[Follicular lymphoma]
Arpád Illés1, László Krenács, Zita Borbényi
1Debreceni Egyetem, Orvos- és Egészségtudományi Centrum Altalános Orvostudományi Kar, III. Belgyógyászati Klinika.
Insights
Follicular lymphoma, a common non-Hodgkin
Area of Science:
- Hematology
- Oncology
- Genetics
Context:
- Follicular lymphoma is a prevalent indolent nodal non-Hodgkin's lymphoma.
- Accurate differentiation from other nodal lymphomas is crucial.
- The bcl-2 gene translocation is a key diagnostic and prognostic marker.
Purpose:
- To review diagnostic approaches for follicular lymphoma.
- To discuss current and emerging treatment strategies.
- To evaluate the role of molecular markers in disease management.
Summary:
- Diagnosis relies on differentiating from non-germinal centre lymphomas and detecting bcl-2 translocation (80-90% of cases).
- Treatment is individualized based on grade, stage, and patient condition, aiming to maximize quality of life.
- Therapeutic options include radiotherapy, chemotherapy, interferon-alpha, purine analogues, monoclonal antibodies, and high-dose therapy.
Impact:
- Improved diagnostic accuracy through molecular markers.
- Personalized treatment strategies for follicular lymphoma patients.
- Enhanced understanding of prognostic factors and disease follow-up.
Abstract:
Follicular lymphoma is one of the most common indolent nodal non-Hodgkin's lymphomas. The follicular lymphoma should be differentiated from other nodal non-germinal centre derived lymphomas. Since bcl-2 gene translocation can be detected in 80-90% of the cases, it could be used for the confirmation of the diagnosis, measure of the treatment efficacy as well as for the evaluation of the prognosis and follow-up of the disease. There is no uniform therapy employed for follicular lymphoma patients. The treatment depends on the histological grade, stage, age and condition of the patients. Since disease cannot be cured by conventional dosage therapy in the vast majority of the cases, a treatment--adjusted to the condition of the patients as well as the stage and grade of the disease--ensuring the longest period and best quality of life should be selected. The authors review the questions of diagnosis and treatment, including the results of radiotherapy and chemotherapy and discuss the role of the interferon-alpha, purine analogues, monoclonal antibodies and high-dose therapy.
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