Zinzani Pier Luigi, Muñoz Javier, Trotman Judith
IRCCS Azienda Ospedaliero-Universitaria di Bologna Istituto di Ematologia Seràgnoli, Dipartimento di Scienze Mediche e Chirurgiche, Università di Bologna, Bologna, Italy.
Division of Hematology and Oncology, Mayo Clinic, Phoenix, AZ, USA.
Exp Hematol Oncol. 2024 Aug 22;13(1):87. doi: 10.1186/s40164-024-00551-1.
Follicular lymphoma (FL) is an indolent, germinal center B cell-derived lymphoid neoplasm, for which recent advances in treatment have substantially improved patient survival. However, FL remains an incurable and heterogeneous disease, with groups of patients experiencing early disease progression, histologic transformation, or a high risk of treatment-related toxicity. Additionally, FL is a continually relapsing disease, and response rates and disease-control intervals decrease with each subsequent line of therapy. In this review, we explore the current treatment landscape for relapsed or refractory FL and promising therapies in development, highlighting the efficacy and potential risks of each treatment. We provide a real-world perspective on the unmet needs of patients with FL. Novel therapeutic approaches in development offer a wide array of options for clinicians when treating relapsed or refractory FL. A nuanced approach is required to address the needs of individual patients, taking into consideration both the risks and benefits of each treatment option, as well as patient preferences.
滤泡性淋巴瘤(FL)是一种惰性的、起源于生发中心B细胞的淋巴肿瘤,近期治疗方面的进展已显著提高了患者的生存率。然而,FL仍然是一种无法治愈且异质性的疾病,部分患者会出现疾病早期进展、组织学转化或治疗相关毒性的高风险。此外,FL是一种持续复发的疾病,随着后续每一线治疗,缓解率和疾病控制期都会降低。在本综述中,我们探讨了复发或难治性FL的当前治疗格局以及正在研发的有前景的疗法,强调了每种治疗的疗效和潜在风险。我们从现实世界的角度阐述了FL患者未满足的需求。正在研发的新型治疗方法为临床医生治疗复发或难治性FL提供了广泛的选择。需要一种细致入微的方法来满足个体患者的需求,同时考虑每种治疗选择的风险和益处以及患者的偏好。