Prise en charge du lymphome B diffus à grandes cellules en 2012

[fr] Le lymphome B diffus à grandes cellules (LBDGC) regroupe un nombre de plus en plus grand d'entités dont les carat:téristiques anatomocliniques diffèrent. La thérapeutique actuelle recourt à une immunochimiothérapie couplant le rituximab à la polychimiothérapie dont les composants, leurs posologies et leurs fréquences d'administration dépendent de variables pronostiques préthérapeutiques mondialement reconnues. La tomographie à émission de positrons est réalisée lors des bilans initiaux et de ftn de traitement et de plus en plus lors de l'évaluation à mi-parcours de la chimiothérapie. En cas de rechute, la greffe de cellules souches du sang périphérique reste la seule chance de guérison. Cette revue synthétise l'état actuel de nos connaissances et souUgne les pistes suivies pour améliorer les résultats thérapeutiques actuels.
[en] Diffuse Large B Cells Lymphoma (DLBCLI is the mast comman non-Hodgkin Iymphoma and comprises a large numberof different entities with different clinico-pathological characteristics. The role of positron emission tomography is essential dudog the Ini tial staging and post treatment assessment, and potentially at early or mid-treatmentevaluation of response. First-line therapy comprises immuno-chemotherapy with rituximab and different cytotox ic agents that differforcomponents, dosages and frequency of administration taking worldwlderecognized pre-treatment prognostic variables into account. After relapse, peripheral blood stem cells transplantation remains the only chance of cu re. This review attempts to summarize the current state of our knowledge by highlighting the leads pursued to further improve current therapeutic results.

Disciplines :

Hematology

Author, co-author :

Bonnet, Christophe ; Université de Liège - ULiège > GIGA-R : Hématologie

DE PRIJCK, Bernard ; Centre Hospitalier Universitaire de Liège - CHU > Hématologie clinique

LEJEUNE, Marie ; Centre Hospitalier Universitaire de Liège - CHU > Hématologie clinique

FASSOTTE, Marie-France ; Centre Hospitalier Universitaire de Liège - CHU > Hématologie clinique

Van Den Neste, Eric

Beguin, Yves ; Université de Liège - ULiège > GIGA-R : Hématologie

Language :

English

Title :

Prise en charge du lymphome B diffus à grandes cellules en 2012

Publication date :

2012

Journal title :

Revue Médicale Suisse

ISSN :

1660-9379

Publisher :

Medecine et Hygiène, Switzerland

Volume :

Pages :

1582-90

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 01 February 2013

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