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在 Brentuximab vedotin 和免疫检查点抑制剂时代的经典霍奇金淋巴瘤的治疗。

Treatment of classical Hodgkin lymphoma in the era of brentuximab vedotin and immune checkpoint inhibitors.

机构信息

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.

出版信息

Ann Hematol. 2018 Aug;97(8):1301-1315. doi: 10.1007/s00277-018-3366-x. Epub 2018 May 25.

Abstract

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.

摘要

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。

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