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Diffuse large B-cell lymphoma: current strategies and future directions.
BACKGROUNDDiffuse large B-cell lymphoma (DLBCL) is the most common histology of non-Hodgkin lymphoma, representing 25% to 35% of new cases annually. The incidence of DLBCL has doubled in the past decades, highlighting the need for more effective treatment regimens.
METHODSThis article reviews the current protocols applicable to this aggressive lymphoma and discusses ongoing research that is focusing on molecular diagnostics, prognostic factors have also been defined for DLBCL.
RESULTSPatients with DLBCL vary in clinical presentation, prognosis, and response to current therapies. While current therapy in the rituximab era has led to improved outcomes with reduced toxicity, novel treatment approaches for localized, advanced, and relapsed/refractory DLBCL are being pursued in clinical trials. Several studies have shown promise, such as trials involving proteasome inhibitors, lenalidomide, and antibody drug conjugates.
CONCLUSIONSRecent discoveries in the spectrum of care for patients with DLBCL have prompted a renaissance for personalized cancer medicine and molecularly targeted therapy. Potential targets and novel drug combinations are undergoing continued study in the hope of achieving successful and personalized care of this disease.
Department of Malignant Hematology, Moffitt Cancer Center, Tampa, FL 33612, USA. Jennifer.Cultrera@moffitt.org
Cancer control : journal of the Moffitt Cancer Center 19:3 2012 Jul pg 204-13
MeSHAntibodies, Monoclonal, Murine-Derived
Lymphoma, Large B-Cell, Diffuse
Pub Type(s)Journal Article