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复发青少年外周 T 细胞淋巴瘤的持久缓解:病例报告及文献复习。

Durable Response in Relapsed Adolescent Peripheral T-cell Lymphoma: A Case Report and Review of the Literature.

机构信息

Pediatric Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.

Department of Pediatrics, Division of Pediatric Hematology/Oncology, Indiana University, Riley Hospital for Children, Indianapolis, IN.

出版信息

J Pediatr Hematol Oncol. 2022 Jan 1;44(1):e278-e281. doi: 10.1097/MPH.0000000000002147.

Abstract

Peripheral T-cell lymphoma (PTCL) is an aggressive tumor, rarely seen in pediatrics or adolescent and young adults (AYAs) so there is no upfront or relapsed standard of care. The authors describe a 16-year-old with PTCL, treated with chemotherapy and autologous stem cell transplant. Upon relapse, he received ifosfamide, carboplatin, etoposide, and radiation with durable remission of 4 years. Data in pediatric/AYA PCTL continue to lack an understanding of the biology and microenvironment, the differences to adult patients, and a lack of adequate therapy. Targeted therapy may improve outcomes for children and AYAs with refractory or relapsed PTCL.

摘要

外周 T 细胞淋巴瘤 (PTCL) 是一种侵袭性肿瘤,在儿科或青少年和年轻成人 (AYA) 中很少见,因此没有标准的初始或复发治疗方法。作者描述了一名患有 PTCL 的 16 岁患者,接受了化疗和自体干细胞移植治疗。在复发时,他接受了异环磷酰胺、卡铂、依托泊苷和放疗,缓解持续了 4 年。儿科/AYA PCTL 的数据仍然缺乏对生物学和微环境的了解,与成人患者的差异,以及缺乏足够的治疗方法。靶向治疗可能改善耐药或复发的 PTCL 儿童和 AYA 的预后。

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