Primary Central Nervous System Lymphoma: Molecular Pathogenesis and Advances in Treatment

被引:31
作者
Cai, Qingqing [1 ]
Fang, Yu [1 ]
Young, Ken H. [2 ]
机构
[1] Sun Yat Sen Univ, Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China, Dept Med Oncol,Canc Ctr, Guangzhou 510060, Guangdong, Peoples R China
[2] Univ Texas MD Anderson Canc Ctr, Dept Hematopathol, 1515 Holcombe Blvd, Houston, TX 77030 USA
基金
中国国家自然科学基金;
关键词
PRIMARY CNS LYMPHOMA; HIGH-DOSE CHEMOTHERAPY; WHOLE-BRAIN RADIOTHERAPY; STEM-CELL TRANSPLANTATION; INTERNATIONAL EXTRANODAL LYMPHOMA; RECURRENT PRIMARY CNS; UNDER-THE-CURVE; SALVAGE THERAPY; INTENSIVE CHEMOTHERAPY; 1ST-LINE TREATMENT;
D O I
10.1016/j.tranon.2018.11.011
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Primary central nervous system lymphoma (PCNSL) is a group of extranodal non-Hodgkin lymphoma that exhibits specific biological characteristics and clinical behavior, with an aggressive disease course and unsatisfactory patient outcomes. It is of great importance to identify aberrant genetic loci and important molecular pathways that might suggest potential targets for new therapeutics and provide prognostic information. In this review, we listed various genetic and epigenetic alterations that are involved in PCNSL pathogenesis. In the aspect of treatment, we summarized the related literatures and evaluated the efficacy of surgery, induction chemotherapy, radiotherapy, intrathecal chemotherapy, and autologous stem cell transplantation in PCNSL. We also proposed the possible new agents for recurrent and relapse PCNSL based on the result of recent clinical researches.
引用
收藏
页码:523 / 538
页数:16
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