广州医药2024,Vol.55Issue(9) :974-984,996.DOI:10.3969/j.issn.1000-8535.2024.09.002

弥漫性大B细胞淋巴瘤的放射治疗进展

Recent progress in radiation therapy for diffuse large B-cell lymphoma

易泽新 伍勇
广州医药2024,Vol.55Issue(9) :974-984,996.DOI:10.3969/j.issn.1000-8535.2024.09.002

弥漫性大B细胞淋巴瘤的放射治疗进展

Recent progress in radiation therapy for diffuse large B-cell lymphoma

易泽新 1伍勇1
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作者信息

  • 1. 华南理工大学附属第二医院(广州市第一人民医院)肿瘤科(广东广州 510180)
  • 折叠

摘要

弥漫性大B细胞淋巴瘤(DLBCL)是最常见的高度异质性非霍奇金淋巴瘤(NHL),不同的疾病阶段或临床亚型预后不尽相同.放射治疗作为无交叉耐药的理想局部治疗技术,应用于DLBCL可有效改善患者预后.初治DLBCL通过放射治疗联合化学治疗、免疫治疗等综合治疗可使约60%~70%患者疾病缓解.对于不同预后影响因素,如年龄、肿瘤体积、淋巴结外侵犯等,联合放射治疗也可取得更佳疗效.在复发性/难治性DLBCL的治疗中,自体造血干细胞移植(ASCT)和嵌合抗原受体T细胞免疫治疗(CAR-T)是目前的研究热点,而放射治疗无论是作为ASCT与CAR-T术前的桥接治疗或失败后的挽救性治疗均有助改善患者预后.随着放射治疗技术的日益优化,放射治疗在综合治疗方案中扮演着越来越重要的角色.

Abstract

Diffuse large B-cell lymphoma(DLBCL)is a highly heterogeneous type of non-Hodgkin lymphoma(NHL)and its prognosis is different for different disease stages or clinical subtypes.Radiation therapy(RT)is a local treatment technique that does not cause cross-resistance and can effectively improve the prognosis of patients with DLBCL.When combined with chemotherapy and immunotherapy,RT can alleviate the disease in more than 60%of patients.Furthermore,RT can achieve better results for different prognostic factors such as age,tumor volume and external nodal invasion.For treating relapsed/refractory DLBCL,autologous stem cell transplantation(ASCT)and chimeric antigen receptor T cell immunotherapy(CAR-T)are currently being researched,while RT can help as bridging therapy before ASCT and CAR-T or salvage therapy after failure.With the increasing optimization of technology,radiotherapy plays an increasingly important role in combined treatment options.

关键词

弥漫性大B细胞淋巴瘤/放射治疗/复发性/难治性弥漫性大B细胞淋巴瘤/利妥昔单抗

Key words

diffuse large B-cell lymphoma/radiation therapy/relapsed/refractory DLBCL/rituximab

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基金项目

国家自然科学基金面上项目(31971164)

广州市科技计划项目(2023A03J0962)

出版年

2024
广州医药
广州市第一人民医院

广州医药

影响因子:0.811
ISSN:1000-8535
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