26 cycles and then discontinued because of a neurogenic bladder. The other adverse effects were mild paresthesia in the fingers, mild dysgeusia, and fatigue. The patient still remains in CR at 38 months from the start of BV. Thus, extended BV dosing may be a treatment option for relapsed and refractory Hodgkin lymphoma after allogeneic HSCT.

摘要

异基因造血细胞移植(HSCT)后复发的霍奇金淋巴瘤预后较差,部分原因是治疗选择有限。在此,我们报告一例霍奇金淋巴瘤患者,该患者在异基因HSCT后复发,但从开始延长使用本妥昔单抗(BV)给药起38个月时仍处于完全缓解(CR)状态。一名33岁男性,患有难治性复发性结节硬化型经典霍奇金淋巴瘤,此前接受过包括阿霉素、博来霉素、长春花碱和达卡巴嗪(ABVD)在内的治疗;七种联合方案;以及自体HSCT,在异基因HSCT前经三个周期的BV治疗后达到CR。BV持续使用26个周期,然后因神经源性膀胱而停药。其他不良反应为手指轻度感觉异常、轻度味觉障碍和疲劳。从开始使用BV起38个月时,该患者仍处于CR状态。因此,延长BV给药可能是异基因HSCT后复发难治性霍奇金淋巴瘤的一种治疗选择。

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