Primary mediastinal lymphoma: diagnosis and treatment options.

Abstract:

:Primary mediastinal large B-cell lymphoma (PMBCL) is a unique B-cell lymphoma variant that arises from a putative thymic medulla B cell. It constitutes 2-4% of non-Hodgkin lymphomas and occurs most frequently in young females. PMBCL is characterized by a diffuse proliferation of medium-to-large B cells associated with sclerosis. Molecular analysis shows that PMBCL is a distinct entity compared to other types of diffuse large B-cell lymphomas. PMBCL is characterized by a locally invasive anterior mediastinal bulky mass. The combination of rituximab with CHOP/CHOP-like regimens followed by mediastinal radiation therapy (RT) is associated with a 5-year progression-free survival of 75-85%. However, the role of consolidation RT still remains uncertain. More intensive regimens, such as DA-EPOCH-R without mediastinal RT, have shown very promising results. The conclusive role of PET-CT scan requires prospective studies and there is hope that this may allow to de-escalate RT and accordingly yield reliable prognostic information.

journal_name

Expert Rev Hematol

authors

Martelli M,Di Rocco A,Russo E,Perrone S,Foà R

doi

10.1586/17474086.2015.994604

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

173-86

issue

2

eissn

1747-4086

issn

1747-4094

journal_volume

8

pub_type

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