Casulo Carla
James P. Wilmot Cancer Institute, University of Rochester, 601Elmwood Ave Box 704, Rochester, NY 14642, USA.
Best Pract Res Clin Haematol. 2018 Mar;31(1):15-22. doi: 10.1016/j.beha.2017.11.002. Epub 2017 Nov 22.
Advances in the understanding of FL biology, molecular characteristics and clinical risk factors are further highlighting the heterogeneity of this disease. Historically used prognostic factors were broadly based on clinical and laboratory features at the time of diagnosis. However novel prognostic factors are emerging that can be studied at the time of diagnosis, and relapse, and use a variety of tools including gene alterations and diagnostic imaging. These novel discoveries are being implemented into daily practice with the ultimate goal of providing a precise, individualized approach to every patient with FL.
对滤泡性淋巴瘤(FL)生物学、分子特征和临床危险因素认识的进展,进一步凸显了这种疾病的异质性。历史上使用的预后因素广泛基于诊断时的临床和实验室特征。然而,正在出现一些新的预后因素,这些因素可以在诊断时和复发时进行研究,并使用包括基因改变和诊断成像在内的各种工具。这些新发现正被应用于日常实践中,其最终目标是为每一位FL患者提供精确的个体化治疗方法。