Controversies in the Front-Line Treatment of Systemic Peripheral T Cell Lymphomas
- PMID: 36612216
- PMCID: PMC9818471
- DOI: 10.3390/cancers15010220
Controversies in the Front-Line Treatment of Systemic Peripheral T Cell Lymphomas
Abstract
Systemic peripheral T cell lymphomas (PTCL) are a rare and clinically and biologically heterogeneous group of disorders with scarce and generally low-quality evidence guiding their management. In this manuscript, we tackle the current controversies in the front-line treatment of systemic PTCL including (1) whether CNS prophylaxis should be administered; (2) whether CHOEP should be preferred over CHOP; (3) what role brentuximab vedotin should have; (4) whether stem cell transplant (SCT) consolidation should be used and whether autologous or allogeneic; (5) how should molecular subtypes (including DUSP22 or TP63-rearranged ALCL or GATA3 or TBX21 PTCL, NOS) impact therapeutic decisions; and (6) whether there is a role for targeted agents beyond brentuximab vedotin.
Keywords: CHOP; T cell lymphoma; brentuximab; etoposide; stem cell transplant.
Conflict of interest statement
The authors declare no conflict of interest.
References
-
- Campo E., Jaffe E.S., Cook J.R., Quintanilla-Martinez L., Swerdlow S.H., Anderson K.C., Brousset P., Cerroni L., de Leval L., Dirnhofer S., et al. The International Consensus Classification of Mature Lymphoid Neoplasms: A report from the Clinical Advisory Committee. Blood. 2022;140:1229–1253. doi: 10.1182/blood.2022015851. - DOI - PMC - PubMed
-
- Campo E., Harris N.L., Jaffe E.S., Pileri S.A., Stein H., Thiele J., Vardiman J.W. In: WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. Swerdlow S.H., editor. International Agency for Research on Cancer; Lyon, France: 2017.
-
- Brink M., Meeuwes F.O., van der Poel M.W.M., Kersten M.J., Wondergem M., Mutsaers P.G.N.J., Böhmer L.H., Woei-A-Jin F.S.H., Visser O., Oostvogels R., et al. Impact of etoposide and ASCT on survival among patients aged <65 years with stage II to IV PTCL: A population-based cohort study. Blood. 2022;140:1009–1019. - PMC - PubMed
-
- Bachy E., Camus V., Thieblemont C., Sibon D., Casasnovas R.-O., Ysebaert L., Damaj G., Guidez S., Pica G.M., Kim W.S., et al. Romidepsin Plus CHOP Versus CHOP in Patients with Previously Untreated Peripheral T-Cell Lymphoma: Results of the Ro-CHOP Phase III Study (Conducted by LYSA) J. Clin. Oncol. 2022;40:242–251. doi: 10.1200/JCO.21.01815. - DOI - PubMed
-
- Vose J., Armitage J., Weisenburger D. International T-Cell Lymphoma Project. International peripheral T-cell and natural killer/T-cell lymphoma study: Pathology findings and clinical outcomes. J. Clin. Oncol. 2008;26:4124–4130. - PubMed
Publication types
LinkOut - more resources
Full Text Sources
Research Materials