Hentrich, Marcus, Hoffmann, Christian, Mosthaf, Franz, Mueller, Markus, Siehl, Jan, Wyen, Christoph and Hensel, Manfred (2014). Therapy of HIV-associated lymphoma-recommendations of the oncology working group of the German Study Group of Physicians in Private Practice Treating HIV-Infected Patients (DAGNA), in cooperation with the German AIDS Society (DAIG). Ann. Hematol., 93 (6). S. 913 - 922. NEW YORK: SPRINGER. ISSN 1432-0584

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Abstract

AIDS-related aggressive B cell lymphoma (HIV-NHL) is the second most common HIV-associated malignancy. In contrast, Hodgkin-lymphoma (HL) is one of the most common non-AIDS-defining malignancies. Current evidence-based recommendations for the treatment of HIV-associated lymphoma (HIV-lymphoma) are not available. A panel of experts in the field of HIV-related lymphoma performed literature searches of the PubMed, Medline, and Cochrane databases. The consensus process was carried out as an e-mail and meeting-based discussion group. Six cycles of R-CHOP or R-EPOCH are standard of care for patients (pts) with diffuse large B cell lymphoma (DLBCL). Pts with Burkitt lymphoma and good performance status should receive dose-intensive regimens such as the GMALL B-ALL/NHL protocol. Standard therapy has not been defined for pts with plasmablastic and primary effusion lymphoma. Pts with lymphoma in sensitive relapse should receive high-dose chemotherapy followed by autologous stem cell transplantation. Stage- and risk adapted treatment yields high remission and survival rates in pts with HIV-HL similar to those achieved in HIV-negative HL pts. Combination antiretroviral therapy (cART) should be applied concurrently to chemotherapy provided that pharmacokinetic interactions are being considered. Pts with HIV-lymphoma should usually be treated in an identical manner to HIV-negative patients.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hentrich, MarcusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoffmann, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mosthaf, FranzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mueller, MarkusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Siehl, JanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wyen, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hensel, ManfredUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-437287
DOI: 10.1007/s00277-014-2058-4
Journal or Publication Title: Ann. Hematol.
Volume: 93
Number: 6
Page Range: S. 913 - 922
Date: 2014
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1432-0584
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ACTIVE ANTIRETROVIRAL THERAPY; NON-HODGKIN-LYMPHOMA; B-CELL LYMPHOMA; NERVOUS-SYSTEM LYMPHOMA; MABTHERA INTERNATIONAL TRIAL; PRIMARY EFFUSION LYMPHOMA; HIGH-DOSE THERAPY; FREE LIGHT-CHAINS; PHASE-II TRIAL; INTENSIVE CHEMOTHERAPYMultiple languages
HematologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/43728

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