国际肿瘤学杂志 ›› 2015, Vol. 42 ›› Issue (7): 554-556.doi: 10.3760/cma.j.issn.1673-422X.2015.07.022

• 综述 • 上一篇    下一篇

结外鼻型NK/T细胞淋巴瘤治疗现状

陶恒敏,魏玉梅,李宝生   

  1. 250017 济南大学 山东省医学科学院医学与生命科学学院;山东省肿瘤医院放疗六病区
  • 出版日期:2015-07-08 发布日期:2015-05-26
  • 通讯作者: 李宝生 E-mail:baoshli1963@163.com
  • 基金资助:

    山东省自然科学基金(ZR2014YL034)

Current status for the treatment of extranodal nasal type NK/T cell lymphoma

Tao Hengmin, Wei Yumei, Li Baosheng   

  1. School of Medicine and Life Sciences, University of Ji′nanShandong Academy of Medical Sciences; Sixth Department of Radiation Oncology, Shandong Cancer Hospital, Ji′nan 250117, China
  • Online:2015-07-08 Published:2015-05-26
  • Contact: Li Baosheng E-mail:baoshli1963@163.com

摘要: 大部分结外鼻型自然杀伤(NK)/T细胞淋巴瘤(ENKTL)处于Ⅰ、Ⅱ期。由于较高的局部和系统性失败率,单纯放疗无法使早期患者获得高治愈率。同步或序贯放化疗成为早期ENKTL的标准治疗方案。对于Ⅲ、Ⅳ期患者,含左旋门冬酰胺酶(LASP)化疗方案的治疗效果最为显著。晚期及复发难治患者常规化疗缓解后,可以接受造血干细胞移植巩固治疗。

关键词: 淋巴瘤, 结外NKT细胞, 放射疗法, 药物疗法, 造血干细胞移植

Abstract: The most of extranodal nasal type NK/Tcell lymphoma (ENKTL) are in the Ⅰ/Ⅱ stage. Radiotherapy alone is insufficient to achieve a high cure rate for the early stage patients with ENKTL due to frequent local and systemic relapse. Concomitant/sequential chemotherapy and radiotherapy is the standard treatment for the early stage patients with ENKTL. For the patients with stage Ⅲ/Ⅳ ENKTL, regimens containing Lasparaginase are most effective. For the patients with advanced stage ENKTL or refractory recurrent ENKTL, hematopoietic stem cell transplantation may be considered when the remission is achieved.

Key words: Lymphoma, extranodal NKTcell, Radiotherapy, Drug therapy, Hematopoietic stem cell transplantation