SEOM-GOTEL clinical guidelines on diffuse large B cell lymphoma (2022)

被引:0
作者
Josep Gumà
Natalia Palazón-Carrión
Antonio Rueda-Domínguez
Silvia Sequero
Virginia Calvo
Ramón García-Arroyo
José Gómez-Codina
Marta Llanos
Natividad Martínez-Banaclocha
Mariano Provencio
机构
[1] Hospital Universitari Sant Joan de Reus,Medical Oncology Department
[2] IISPV,Medical Oncology Department
[3] URV,Medical Oncology Department
[4] Hospital Universitario Virgen de la Macarena,Medical Oncology Department
[5] UGCI Medical Oncology,Medical Oncology Department
[6] Hospitales Universitarios Regional y Virgen de la Victoria,Medical Oncology Department
[7] IBIMA,Medical Oncology Department
[8] Hospital Universitario San Cecilio,Oncology Department
[9] Hospital Universitario Puerta de Hierro,undefined
[10] Complejo Hospitalario Universitario,undefined
[11] Hospital Universitari i Politècnic La Fe,undefined
[12] Hospital Universitario de Canarias,undefined
[13] Hospital General Universitario Dr. Balmis,undefined
[14] Institute for Health and Biomedical Research (ISABIAL),undefined
来源
Clinical and Translational Oncology | 2023年 / 25卷
关键词
Diffuse large B-cell lymphoma; Guideline; Diagnosis; Treatment;
D O I
暂无
中图分类号
学科分类号
摘要
Diffuse large B-cell lymphoma is the most frequent histological subtype of NHL and the paradigm for the management of aggressive lymphoma. An excisional or incisional lymph node biopsy evaluated by an experienced hemopathologist is recommended to establish the diagnosis. Twenty years following its introduction, R-CHOP remains the standard first-line treatment. No modification of this scheme (increased chemotherapy dose intensity, new monoclonal antibodies, or the addition of immunomodulators or anti-target agents) has significatively improved the clinical outcomes, whereas therapy for recurrence or progression is evolving rapidly. The irruption of CART cells, polatuzumab vedotin, tafasitamab, and CD20/CD3 bispecific antibodies are changing the natural history of relapsed patients and will challenge R-CHOP as the benchmark for newly diagnosed patients.
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页码:2749 / 2758
页数:9
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