Hepatosplenic T-cell lymphoma: treatment challenges.


Journal

Current opinion in oncology
ISSN: 1531-703X
Titre abrégé: Curr Opin Oncol
Pays: United States
ID NLM: 9007265

Informations de publication

Date de publication:
01 09 2021
Historique:
entrez: 19 8 2021
pubmed: 20 8 2021
medline: 14 1 2022
Statut: ppublish

Résumé

Hepatosplenic lymphoma (HSTCL) is a rare T-cell malignancy occurring in young males, associated with immune deficiency in 20% of the cases which, despite aggressive treatments, has a poor survival. Specific recommendations for first-line treatment remain debatable. Published data covering case reports or series of HSTCL concur that allogeneic stem cell transplant should be proposed as a consolidation after response to chemotherapy in all patients eligible for transplant. In the light of two recent clinical examples, we also confirm that specific chemotherapy and a first-line consolidation with allogeneic transplantation when a donor is available to represent a treatment of choice these rare and distinctive lymphomas. Recent molecular studies are summarized in this review and suggest potential targets for new therapeutic strategies. Major progresses have been achieved in improving the outcome of HSTCL l patients using intensive chemotherapy and allogeneic transplantation.

Identifiants

pubmed: 34409955
doi: 10.1097/CCO.0000000000000775
pii: 00001622-202109000-00004
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

406-411

Informations de copyright

Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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Auteurs

Dominique Bron (D)

Department of Hematology, Institut Jules Bordet (ULB), Brussels, Belgium.

Laurence De Leval (L)

Institute of Pathology, Lausanne University Hospital and Lausanne University, Lausanne, Switzerland.

Sandra Michiels (S)

Department of Hematology, Institut Jules Bordet (ULB), Brussels, Belgium.

Sebastian Wittnebel (S)

Department of Hematology, Institut Jules Bordet (ULB), Brussels, Belgium.

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