期刊
BLOOD
卷 137, 期 4, 页码 459-470出版社
AMER SOC HEMATOLOGY
DOI: 10.1182/blood.2019004045
关键词
-
类别
资金
- National Institute for Health Research (NIHR) Imperial Biomedical Research Centre (BRC)
- Harold Amos Medical Faculty Career Development Program (Robert Wood Johnson Foundation)
- Harold Amos Medical Faculty Career Development Program (American Society of Hematology)
ATL is an aggressive T-cell malignancy with limited survival outcomes with chemotherapy, but novel therapies like mogamulizumab show promise for different ATL subtypes. The implementation of molecular methods may guide diagnosis and treatment, but universal availability remains a challenge worldwide.
Adult T-cell leukemia/lymphoma (ATL) is a highly aggressive T-cell malignancy that arises in a proportion of individuals who are long-term carriers of human T-lymphotropic virus type 1. The median survival of aggressive subtypes is 8 to 10 months; with chemotherapy-based approaches, overall survival has remained largely unchanged in the similar to 35 years since ATL was first described. Through the use of 4 representative case studies, we highlight advances in the biological understanding of ATL and the use of novel therapies such as mogamulizumab, as well as how they are best applied to different subtypes of ATL. We discuss the implementation of molecular methods that may guide diagnosis or treatment, although we accept that these are not universally available. In particular, we acknowledge discrepancies in treatment between different countries, reflecting current drug licensing and the difficulties in making treatment decisions in a rare disease, with limited high-quality clinical trial data.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据