摘要
目前朗格汉斯细胞组织细胞增生症(LCH)在治疗上采用分型、分级而分治的策略。研究表明,单系统病变(SS-LCH)的预后好,而伴危险器官受累的多系统病变(MS-LCH)及难治性/复发性病例(Re-LCH)预后差。随着化学疗法的进步,伴危险器官受累的MS-LCH 5年生存率已达80%以上,Re-LCH的治疗有效率达60%以上,Re-LCH可行造血干细胞移植以达到根治。
Treatment of Langerhans cell histiocytosis(LCH) needs to be tailored for each individual patient according to LCH classification currently.Single-system LCH(SS-LCH) has an excellent prognosis.However,there is a poor prognosis in multisystem LCH(MS-LCH) with risk organs(RO) involvement and refractory or recurrent LCH(Re-LCH).The prognosis of MS-LCH with RO involvement and Re-LCH has been improved markedly accompanying with progress of chemotherapy in recent years.The 5-year survival rate of MS-LCH reached above 80%,and the effective rate of Re-LCH reached above 60% after chemotherapy.Re-LCH can be cured by hematopoietic stem cell transplantation.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2015年第3期291-294,共4页
Journal of Clinical Pediatrics