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套细胞淋巴瘤中的可测量残留病:难以承受的检测不到之轻。

Measurable Residual Disease in Mantle Cell Lymphoma: The Unbearable Lightness of Being Undetectable.

作者信息

Cartagena Julio, Deshpande Anagha, Rosenthal Allison, Tsang Mazie, Hilal Talal, Rimsza Lisa, Kurzrock Razelle, Munoz Javier

机构信息

University of Puerto Rico School of Medicine, San Juan, PR, USA.

Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA.

出版信息

Curr Oncol Rep. 2024 Dec;26(12):1664-1674. doi: 10.1007/s11912-024-01620-8. Epub 2024 Dec 6.

Abstract

PURPOSE OF REVIEW

This paper evaluates the benefits and limitations of detecting measurable residual disease (MRD) in mantle cell lymphoma (MCL) and assesses its prognostic value. It also aims to highlight the importance of detecting low MRD levels post-treatment and their application in clinical practice.

RECENT FINDINGS

Recent studies show that MRD levels predict relapse and survival outcomes in hematologic neoplasms, including MCL. RT-qPCR is currently the most used method due to its high reproducibility and sensitivity. Ideal MRD detection should be highly sensitive, cost-effective, and applicable to a wide demographic of patients. This paper concludes that MRD detection has prognostic value in MCL but faces limitations in sensitivity and specificity. Further research is needed to establish the significance of low MRD levels before integrating these methods into clinical practice. Improved MRD detection technologies and understanding their impact on clinical outcomes will guide better patient management in MCL.

摘要

综述目的

本文评估了检测套细胞淋巴瘤(MCL)中可测量残留病(MRD)的益处和局限性,并评估了其预后价值。它还旨在强调治疗后检测低水平MRD的重要性及其在临床实践中的应用。

最新发现

最近的研究表明,MRD水平可预测包括MCL在内的血液系统肿瘤的复发和生存结果。由于其高重现性和敏感性,逆转录定量聚合酶链反应(RT-qPCR)是目前最常用的方法。理想的MRD检测应具有高度敏感性、成本效益高且适用于广泛的患者群体。本文得出结论,MRD检测在MCL中具有预后价值,但在敏感性和特异性方面存在局限性。在将这些方法纳入临床实践之前,需要进一步研究以确定低水平MRD的意义。改进的MRD检测技术以及了解它们对临床结果的影响将指导MCL患者的更好管理。

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