Mantle cell lymphoma: state-of-the-art management and future perspective.

Abstract:

:Mantle cell lymphoma (MCL) is a unique subtype of B-cell non-Hodgkin lymphomas (NHL) characterized in almost all cases by the chromosomal translocation t(11;14)(q13;q32) and nuclear cyclin D1 overexpression. Most patients present with advanced stage disease, often with extranodal dissemination, and typically pursue an aggressive clinical course. Recent improvement has been achieved by the successful introduction of monoclonal antibodies and dose-intensified approaches including autologous stem cell transplantation strategies. However, with the exception of allogeneic hematopoietic stem cell transplantation, current treatment approaches are not curative and the corresponding survival curve is characterized by a relatively steep and continuous decline, with a median survival of about 4 years and <15% long-term survivors. Despite its rarity, MCL is of particular clinical and scientific interest by providing a paradigm for neoplasms with dysregulated control of cell cycle machinery and impaired apoptotic pathways. Recently gained insights into underlying pathobiology unravel numerous promising molecular targeting strategies, however their introduction into clinical practice and current treatment algorithms remains a challenge. This article will provide relevant information for decision making in clinical practice and give a perspective on upcoming management strategies.

journal_name

Leuk Lymphoma

journal_title

Leukemia & lymphoma

authors

Weigert O,Unterhalt M,Hiddemann W,Dreyling M

doi

10.3109/10428190903288514

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

1937-50

issue

12

eissn

1042-8194

issn

1029-2403

pii

10.3109/10428190903288514

journal_volume

50

pub_type

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