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Successful treatment of hemophagocytic intravascular large B-cell lymphoma with CNS involvement with BTK inhibitor combined with rituximab and high-dose methotrexate. | LitMetric

AI Article Synopsis

  • - The text discusses a case of hemophagocytic intravascular large B-cell lymphoma (IVLBCL) that has affected the central nervous system (CNS) and highlights the challenges in improving prognosis despite the use of the R-CHOP chemotherapy regimen.
  • - Research into gene and molecular profiling, particularly focusing on the BCR/TLR/IL-1R/NF-κB signaling pathway, is suggested as a potential avenue for developing new therapies for IVLBCL.
  • - The case involves treating a patient with CNS-involved hemophagocytic IVLBCL using a Bruton tyrosine kinase inhibitor (BTKi), specifically zanubrutinib, which proved to be a feasible and effective

Article Abstract

This is a case of hemophagocytic intravascular large B-cell lymphoma (IVLBCL) with central nervous system (CNS) involvement. Although R-CHOP chemotherapy regimen has been shown significant improvement in survival rate. The prognosis and outcomes remain unsatisfactory, which is identified as outstanding challenges and need solutions. Gene and molecular profiling studies may provide new therapeutic strategies, especially the BCR/TLR/IL-1R/NF-κB signaling pathway in IVLBCL. Here, we treated the hemophagocytic IVLBCL CNS-involved patient with the Bruton tyrosine kinase inhibitor (BTKi) to block NF-κB pathway, and indicated that the second-generation BTKi zanubrutinib-based treatment was feasible and efficient.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11325336PMC
http://dx.doi.org/10.1177/20406207241270788DOI Listing

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