原发性眼内淋巴瘤的诊疗进展Current Status of the Diagnosis and Treatment of Primary Intraocular Lymphoma
梁晓杰;王亮;
LIANG Xiaojie;WANG Liang;First Clinical Medical College, Southern Medical University;Department of Hematology, Beijing Tongren Hospital, Capital Medical University;
摘要(Abstract):
原发性眼内淋巴瘤(primary intraocular lymphoma, PIOL)是一种罕见的淋巴细胞恶性肿瘤。目前,PIOL的诊断仍面临一定挑战,组织细胞病理活检是诊断的金标准,基因检测、细胞因子检测、流式细胞分析技术等多种检测方法联合应用可提高其诊断准确率。PIOL的标准化治疗方案尚未达成共识,局部放疗、玻璃体腔内化疗和大剂量全身化疗是控制疾病的有效手段。鉴于PIOL预后差、易复发的特点,早期诊断和治疗非常重要。
Primary intraocular lymphoma(PIOL) is a rare non-Hodgkin lymphoma and classified as a special subtype of primary central nervous system lymphoma(PCNSL). At present, the diagnosis of PIOL still faces some challenges because it can masquerade as uveitis, behcet disease and so on. Its histopathologic biopsy remains the standard approach to diagnose PIOL. Gene detection, flow cytometry analysis, and determination of cytokine levels can increase the diagnostic accuracy of PIOL. Currently, there are no standard therapies for PIOL,although local radiotherapy, intravitreal chemotherapy and high-dose systemic chemotherapy are effective to control it. However, the prognosis of PIOL is poor because it is prone to local recurrence and developing into PCNSL.Therefore, early diagnosis and treatment are very important for the prognosis of PIOL.
关键词(KeyWords):
原发性眼内淋巴瘤;诊断;治疗
primary intraocular lymphoma;diagnosis;treatment
基金项目(Foundation): 国家自然科学基金(81873450)~~
作者(Authors):
梁晓杰;王亮;
LIANG Xiaojie;WANG Liang;First Clinical Medical College, Southern Medical University;Department of Hematology, Beijing Tongren Hospital, Capital Medical University;
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- 梁晓杰
- 王亮
LIANG Xiaojie- WANG Liang
- First Clinical Medical College
- Southern Medical University
- Department of Hematology
- Beijing Tongren Hospital
- Capital Medical University
- 梁晓杰
- 王亮
LIANG Xiaojie- WANG Liang
- First Clinical Medical College
- Southern Medical University
- Department of Hematology
- Beijing Tongren Hospital
- Capital Medical University