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复发/难治性外周 T 细胞淋巴瘤的新型临床风险分层和治疗策略。

Novel clinical risk stratification and treatment strategies in relapsed/refractory peripheral T-cell lymphoma.

机构信息

Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.

Duke-NUS Medical School, Singapore, Singapore.

出版信息

J Hematol Oncol. 2024 Jun 1;17(1):38. doi: 10.1186/s13045-024-01560-7.

Abstract

Peripheral T cell lymphoma (PTCL) represents a group of heterogeneous hematological malignancies, which are notoriously challenging to treat and outcomes are typically poor. Over the past two decades, clinical prognostic indices for patient risk stratification have evolved, while several targeted agents are now available to complement combination chemotherapy in the frontline setting or as a salvage strategy. With further understanding of the molecular pathobiology of PTCL, several innovative approaches incorporating immunomodulatory agents, epigenetic therapies, oncogenic kinase inhibitors and immunotherapeutics have come to the forefront. In this review, we provide a comprehensive overview of the progress in developing clinical prognostic indices for PTCL and describe the broad therapeutic landscape, emphasizing novel targetable pathways that have entered early phase clinical studies.

摘要

外周 T 细胞淋巴瘤 (PTCL) 是一组异质性血液恶性肿瘤,其治疗极具挑战性,通常预后较差。在过去的二十年中,用于患者风险分层的临床预后指标不断发展,而几种靶向药物现在可用于补充一线治疗或挽救治疗中的联合化疗。随着对 PTCL 分子病理生物学的进一步了解,几种包含免疫调节剂、表观遗传学疗法、致癌激酶抑制剂和免疫疗法的创新方法已成为研究热点。在这篇综述中,我们全面概述了 PTCL 临床预后指标的发展进展,并描述了广泛的治疗领域,强调了已进入早期临床研究的新的可靶向途径。

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