Documenti di Didattica
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Rakesh Biswas
Infection:
Virus:EBV, HTLV,HHV-8, HIV
Bacteria: H.Pylori - Gastric lymphoma
Immunology:
Congenital immunodeficiency,
Immunocompromised patients - HIV, organ
transplantation
Management
Low grade:
Asymptomatic : No treatment ;
Radiotherapy for localised disease (Stage 1);
Chemotherapy: mainstay is
Chlorambucil; Initial response good , but
repeated relapses, median survival 6-10 yrs;
Newer: Fludarabine, 2-CdA (Chlorodeoxyadenosine)
Monoclonal antibody: Rituximab
SCT/BMT
Aggressive ( high / intermediate grade):
Chemotherapy: mainstay
CHOP
-every 3 weeks, at least 6 cycles
Cyclophosphamide,
Doxorubicin Hydrochloride,
Vincristine,
Prednisolone
High risk cases with poor prognostic
factors or relapse :
High dose chemotherapy combined with
autologous BMT / SCT
Monoclonal antibody