T-cell prolymphocytic leukemia medical therapy: Difference between revisions

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{{T-cell prolymphocytic leukemia}}                                                                 
{{CMG}}; {{AE}}{{Qurrat}}, {{MV}} {{CLG}}


{{T-cell-prolymphocytic leukemia}}
==Overview==
[[T cell|T-cell]] [[prolymphocytic leukemia]] responds better when combinations of [[chemotherapy]] drugs are used. [[Monoclonal antibodies]] are a type of [[biological therapy]] that has been effective in treating certain types of [[leukemias]]. [[Splenectomy]] and [[External beam radiotherapy|external beam radiation therapy]] to the [[spleen]] may be used in some people with [[prolymphocytic leukemia]].
 
==Medical Therapy==
*The mainstay of [[therapy]] for [[T cell|T-cell]] [[prolymphocytic leukemia]], include:<ref name="pmid23382603">{{cite journal |vauthors=Graham RL, Cooper B, Krause JR |title=T-cell prolymphocytic leukemia |journal=Proc (Bayl Univ Med Cent) |volume=26 |issue=1 |pages=19–21 |year=2013 |pmid=23382603 |pmc=3523759 |doi= |url=}}</ref><ref name="pmid17392661">{{cite journal |vauthors=Robak T, Robak P |title=Current treatment options in prolymphocytic leukemia |journal=Med. Sci. Monit. |volume=13 |issue=4 |pages=RA69–80 |date=April 2007 |pmid=17392661 |doi= |url=}}</ref>
:*[[Alemtuzumab]] (anti-[[CD52]])
*[[T cell|T-cell]] [[prolymphocytic leukemia]] is often resistant to [[therapy]].
 
===Chemotherapy===
 
[[T cell|T-cell]] [[prolymphocytic leukemia]] responds better when combinations of [[chemotherapy]] [[drugs]] are used. Some combinations that may be used are:<ref name="T-PLL">{{cite web | title = Canadian Cancer Society| url =http://www.cancer.ca/en/cancer-information/cancer-type/non-hodgkin-lymphoma/non-hodgkin-lymphoma/types-of-nhl/prolymphocytic-leukemias/?region=on }}</ref>
 
* CVP – [[Cyclophosphamide]], [[vincristine]] and [[prednisone]].
 
* CHOP – [[Cyclophosphamide]], [[doxorubicin]], [[vincristine]] and [[prednisone]].
 
Other [[Chemotherapy|chemotherapy drugs]] ([[Purine|purine analogues]]) are often used to treat [[T cell|T-cell]] [[prolymphocytic leukemia]] are:
 
* [[Fludarabine]]
* [[Cladribine]]
* [[Pentostatin]]
 
===Biological therapy===
 
[[Monoclonal antibodies]] are a type of [[biological therapy]] that has been effective in treating certain types of [[leukemias]]. These [[drugs]] may be used alone or in combination with [[chemotherapy]] to treat [[prolymphocytic leukemia]].
 
* [[Alemtuzumab]] seems to be particularly effective in treating [[T cell|T-cell]] [[prolymphocytic leukemia]]. It may be used in people whose [[lymphoma]] is no longer responding to [[Chemotherapy|chemotherapy drugs]] like [[fludarabine]].
 
===Splenectomy or radiation therapy to the spleen===
 
[[Splenectomy]] and [[external beam radiation therapy]] to the [[spleen]] may be used in some people with [[prolymphocytic leukemia]].


==References==
==References==
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Latest revision as of 18:25, 4 April 2019

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Qurrat-ul-ain Abid, M.D.[2], Maria Fernanda Villarreal, M.D. [3] Carlos A Lopez, M.D. [4]

Overview

T-cell prolymphocytic leukemia responds better when combinations of chemotherapy drugs are used. Monoclonal antibodies are a type of biological therapy that has been effective in treating certain types of leukemias. Splenectomy and external beam radiation therapy to the spleen may be used in some people with prolymphocytic leukemia.

Medical Therapy

Chemotherapy

T-cell prolymphocytic leukemia responds better when combinations of chemotherapy drugs are used. Some combinations that may be used are:[3]

Other chemotherapy drugs (purine analogues) are often used to treat T-cell prolymphocytic leukemia are:

Biological therapy

Monoclonal antibodies are a type of biological therapy that has been effective in treating certain types of leukemias. These drugs may be used alone or in combination with chemotherapy to treat prolymphocytic leukemia.

Splenectomy or radiation therapy to the spleen

Splenectomy and external beam radiation therapy to the spleen may be used in some people with prolymphocytic leukemia.

References

  1. Graham RL, Cooper B, Krause JR (2013). "T-cell prolymphocytic leukemia". Proc (Bayl Univ Med Cent). 26 (1): 19–21. PMC 3523759. PMID 23382603.
  2. Robak T, Robak P (April 2007). "Current treatment options in prolymphocytic leukemia". Med. Sci. Monit. 13 (4): RA69–80. PMID 17392661.
  3. "Canadian Cancer Society".

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