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Published on: October 14, 2021
Treatment of cutaneous lymphomas: today and tomorrow
D S Mestel1, M Beyer, M Steinhoff
1Department of Dermatology Venereology and Allergy, Skin Cancer Center, Charité Universitaetsmedizin Berlin, Germany. dominik.mestel@charite.de
Abstract:
There exist many skin-directed and systemic immunomodulating or cytotoxic treatment options for primary cutaneous T- and B-cell lymphomas. However, especially in advanced stages conventional therapies only end in a transient remission without curative results unable to prolong overall survival. Over the last twenty years the high need of new therapeutic strategies resulted in the development of emerging drugs targeting more tumor specific, like monoclonal antibodies, histone-deacetylase inhibitors, proteasome inhibitors, or fusion proteins. This article aims to discuss the conventional treatment modalities as well as new therapeutic strategies, which passed already through clinical trials showing promising results in the treatment of primary cutaneous lymphomas.
Insights
Conventional treatments for cutaneous lymphomas offer limited long-term survival benefits. Emerging targeted therapies, including monoclonal antibodies and fusion proteins, show promise for improved outcomes in advanced stages.
Area of Science:
- Dermatology
- Oncology
- Immunology
Background:
- Primary cutaneous lymphomas (T- and B-cell) have various treatment options.
- Conventional therapies often provide only temporary remission, especially in advanced stages, without improving overall survival.
- There is a significant need for novel therapeutic strategies.
Purpose of the Study:
- To review conventional treatment modalities for primary cutaneous lymphomas.
- To discuss emerging drugs and novel therapeutic strategies targeting specific tumor mechanisms.
- To highlight treatments that have shown promising results in clinical trials.
Main Methods:
- Literature review of conventional and emerging therapies for cutaneous lymphomas.
- Discussion of targeted agents such as monoclonal antibodies, histone-deacetylase inhibitors, proteasome inhibitors, and fusion proteins.
- Analysis of clinical trial data for novel therapeutic strategies.
Main Results:
- Conventional treatments are often insufficient for long-term remission and survival in advanced cutaneous lymphomas.
- Emerging targeted therapies demonstrate potential for more specific tumor attack.
- Several new therapeutic strategies have shown promising results in clinical trials.
Conclusions:
- Novel therapeutic strategies are crucial for improving outcomes in primary cutaneous lymphomas.
- Targeted therapies offer a more promising approach compared to conventional treatments, particularly in advanced disease.
- Further research and clinical application of these emerging drugs are warranted.
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