Systemic Treatment of Cutaneous Lymphomas
Publikation: Bidrag til bog/antologi/rapport › Bidrag til bog/antologi › Forskning › fagfællebedømt
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Systemic Treatment of Cutaneous Lymphomas. / Kamstrup, Maria R.; Specht, Lena.
Non-melanoma Skin Cancer: Essentials for Oncologists. red. / Agata Rembielak; Luca Tagliaferri. CRC Press, 2023. s. 355-364.Publikation: Bidrag til bog/antologi/rapport › Bidrag til bog/antologi › Forskning › fagfællebedømt
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TY - CHAP
T1 - Systemic Treatment of Cutaneous Lymphomas
AU - Kamstrup, Maria R.
AU - Specht, Lena
N1 - Publisher Copyright: © 2023 selection and editorial matter, Agata Rembielak and Luca Tagliaferri; individual chapters, the contributors.
PY - 2023
Y1 - 2023
N2 - Most primary cutaneous lymphomas remain localized in the skin for a long time, and they are treated preferentially with skin-directed therapies. However, a number of systemic treatments is used, either in combination with skin-directed therapies or, when the disease disseminates to other organs, as the sole treatment. Conventional chemotherapy is not very effective in the skin. The treatment of disseminated T-cell lymphomas is rarely curative, and single drugs are generally used. Some systemic treatments are cytostatics, e.g., methotrexate, gemcitabine, and doxorubicine; some are immune modularoty, e.g., retinoids, interferons, and extracorporal photophoresis; and some are new targeted drugs, e.g., histone deacetylase inhibitors, brentuximab vedotin, mogamulizumab, and alemtuzumab. Non-myeloablative allogeneic transplant may be used in patients whose disease cannot be adequately controlled with other measures. Indolent primary cutaneous B-cell lymphomas are treated with rituximab if disseminated. For the aggressive primary cutaneous B-cell lymphomas the primary treatment is rituximab combined with conventional combination chemotherapy. Newer targeted drugs are being investigated.
AB - Most primary cutaneous lymphomas remain localized in the skin for a long time, and they are treated preferentially with skin-directed therapies. However, a number of systemic treatments is used, either in combination with skin-directed therapies or, when the disease disseminates to other organs, as the sole treatment. Conventional chemotherapy is not very effective in the skin. The treatment of disseminated T-cell lymphomas is rarely curative, and single drugs are generally used. Some systemic treatments are cytostatics, e.g., methotrexate, gemcitabine, and doxorubicine; some are immune modularoty, e.g., retinoids, interferons, and extracorporal photophoresis; and some are new targeted drugs, e.g., histone deacetylase inhibitors, brentuximab vedotin, mogamulizumab, and alemtuzumab. Non-myeloablative allogeneic transplant may be used in patients whose disease cannot be adequately controlled with other measures. Indolent primary cutaneous B-cell lymphomas are treated with rituximab if disseminated. For the aggressive primary cutaneous B-cell lymphomas the primary treatment is rituximab combined with conventional combination chemotherapy. Newer targeted drugs are being investigated.
U2 - 10.1201/9781003226017-25
DO - 10.1201/9781003226017-25
M3 - Book chapter
AN - SCOPUS:85149569898
SN - 978-1-032-10371-6
SN - 978-1- 032-12741-5
SP - 355
EP - 364
BT - Non-melanoma Skin Cancer
A2 - Rembielak, Agata
A2 - Tagliaferri, Luca
PB - CRC Press
ER -
ID: 367087365