Splenic marginal zone lymphoma: a literature review of diagnostic and therapeutic challenges

Tayse Silva dos Santos, Renato Sampaio Tavares, Danielle Leão Cordeiro de Farias
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引用次数: 34

Abstract

Splenic marginal zone lymphoma (SMZL) is a low-grade B-cell non-Hodgkin's lymphoma characterized by massive splenomegaly, moderate lymphocytosis with or without villous lymphocytes, rare involvement of peripheral lymph nodes and indolent clinical course. As a rare disease, with no randomized prospective trials, there is no standard of care for SMZL so far. Splenectomy has been done for many years as an attempt to control disease, but nowadays it has not been encouraged as first line because of new advances in therapy as rituximab, that are as effective with minimal toxicity. Facing these controversies, this review highlights advances in the literature regarding diagnosis, prognostic factors, treatment indications and therapeutic options.

Abstract Image

Abstract Image

脾边缘带淋巴瘤:诊断和治疗挑战的文献综述
脾边缘区淋巴瘤(SMZL)是一种低级别b细胞非霍奇金淋巴瘤,其特征是脾肿大,中度淋巴细胞增多,伴或不伴绒毛淋巴细胞,很少累及周围淋巴结,临床病程缓慢。作为一种罕见疾病,没有随机前瞻性试验,迄今为止没有SMZL的护理标准。脾切除术作为控制疾病的尝试已经有很多年了,但是现在已经不被鼓励作为一线治疗方法了因为像利妥昔单抗这样的治疗方法有了新的进展,它同样有效,而且毒性很小。面对这些争议,本综述强调了关于诊断、预后因素、治疗指征和治疗选择的文献进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
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审稿时长
21 weeks
期刊介绍: A Revista Brasileira de Hematologia e Hemoterapia é um periódico científico de propriedade da Associação Brasileira de Hematologia e Hemoterapia, publicada bimestralmente. A abreviatura de seu título é Rev. Bras. Hematol. Hemoter., que deve ser usada em bibliografias, notas de rodapé e em referências e legendas bibliográficas.
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