Jin Jingxia, Zheng Cuiping, Wu Shenghao
Department of Hematology, Wenzhou Central Hospital, Theorem Clinical College, Wenzhou Medical University, Wenzhou, P.R. China.
Medicine (Baltimore). 2018 Jan;97(2):e9611. doi: 10.1097/MD.0000000000009611.
Angioimmunoblastic T-cell lymphoma (AITL) is a kind of rare peripheral T cell lymphoma, which usually has acute onset at old age.
Here we report a case of relapsed refractory AITL, which has achieved obvious curative effect after treatment with chidamide.
Initially, the patient received 7 courses of treatment with recombinant human endostatin (endostar)+CHOP. The patient achieved complete remission, but suffered from recurrence later. After changing chemotherapy regimens, the outcome was still not satisfactory, and the patient developed systemic skin infiltration and rashes. After 2 courses of chemotherapy with chidamide (30 mg) twice a week + intravenous injections with cyclophosphamide (0.1 g) twice every other day + thalidomide (50 mg) every night, the patient began with the oral intake of chidamide, and the therapeutic effect was satisfactory, with diminishing systemic rashes and shrunken lymph nodes.
Chidamide has good therapeutic effect in the treatment of AITL, which provides a novel therapeutic strategy for relapsed refractory AITL. However, more cases are still needed to further validate its efficacy.
血管免疫母细胞性T细胞淋巴瘤(AITL)是一种罕见的外周T细胞淋巴瘤,通常在老年时急性起病。
在此我们报告一例复发难治性AITL病例,其经西达本胺治疗后取得明显疗效。
最初,患者接受了7个疗程的重组人内皮抑素(恩度)+CHOP治疗。患者达到完全缓解,但随后复发。更换化疗方案后,效果仍不理想,患者出现全身皮肤浸润和皮疹。在每周两次使用西达本胺(30毫克)+每隔一天两次静脉注射环磷酰胺(0.1克)+每晚使用沙利度胺(50毫克)进行2个疗程化疗后,患者开始口服西达本胺,治疗效果令人满意,全身皮疹减轻,淋巴结缩小。
西达本胺在治疗AITL方面具有良好疗效,为复发难治性AITL提供了一种新的治疗策略。然而,仍需要更多病例进一步验证其疗效。