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对低剂量伊马替尼反应良好的朗格汉斯细胞组织细胞增多症:病例报告及文献综述

Langerhans Cell Histiocytosis with Good Response to Low-Dose Imatinib: Case Report and Literature Review.

作者信息

Abdulgayoom Mohammed, Mudawi Deena, Lengyel Zsolt, Abo Samra Hayan, Alshurafa Awni, Yassin Mohamed A

机构信息

Department of Hematology, National Center for Cancer Care and Research, HMC, Doha, Qatar.

Department of PET/CT and Nuclear Medicine, HMC, Doha, Qatar.

出版信息

Case Rep Oncol. 2023 Jul 12;16(1):511-518. doi: 10.1159/000531230. eCollection 2023 Jan-Dec.

DOI:10.1159/000531230
PMID:37476563
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10355039/
Abstract

Langerhans cell histiocytosis (LCH) is a rare neoplastic disease characterized by infiltration of histiocytes and dendritic cells into body organs. While treatment is better established in pediatrics, there is still no consensus on therapy in the adult population. Imatinib has shown promising results in some case reports and a small clinical trial. We present here a fifty-nine-year-old patient with LCH in the lung, liver, and bone who responded well to an imatinib dose of 100 mg daily. Her symptoms improved within 3 months of treatment, and subsequent positron emission tomography-computed tomography (PET/CT) showed resolution of 18F-fluorodeoxyglucose (FDG)-avid lesions.

摘要

朗格汉斯细胞组织细胞增多症(LCH)是一种罕见的肿瘤性疾病,其特征是组织细胞和树突状细胞浸润身体器官。虽然儿科的治疗方法已较为成熟,但成人患者的治疗仍未达成共识。在一些病例报告和一项小型临床试验中,伊马替尼已显示出有前景的结果。我们在此介绍一位59岁的患者,其肺部、肝脏和骨骼均患有LCH,对每日100毫克的伊马替尼剂量反应良好。治疗3个月内她的症状有所改善,随后的正电子发射断层扫描-计算机断层扫描(PET/CT)显示18F-氟脱氧葡萄糖(FDG)摄取阳性病变消失。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/58123035eff3/cro-2023-0016-0001-531230_F04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/25529d53f893/cro-2023-0016-0001-531230_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/99607669436f/cro-2023-0016-0001-531230_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/3db14da234a7/cro-2023-0016-0001-531230_F03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/58123035eff3/cro-2023-0016-0001-531230_F04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/25529d53f893/cro-2023-0016-0001-531230_F01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/99607669436f/cro-2023-0016-0001-531230_F02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/3db14da234a7/cro-2023-0016-0001-531230_F03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b52/10355039/58123035eff3/cro-2023-0016-0001-531230_F04.jpg

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Blood Adv. 2022 Aug 23;6(16):4901-4904. doi: 10.1182/bloodadvances.2022007519.
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Results of TETimaX Trial of Langerhans Cell Histiocytosis Treatment and Perspectives on the Role of Imatinib Mesylate in the Era of MAPK Signaling.朗格汉斯细胞组织细胞增多症治疗的TETimaX试验结果及甲磺酸伊马替尼在MAPK信号传导时代作用的展望
Biomedicines. 2021 Nov 24;9(12):1759. doi: 10.3390/biomedicines9121759.
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Frequent KIT mutations in skin lesions of patients with BRAF wild-type Langerhans cell histiocytosis.
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Virchows Arch. 2020 Nov;477(5):749-753. doi: 10.1007/s00428-020-02820-w. Epub 2020 May 5.
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