Division of Hematology and BMT Unit, Ospedale Policlinico San Martino, Genoa, Italy.
Division of Hematology and BMT Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Ann Hematol. 2018 Aug;97(8):1301-1315. doi: 10.1007/s00277-018-3366-x. Epub 2018 May 25.
The majority of Hodgkin lymphoma patients are now cured with conventional first-line therapy; however, 10-15% of early-stage disease and less than 30% of advanced-stage patients are refractory(rare) or relapsed. Salvage second-line therapy combined with high-dose therapy and autologous stem-cell transplantation can cure 40-50% of patients. Recently novel agents (Brentuximab Vedotin and Immune Checkpoint inhibitors) have demonstrated evidence of therapeutic activity and are potential bridge to an allogeneic stem-cell transplantation. The review is aimed to present not only salvage strategies; indeed, the paper contains paragraphs about therapy and new treatment options at diagnosis.
大多数霍奇金淋巴瘤患者现在可以通过常规一线治疗治愈;然而,10-15%的早期疾病和不到 30%的晚期患者对治疗有抗药性(罕见)或复发。挽救性二线治疗联合大剂量治疗和自体干细胞移植可治愈 40-50%的患者。最近新型药物( Brentuximab Vedotin 和免疫检查点抑制剂)已证明具有治疗活性,并可能成为异基因干细胞移植的桥梁。这篇综述不仅旨在介绍挽救性策略;实际上,本文还包含了关于诊断时的治疗和新的治疗选择的段落。