在罕见的中枢神经系统呈现的复发性CLL中成功使用Zanubrutinib单疗法
Vishaal Kunta1, Mohammad Ammad-Ud-Din2, Melanie Mediavilla-Varela1
1Department of Immunology, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Drive, Tampa, 33612, Florida, USA, moffitt.org.
Case reports in hematology
|January 8, 2026
概括
在慢性淋巴细胞白血病 (CLL) 中,中枢神经系统的参与是罕见的. 这一案例表明,扎努布鲁丁尼布在治疗其他疗法后复发的CLL患者中有效治疗中枢神经系统疾病.
科学领域:
- 血液学 血液学 血液学
- 神经学 神经学
- 在瘤学瘤学.
背景情况:
- 中枢神经系统 (CNS) 的参与是慢性淋巴细胞白血病 (CLL) 的罕见并发症,影响不到1%的患者.
- 一名63岁的男性有CLL病史,先前接受了IBRUTINIB治疗,然后接受了OBINUTUSUZUMAB加VENETOCLAX治疗,在达到不可检测的最小残留疾病 (MRD) 后,中枢神经系统卷入复发.
研究的目的:
- 报告一个罕见的中枢神经系统参与CLL的病例.
- 证明扎努布鲁丁尼布单一治疗在消除中枢神经系统疾病中的有效性.
主要方法:
- 患者表现出混乱和精神状态的改变.
- 大脑MRI揭示了白血病透,腰部刺穿证实了CSF中的恶性CD5+CLL细胞.
- 开始每天服用扎努布鲁丁尼布的治疗.
主要成果:
- 患者在扎努布鲁丁尼布治疗四周内表现出显著的认知改善.
- 随访MRI和腰部穿刺证实中枢神经系统病变的完全消失以及中枢神经液中CLL细胞的清除.
- 患者在六个月的随访后仍然处于完全缓解状态,没有显著的不良影响.
结论:
- 这一案例凸显了中枢神经系统参与CLL的罕见情况.
- 扎努布鲁丁尼布单一治疗已被证明是成功治疗中枢神经系统疾病在CLL的根除.
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