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蕈样肉芽肿伴大细胞转化的诊疗进展

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蕈样肉芽肿是原发于皮肤记忆性辅助T细胞的非霍奇金淋巴瘤,是皮肤T细胞淋巴瘤最为常见的亚型.大细胞转化是原发性皮肤T细胞淋巴瘤的一种特殊形式.其病因及发病机制尚不明确,临床表现及辅助检查无特异性.目前对患者是否需要积极治疗具有争议.本文系统性回顾蕈样肉芽肿伴大细胞转化的病因及发病机制、临床表现、诊断、治疗进展及预后,为临床医生对该病的认识、诊断和治疗提供帮助.
Progress in the diagnosis and treatment of mycosis fungoides with large cell transformation
Mycosis fungoides is a non-Hodgkin lymphoma originating from skin-resident memo-ry helper T cells,representing the most common subtype of cutaneous T-cell lymphoma.Large cell transformation is a unique form of primary cutaneous T-cell lymphoma with unclear etiology and pathogenesis.Clinical manifestations and auxiliary examinations lack specificity.Whether patients need aggressive treatment is controversial.This article systematically reviews the etiology,patho-genesis,clinical manifestations,diagnosis,treatment,and prognosis of mycosis fungoides with large cell transformation,offering insights for its diagnosis and management.

mycosis fungoideslarge cell transformation

当增卓玛、刘晨希、王婷婷

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四川大学华西医院,四川 成都 610041

蕈样肉芽肿 大细胞转化

2024

皮肤性病诊疗学杂志
广东省皮肤性病防治中心

皮肤性病诊疗学杂志

影响因子:0.666
ISSN:1674-8468
年,卷(期):2024.31(10)