Department of Oncohaematology, Hôpital saint Louis APHP, Université Paris 7, Paris, France.
Department of Radiology, Hôpital saint Louis APHP, Université Paris 7, Paris, France.
Lancet. 2021 Oct 23;398(10310):1518-1527. doi: 10.1016/S0140-6736(20)32207-8. Epub 2021 Jan 22.
Classical Hodgkin lymphoma is one of the more frequent lymphomas and is generally considered a highly curable disease with standard first-line chemotherapy and radiotherapy in some cases. Despite these outstanding results, major problems remain unresolved. First, there are still patients who will not be cured with front-line regimens and, second, many patients who are cured of classical Hodgkin lymphoma continue to die prematurely due to the late toxic effects of their therapy. Because the median age of patients with classical Hodgkin lymphoma is in the mid-30s, the disease's impact on the number of years lost from productive life is remarkable. In recent years, the gold standard of chemotherapy (often combined with radiotherapy) has changed, with the approval of immunotherapy mostly in relapse settings.
经典型霍奇金淋巴瘤是较为常见的淋巴瘤之一,通常被认为是一种高度可治愈的疾病,在某些情况下,采用标准的一线化疗和放疗即可治愈。尽管取得了这些杰出的成果,但仍存在一些未解决的重大问题。首先,仍有部分患者无法通过一线方案治愈;其次,许多治愈经典型霍奇金淋巴瘤的患者因治疗的晚期毒性作用而过早死亡。由于经典型霍奇金淋巴瘤患者的中位年龄在 30 多岁,因此该疾病对丧失生产性生命年限的影响非常显著。近年来,化疗的金标准(通常与放疗联合)发生了变化,免疫疗法的批准主要集中在复发环境中。