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1、MultimodalityConferenceDiffuseLargeB-CellLymphoma:CurrentStandardsofCareandClinicalAdvancesAlirezaAbdolmohammadi,MDHem/OncFellow-102/17/2011ChristopherR.Flowers,MD,MSDirector,LymphomaProgramMedicalDirector,OncologyDataCenterAssistantProfessor,BoneMarrowandS
2、temCellTransplantationDepartmentofHematologyandOncologyEmoryUniversityAtlanta,GeorgiaDiffuseLargeB-CellLymphoma:CurrentStandardsofCareandClinicalAdvancesThisprogramissupportedbyaneducationalgrantfromImage:3D4Medical.com/Copyright©2010GettyImages,Inc.AllR
3、ightsReserved.AboutTheseSlidesOurthankstothepresenterswhogavepermissiontoincludetheiroriginaldataUsersareencouragedtousetheseslidesintheirownnoncommercialpresentations,butweaskthatcontentandattributionnotbechanged.UsersareaskedtohonorthisintentTheseslidesma
4、ynotbepublishedorpostedonlinewithoutpermissionfromClinicalCareOptionsDisclaimerThematerialspublishedontheClinicalCareOptionsWebsitereflecttheviewsoftheauthorsoftheCCOmaterial,notthoseofClinicalCareOptions,LLC,theCMEproviders,orthecompaniesprovidingeducatio
5、nalgrants.ThematerialsmaydiscussusesanddosagesfortherapeuticproductsthathavenotbeenapprovedbytheUnitedStatesFoodandDrugAdministration.Aqualifiedhealthcareprofessionalshouldbeconsultedbeforeusinganytherapeuticproductdiscussed.Readersshouldverifyallinformatio
6、nanddatabeforetreatingpatientsorusinganytherapiesdescribedinthesematerials.DiffuseLargeB-CellLymphomaOverviewandmolecularbiologyCurrenttreatmentapproachesLocalizedDLBCLAdvanced-stageDLBCLNovelapproachesandongoingclinicaltrialsDiffuseLargeB-CellLymphomaMostc
7、ommonNHL:31%Peakincidencein6thdecadeCurablein50%ormoreofcasesMediansurvival:wkstomosifnottreatedClinicaloutcomesandmolecularfeatureshighlyheterogeneousLargecellswithlossoffolliculararchitectureofnode30%to40%presentwithrapidlyenlarging,symptomaticmasswithB
8、symptomsMaypresentasextranodaldisease(stomach,CNS,testis,skin)MichalletAS,etal.BloodRev.2009;23:11-23.DLBCL:PrognosticFactorsRiskGroupRiskFactors,nCR,%5-YrOS,%Patients(allages)Low0-18773Lowintermediate