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霍奇金淋巴瘤治疗进展:当前与未来的方法

Advances in the treatment of Hodgkin lymphoma: Current and future approaches.

作者信息

Ullah Fauzia, Dima Danai, Omar Najiullah, Ogbue Olisaemeka, Ahmed Sairah

机构信息

Department of Translational Hematology and Oncology Research, Cleveland Clinic Foundation, Cleveland, OH, United States.

Department of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, OH, United States.

出版信息

Front Oncol. 2023 Mar 3;13:1067289. doi: 10.3389/fonc.2023.1067289. eCollection 2023.

Abstract

Hodgkin lymphoma (HL) is a rare type of lymphoma with unique histologic, immunophenotypic, and clinical features. It represents approximately one-tenth of lymphomas diagnosed in the United States and consists of two subtypes: classical Hodgkin's lymphoma (cHL), which accounts for majority of HL cases, and nodular lymphocyte predominant Hodgkin lymphoma represent approximately 5% of Hodgkin lymphoma cases. From this point, we will be focusing on cHL in this review. In general, it is considered a highly curable disease with first-line chemotherapy with or without the addition of radiotherapy. However, there are patients with disease that relapses or fails to respond to frontline regimens and the standard treatment modality for chemo sensitive cHL is high dose chemotherapy followed by autologous hematopoietic stem cell transplant (AHSCT). In recent years, targeted immunotherapy has revolutionized the treatment of cHL while many novel agents are being explored in addition to chimeric antigen receptor (CAR) T-cell therapy which is also being investigated in clinical trials as a potential treatment option.

摘要

霍奇金淋巴瘤(HL)是一种罕见的淋巴瘤,具有独特的组织学、免疫表型和临床特征。它约占美国诊断出的淋巴瘤的十分之一,由两种亚型组成:经典型霍奇金淋巴瘤(cHL),占HL病例的大多数;结节性淋巴细胞为主型霍奇金淋巴瘤约占霍奇金淋巴瘤病例的5%。从这一点出发,我们将在本综述中重点关注cHL。一般来说,它被认为是一种通过一线化疗(加或不加放疗)可高度治愈的疾病。然而,有部分患者的疾病会复发或对一线治疗方案无反应,对于化疗敏感的cHL,标准治疗方式是高剂量化疗后进行自体造血干细胞移植(AHSCT)。近年来,靶向免疫疗法彻底改变了cHL的治疗方式,除嵌合抗原受体(CAR)T细胞疗法外,许多新型药物也在探索中,CAR T细胞疗法也正在临床试验中作为一种潜在的治疗选择进行研究。

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