Epstein-Barr Virus-Positive Diffuse Large B-Cell Lymphoma of the Elderly: What We Know So Far

被引:71
作者
Castillo, Jorge J. [1 ]
Beltran, Brady E. [2 ]
Miranda, Roberto N. [3 ]
Paydas, Semra [4 ]
Winer, Eric S. [5 ]
Butera, James N. [5 ]
机构
[1] Brown Univ, Miriam Hosp, Warren Alpert Med Sch, Div Hematol Oncol, Providence, RI 02906 USA
[2] Hosp Nacl Edgardo Rebagliati Martins, Div Oncol & Radiotherapy, Lima, Peru
[3] Univ Texas MD Anderson Canc Ctr, Dept Hematopathol, Houston, TX 77030 USA
[4] Cukurova Univ, Dept Oncol, Adana, Turkey
[5] Brown Univ, Rhode Isl Hosp, Warren Alpert Med Sch, Div Hematol Oncol, Providence, RI 02906 USA
关键词
EBV; Epstein-Barr virus; Diffuse large B-cell lymphoma; DLBCL; Elderly; Review; NERVOUS-SYSTEM LYMPHOMA; LYMPHOPROLIFERATIVE DISORDERS; HODGKIN LYMPHOMA; JAPANESE POPULATION; DISEASE; EXPRESSION; CHOP; ASSOCIATION; LMP1; TRANSFORMATION;
D O I
10.1634/theoncologist.2010-0213
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
Epstein-Barr virus-positive (EBV-positive) diffuse large B-cell lymphoma (DLBCL) of the elderly is a newly described lymphoproliferative disorder recently included as a "provisional" entity in the most current WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. The objective of this review is to provide a thorough and current summary of the existing knowledge of this subtype of DLBCL. We will review and discuss the incidence of EBV expression in DLBCL, the pathogenesis behind EBV-driven malignant transformation of B cells, the different EBV latency patterns associated with DLBCL, the distinct pathologic characteristics of EBV-positive DLBCL, the potential predictive and prognostic value of EBV tumoral status in patients with DLBCL, and potential strategies for the treatment of this rare entity, which is characterized by a suboptimal response to therapy and poor survival rate. The Oncologist 2011; 16: 87-96
引用
收藏
页码:87 / 96
页数:10
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