Current trends in pediatric aggressive B-cell lymphomas treatment

Nowadays due to modern risk-adapted treatment protocols high survival rates have been achieved in patients with aggressive B-cell lymphomas, even at stages III–IV these indicators overrun 90 %. Mainly these successes were associated with the inclusion of rituximab in the standard chemotherapy regime...

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Main Authors: Yu. S. Korkina, T. T. Valiev
Format: Article
Language:Russian
Published: ABV-press 2021-06-01
Series:Онкогематология
Subjects:
Online Access:https://oncohematology.abvpress.ru/ongm/article/view/471
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author Yu. S. Korkina
T. T. Valiev
author_facet Yu. S. Korkina
T. T. Valiev
author_sort Yu. S. Korkina
collection DOAJ
description Nowadays due to modern risk-adapted treatment protocols high survival rates have been achieved in patients with aggressive B-cell lymphomas, even at stages III–IV these indicators overrun 90 %. Mainly these successes were associated with the inclusion of rituximab in the standard chemotherapy regimens. As the follow up period of the patients is lengthened, it has become clear that ongoing treatment is associated with the development of immediate and long-term adverse effects of chemoimmunotherapy. In Russia and the world, there are multicenter studies aimed at studying prognostic factors that make it possible to reduce single and/or total doses of chemotherapy drugs, and therefore, to reduce chemotherapy toxicity. The obtained data allow considering the early complete antitumor effect (after 2 courses of therapy) as an advantage factor, so it is possible to reduce program chemoimmunotherapy intensity without reducing high patients survival rates.
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series Онкогематология
spelling doaj-art-77ff796a2f03407d811c8ca2ac0087cb2025-08-20T03:35:33ZrusABV-pressОнкогематология1818-83462413-40232021-06-01162212710.17650/1818-8346-2021-16-2-21-27386Current trends in pediatric aggressive B-cell lymphomas treatmentYu. S. Korkina0T. T. Valiev1Pediatric Oncology and Hematology Research Institute, N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaPediatric Oncology and Hematology Research Institute, N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaNowadays due to modern risk-adapted treatment protocols high survival rates have been achieved in patients with aggressive B-cell lymphomas, even at stages III–IV these indicators overrun 90 %. Mainly these successes were associated with the inclusion of rituximab in the standard chemotherapy regimens. As the follow up period of the patients is lengthened, it has become clear that ongoing treatment is associated with the development of immediate and long-term adverse effects of chemoimmunotherapy. In Russia and the world, there are multicenter studies aimed at studying prognostic factors that make it possible to reduce single and/or total doses of chemotherapy drugs, and therefore, to reduce chemotherapy toxicity. The obtained data allow considering the early complete antitumor effect (after 2 courses of therapy) as an advantage factor, so it is possible to reduce program chemoimmunotherapy intensity without reducing high patients survival rates.https://oncohematology.abvpress.ru/ongm/article/view/471burkitt lymphomadiffuse large b-cell lymphomaprimary mediastinal (thymic) large b-cell lymphomachemotherapyrituximabdose reductiontreatmentchildren
spellingShingle Yu. S. Korkina
T. T. Valiev
Current trends in pediatric aggressive B-cell lymphomas treatment
Онкогематология
burkitt lymphoma
diffuse large b-cell lymphoma
primary mediastinal (thymic) large b-cell lymphoma
chemotherapy
rituximab
dose reduction
treatment
children
title Current trends in pediatric aggressive B-cell lymphomas treatment
title_full Current trends in pediatric aggressive B-cell lymphomas treatment
title_fullStr Current trends in pediatric aggressive B-cell lymphomas treatment
title_full_unstemmed Current trends in pediatric aggressive B-cell lymphomas treatment
title_short Current trends in pediatric aggressive B-cell lymphomas treatment
title_sort current trends in pediatric aggressive b cell lymphomas treatment
topic burkitt lymphoma
diffuse large b-cell lymphoma
primary mediastinal (thymic) large b-cell lymphoma
chemotherapy
rituximab
dose reduction
treatment
children
url https://oncohematology.abvpress.ru/ongm/article/view/471
work_keys_str_mv AT yuskorkina currenttrendsinpediatricaggressivebcelllymphomastreatment
AT ttvaliev currenttrendsinpediatricaggressivebcelllymphomastreatment