Ayers Emily C, Smith Sonali M
Division of Hematology and Oncology, University of Virginia School of Medicine, Charlottesville, VA 22903, USA.
Section of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL 60637, USA.
Cancers (Basel). 2025 Mar 5;17(5):885. doi: 10.3390/cancers17050885.
Outcomes in older, unfit, and frail patients with diffuse large B-cell lymphoma (DLBCL) are inferior compared to younger and fit patients. Despite tremendous progress in the treatment landscape of DLBCL, few clinical trials have focused specifically on this high-risk patient population. This review focuses on the pathophysiology unique to the older patient with DLBCL, as well as the evidence behind current treatment approaches. This article also aims to highlight emerging prognostic tools and novel treatment strategies that may improve the outcomes in this patient cohort in the future.
与年轻且健康的患者相比,老年、身体不适且虚弱的弥漫性大B细胞淋巴瘤(DLBCL)患者的预后较差。尽管DLBCL的治疗领域取得了巨大进展,但很少有临床试验专门针对这一高风险患者群体。本综述聚焦于老年DLBCL患者特有的病理生理学,以及当前治疗方法背后的证据。本文还旨在强调可能改善该患者群体未来预后的新兴预后工具和新型治疗策略。