Hepatitis B virus–associated diffuse large B cell lymphoma: epidemiology, biology, clinical features and HBV reactivation

Zhu Jiayu, Qingyuan Zhang
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Abstract

Abstract Diffuse large B cell lymphoma (DLBCL) is the most common type of lymphoma in adults with high heterogeneity. Recent studies have manifested that the occurrence and development of DLBCL is related to hepatitis B virus (HBV) infection. As a medium-to-high prevalence area of HBV infection in China, the importance and exact mechanism of HBV infection in the occurrence of DLBCL have attracted considerable attention. HBV-associated DLBCL has unique clinical characteristics, poor treatment effect and inferior prognosis. HBV reactivation caused by DLBCL treatment also needs for constant vigilance. In this review we summarize the current research progress in the epidemiology, pathogenesis, clinical characteristics, HBV reactivation and antiviral therapies of HBV-associated DLBCL, in order to provide reference for clinical diagnosis and treatment.
乙型肝炎病毒相关弥漫性大B细胞淋巴瘤:流行病学、生物学、临床特征和HBV再激活
弥漫性大B细胞淋巴瘤(DLBCL)是成人中最常见的淋巴瘤类型,具有高度异质性。近年来研究表明,DLBCL的发生发展与乙型肝炎病毒(HBV)感染有关。中国作为HBV感染的中高流行区,HBV感染在DLBCL发生中的重要性和确切机制备受关注。hbv相关DLBCL临床特点独特,治疗效果差,预后差。DLBCL治疗引起的HBV再活化也需要时刻警惕。现就HBV相关DLBCL的流行病学、发病机制、临床特点、HBV再激活及抗病毒治疗等方面的研究进展进行综述,以期为临床诊断和治疗提供参考。
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