Zhang Yujie, Xing Zhichao, Mi Li, Li Zhihui, Zhu Jingqiang, Wei Tao, Wu Wenshuang
Department of Thyroid Surgery, West China Hospital, Sichuan University, Chengdu, China.
Laboratory of Thyroid and Parathyroid Disease, Frontiers Science Center for Disease-Related Molecular Network, West China Hospital, Sichuan University, Chengdu, China.
Front Oncol. 2022 Jul 14;12:929012. doi: 10.3389/fonc.2022.929012. eCollection 2022.
Classical Hodgkin lymphoma (cHL) is the most common type of HL that occurs mainly in people aged between 15-30 and over 55 years. Although its general prognosis is favorable, 10%-30% of patients with cHL will ultimately develop relapsed or refractory disease (r/r cHL). Improving the cure rate of r/r cHL has proven to be challenging. Some novel agents, such as brentuximab vedotin and immune checkpoint inhibitors, which have been used in conventional regimens for patients with r/r cHL in the past decade, have been shown to have good curative effects. This paper reviews the conventional regimens for patients with r/r cHL and focuses on the newest clinical trials and treatment measures to prolong prognosis and reduce adverse events. The evaluation of prognosis plays a vital role in analyzing the risk of relapse or disease progression; thus, finding new predictive strategies may help treat patients with r/r cHL more efficaciously.
经典型霍奇金淋巴瘤(cHL)是霍奇金淋巴瘤最常见的类型,主要发生在15至30岁以及55岁以上的人群中。尽管其总体预后良好,但10%至30%的cHL患者最终会发展为复发或难治性疾病(r/r cHL)。事实证明,提高r/r cHL的治愈率具有挑战性。一些新型药物,如本妥昔单抗和免疫检查点抑制剂,在过去十年中已被用于r/r cHL患者的传统治疗方案中,并已显示出良好的疗效。本文回顾了r/r cHL患者的传统治疗方案,并重点关注延长预后和减少不良事件的最新临床试验和治疗措施。预后评估在分析复发或疾病进展风险方面起着至关重要的作用;因此,寻找新的预测策略可能有助于更有效地治疗r/r cHL患者。