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中枢神经系统原发性弥漫性大B细胞淋巴瘤:一例罕见的自发缓解病例。

Primary diffuse large B-cell lymphoma of the CNS: a rare case of spontaneous remission.

作者信息

Debonera Fotini, Nasta Sunita, Martinez-Lage Maria, Schuster Stephen J, Tsai Donald E

机构信息

Abramson Cancer Center, Hospital of the University of Pennsylvania, 12 South PCAM, 3400 Civic Center Blvd, PA 19104, USA.

出版信息

Int J Hematol Oncol. 2017 Nov;6(3):69-73. doi: 10.2217/ijh-2017-0009. Epub 2017 Nov 20.

DOI:10.2217/ijh-2017-0009
PMID:30302227
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6171994/
Abstract

There is no consensus on the optimal therapy for primary CNS lymphoma. Conventional treatment modalities include chemotherapy and radiation therapy, which carry significant risks of morbidity and mortality. In systemic lymphomas, there are situations where non-Hodgkin lymphomas have resolved spontaneously. We now report the case of a nonimmunocompromised patient with primary CNS lymphoma who underwent a spontaneous remission with a durable response. This case suggests that not all patients with primary CNS lymphomas require aggressive treatment with chemotherapy and radiation therapy.

摘要

对于原发性中枢神经系统淋巴瘤的最佳治疗方法尚无共识。传统的治疗方式包括化疗和放疗,这两种治疗方式都有显著的发病和死亡风险。在系统性淋巴瘤中,存在非霍奇金淋巴瘤自发缓解的情况。我们现在报告一例非免疫功能低下的原发性中枢神经系统淋巴瘤患者,该患者实现了自发缓解且缓解期持久。该病例表明,并非所有原发性中枢神经系统淋巴瘤患者都需要接受化疗和放疗的积极治疗。

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Current Management Concepts: Primary Central Nervous System Lymphoma, Natural Killer T-Cell Lymphoma Nasal Type, and Post-transplant Lymphoproliferative Disorder.当前管理理念:原发性中枢神经系统淋巴瘤、鼻型自然杀伤T细胞淋巴瘤及移植后淋巴细胞增殖性疾病
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Spontaneous Regression of Refractory Diffuse Large B-Cell Lymphoma with Improvement in Immune Status with ART in a Patient with HIV: A Case Report and Literature Review.一名HIV患者难治性弥漫性大B细胞淋巴瘤自发消退且抗逆转录病毒治疗使其免疫状态改善:病例报告及文献综述
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R-MPV followed by high-dose chemotherapy with TBC and autologous stem-cell transplant for newly diagnosed primary CNS lymphoma.利妥昔单抗维持血小板体积均值后,采用替莫唑胺进行大剂量化疗及自体干细胞移植治疗新诊断的原发性中枢神经系统淋巴瘤。
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Age-dependent dysregulation of innate immunity.年龄相关的固有免疫失调。
Nat Rev Immunol. 2013 Dec;13(12):875-87. doi: 10.1038/nri3547. Epub 2013 Oct 25.
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