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滤泡性淋巴瘤个性化治疗与预后因素的进展

Advances in Personalized Treatment and Prognostic Factors of Follicular Lymphoma.

作者信息

Cheng Shijia, Liu Yanyan

机构信息

Department of Internal Medicine, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, 450008, Henan, China.

Department of Hematology, The Third People'S Hospital of Zhengzhou, Zhengzhou, 450099, Henan, China.

出版信息

Curr Treat Options Oncol. 2025 Apr;26(4):313-330. doi: 10.1007/s11864-025-01297-6. Epub 2025 Apr 2.

Abstract

Follicular lymphoma is the most prevalent form of indolent B-cell lymphoma, characterized by gradual disease progression and potential survival over several decades. Although the overall prognosis is typically favorable, some patients remain at risk for disease progression or transformation into a more aggressive variant. Recent advancements in the treatment of relapsed or refractory follicular lymphoma include cereblon modulators, kinase inhibitors, chimeric antigen receptor (CAR) T-cell therapies, and antibody-drug conjugates. Ongoing research into novel prognostic markers may improve the identification of patients at high risk for early progression, multiple relapses, or histological transformation, facilitating more precise and individualized treatment strategies.

摘要

滤泡性淋巴瘤是惰性B细胞淋巴瘤最常见的形式,其特点是疾病进展缓慢,患者有可能存活数十年。尽管总体预后通常良好,但一些患者仍有疾病进展或转化为更具侵袭性变体的风险。复发或难治性滤泡性淋巴瘤治疗的最新进展包括脑啡肽调节剂、激酶抑制剂、嵌合抗原受体(CAR)T细胞疗法和抗体药物偶联物。对新型预后标志物的持续研究可能会改善对早期进展、多次复发或组织学转化高风险患者的识别,从而促进更精确和个性化的治疗策略。

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