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温霆宇, 桂琳, 靳君, 张维, 王婷, 石远凯, 刘鹏. 培美曲塞为主的化疗方案治疗中老年非霍奇金淋巴瘤回顾性分析[J]. 肿瘤防治研究, 2020, 47(2): 119-123. DOI: 10.3971/j.issn.1000-8578.2020.19.1003
引用本文: 温霆宇, 桂琳, 靳君, 张维, 王婷, 石远凯, 刘鹏. 培美曲塞为主的化疗方案治疗中老年非霍奇金淋巴瘤回顾性分析[J]. 肿瘤防治研究, 2020, 47(2): 119-123. DOI: 10.3971/j.issn.1000-8578.2020.19.1003
WEN Tingyu, GUI Lin, JIN Jun, ZHANG Wei, WANG Ting, SHI Yuankai, LIU Peng. Retrospective Analysis of Pemetrexed-based Chemotherapy Regimens on Mid-elderly Non-Hodgkin's Lymphoma[J]. Cancer Research on Prevention and Treatment, 2020, 47(2): 119-123. DOI: 10.3971/j.issn.1000-8578.2020.19.1003
Citation: WEN Tingyu, GUI Lin, JIN Jun, ZHANG Wei, WANG Ting, SHI Yuankai, LIU Peng. Retrospective Analysis of Pemetrexed-based Chemotherapy Regimens on Mid-elderly Non-Hodgkin's Lymphoma[J]. Cancer Research on Prevention and Treatment, 2020, 47(2): 119-123. DOI: 10.3971/j.issn.1000-8578.2020.19.1003

培美曲塞为主的化疗方案治疗中老年非霍奇金淋巴瘤回顾性分析

Retrospective Analysis of Pemetrexed-based Chemotherapy Regimens on Mid-elderly Non-Hodgkin's Lymphoma

  • 摘要:
    目的 回顾性分析培美曲塞为主的化疗方案治疗中老年非霍奇金瘤患者的安全性及有效性。
    方法 回顾性收集2016年11月至2018年10月中国医学科学院肿瘤医院收治的以培美曲塞为主的化疗方案治疗的非霍奇金淋巴瘤患者临床资料,并对相关文献进行系统性综述。
    结果 共纳入10例非霍奇金淋巴瘤患者,7例为弥漫大B细胞淋巴瘤,2例为血管免疫母T细胞淋巴瘤,1例为结外NK/T细胞淋巴瘤。肿瘤复发或一线治疗进展后接受培美曲塞为主的化疗方案,弥漫大B细胞淋巴瘤有4例达到部分缓解,3例疾病进展,出现的不良反应主要为Ⅰ~Ⅱ度骨髓抑制及胃肠道反应。
    结论 培美曲塞为主的化疗方案治疗弥漫大B细胞淋巴瘤患者,尤其是原发性中枢神经系统淋巴瘤,可能有一定的有效性,且安全性可控。

     

    Abstract:
    Objective To analyze the safety and efficacy of pemetrexed-based chemotherapy on patients with mid-elderly non-Hodgkin's lymphoma.
    Methods We retrospectively reviewed the clinical data of patients with non-Hodgkin's lymphoma treated with pemetrexed-based chemotherapy regimen from November 2016 to October 2018 in the Cancer Hospital of Chinese Academy of Medical Sciences, and systematically reviewed the relevant literatures.
    Results We enrolled 10 patients with non-Hodgkin's lymphoma treated with pemetrexed-based chemotherapy: 7 cases of diffuse large B-cell lymphoma, 2 cases of angioimmunoblastic T cell lymphoma and one case of extranodal NK/T cell lymphoma. After tumor recurrence or progression, these patients were treated with pemetrexed-based chemotherapy. Four cases of diffuse large B-cell lymphoma reached partial remission and three cases progressed. The main adverse events were low grade myelosuppression and gastrointestinal reactions.
    Conclusion Pemetrexed-based chemotherapy regimen may have certain effectiveness and safety on the patients with diffuse large B-cell lymphoma, especially primary central nervous system lymphoma.

     

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