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[蕈样肉芽肿和 Sézary 综合征的当前治疗选择]

[Current therapeutic options in Mycosis fungoides and Sézary syndrome].

作者信息

Albrecht Jana Dorothea, Nicolay Jan Peter

机构信息

Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Mannheim GmbH, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland.

Abteilung für Dermato-Onkologie, Deutsches Krebsforschungszentrum, Heidelberg, Deutschland.

出版信息

Hautarzt. 2022 Jan;73(1):75-85. doi: 10.1007/s00105-021-04924-z. Epub 2022 Jan 5.

Abstract

Driven by the approval of new targeted therapies, significant progress has been made in recent years in the clinical management of cutaneous T‑cell lymphomas. Although there are no curative treatment options for cutaneous T‑cell lymphomas, response rates are often encouraging, in particular when using combination therapies. The decision for the appropriate form of treatment depends on the specific diagnosis, disease stage, and the history of prior therapies. This article provides a comprehensive overview of current treatment options in mycosis fungoides and Sézary syndrome, based on the recently published, revised German S2k guidelines on cutaneous lymphomas (update 2021). In addition, we present promising, yet-to-be-approved therapies that at least in part can be already used off-label in clinical practice today.

摘要

在新的靶向治疗药物获批的推动下,近年来皮肤T细胞淋巴瘤的临床管理取得了显著进展。虽然皮肤T细胞淋巴瘤尚无治愈性治疗方案,但缓解率往往令人鼓舞,特别是在使用联合疗法时。选择合适的治疗形式取决于具体诊断、疾病分期以及既往治疗史。本文基于最近发布的、修订后的德国皮肤淋巴瘤S2k指南(2021年更新),全面概述了蕈样肉芽肿和 Sézary 综合征目前的治疗选择。此外,我们还介绍了一些有前景但尚未获批的疗法,其中至少部分疗法目前在临床实践中已可在标签外使用。

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