A Review of New Findings in Adult T-cell Leukemia-Lymphoma: A Focus on Current and Emerging Treatment Strategies.

A Review of New Findings in Adult T-cell Leukemia-Lymphoma: A Focus on Current and Emerging Treatment Strategies.
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DOI:
10.1007/s12325-018-0658-4
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发表时间:
2018-03
影响因子:
3.8
通讯作者:
Tobinai K
Tobinai K
中科院分区:
医学3区
文献类型:
--
作者:
Hermine O;Ramos JC;Tobinai K

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成人 T 细胞白血病-淋巴瘤 (ATL) 是一种罕见的侵袭性 T 细胞恶性肿瘤,由人类 T 细胞嗜淋巴细胞病毒 1 型 (HTLV-1) 引起,预后不良。缺乏基于证据的标准治疗方案,结果通常不令人满意,特别是对于患有复发或难治性疾病的患者。随着对许多现有和研究药物的评估,持续的研究正在改变治疗格局。我们描述 HTLV-1 和 ATL 的流行病学,讨论疾病背后的生物学,回顾当前的治疗实践和指南,并概述 ATL 的新兴疗法,重点关注复发或难治性疾病的疗法。
Adult T-cell leukemia–lymphoma (ATL), a rare and aggressive T-cell malignancy caused by human T-cell lymphotropic virus type 1 (HTLV-1), is associated with a poor prognosis. Evidence-based standard treatment options are lacking and outcomes are generally unsatisfactory, particularly for patients with relapsed or refractory disease. Continued research is contributing to changing treatment landscape as a number of existing and investigational agents are evaluated. We describe the epidemiology of HTLV-1 and ATL, discuss the biology behind the disease, review current treatment practices and guidelines, and provide an overview of emerging therapies in ATL, with a focus on those for relapsed or refractory disease.
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