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论文摘要

人类免疫缺陷病毒/艾滋病相关弥漫大B细胞淋巴瘤的研究现状

Current research status of human immunodefieiency virus/acquired immunodeficiency syndrome-related diffuse large B-cell lymphoma

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收稿日期:2019-07-17          年卷(期)页码:2020,43(02):109-113

期刊名称:国际输血及血液学杂志

Journal Name:International Journal of Blood Transfusion and Hematology

关键字:淋巴瘤,艾滋病相关,获得性免疫缺陷综合征,淋巴瘤,大B-细胞,弥漫性,抗HIV药,抗逆转录病毒治疗,高效,利妥昔单抗

Key words:Lymphoma, AIDS-related|Acquired immunodeficiency syndrome|Lymphoma, large B-cell, diffuse|Anti-HIV agents|Antiretroviral therapy, highly active|Rituximab

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中文摘要

随着抗逆转录病毒联合治疗(cART)的应用,艾滋病相关淋巴瘤(ARL)的发生风险有所下降,但是其仍是最常见艾滋病(AIDS)相关肿瘤,其中基本以B细胞来源为主。人类免疫缺陷病毒(HIV)/AIDS相关弥漫大B细胞淋巴瘤(HIV/AIDS-DLBCL)是其中发病率最高的亚型,临床表现可伴有B症状及结外器官受累等特点。cART联合利妥昔单抗的化疗方案能够显著提高HIV/AIDS-DLBCL患者对化疗的耐受性,并且改善患者预后。笔者拟就HIV/AIDS-DLBCL的流行病学、发病机制及治疗策略进行介绍,旨在进一步加深临床医师对于HIV/AIDS-DLBCL的认识。

英文摘要

With the application of antiretroviral combination therapy (cART), the risk of acquired immunodeficiency syndrome-related lymphoma (ARL) has decreased, but it is still the most common acquired immunodeficiency syndrome (AIDS)-related tumor, in which B cells are the primary source. Human immunodefieiency virus(HIV)/AIDS-related diffuse large B-cell lymphoma (HIV/AIDS-DLBCL) is a subtype with the highest incidence, which is clinically associated with B-symptoms and involvement of extratodal organs. Chemotherapy regimen of cART combined with rituximab can significantly improve the chemotherapy tolerance and prognosis of patients with HIV/AIDS-DLBCL. This article discusses the epidemiology, pathogenesis and treatment strategies of HIV/AIDS-DLBCL, so as to further deepen clinicians′ understanding of HIV/AIDS-DLBCL.

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