Publikation
EORTC, ISCL, and USCLC consensus recommendations for the treatment of primary cutaneous CD30-positive lymphoproliferative disorders: lymphomatoid papulosis and primary cutaneous anaplastic large-cell lymphoma
Wissenschaftlicher Artikel/Review - 12.08.2011
Kempf Werner, Horwitz Steve, Prince H Miles, Guitart Joan, Estrach Teresa, Sanches José A, Duvic Madeleine, Ranki Annamari, Dreno Brigitte, Ostheeren-Michaelis Sonja, Knobler Robert, Wood Gary, Berti Emilio, Cerroni Lorenzo, Pfaltz Katrin, Vermeer Maarten H, Cozzio Antonio, Ortiz-Romero Pablo L, Bagot Martine, Olsen Elise, Kim Youn H, Dummer Reinhard, Pimpinelli Nicola, Whittaker Sean, Hodak Emmilia, Willemze Rein
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Primary cutaneous CD30(+) lymphoproliferative disorders (CD30(+) LPDs) are the second most common form of cutaneous T-cell lymphomas and include lymphomatoid papulosis and primary cutaneous anaplastic large-cell lymphoma. Despite the anaplastic cytomorphology of tumor cells that suggest an aggressive course, CD30(+) LPDs are characterized by an excellent prognosis. Although a broad spectrum of therapeutic strategies has been reported, these have been limited mostly to small retrospective cohort series or case reports, and only very few prospective controlled or multicenter studies have been performed, which results in a low level of evidence for most therapies. The response rates to treatment, recurrence rates, and outcome have not been analyzed in a systematic review. Moreover, international guidelines for staging and treatment of CD30(+) LPDs have not yet been presented. Based on a literature analysis and discussions, recommendations were elaborated by a multidisciplinary expert panel of the Cutaneous Lymphoma Task Force of the European Organization for Research and Treatment of Cancer, the International Society for Cutaneous Lymphomas, and the United States Cutaneous Lymphoma Consortium. The recommendations represent the state-of-the-art management of CD30(+) LPDs and include definitions for clinical endpoints as well as response criteria for future clinical trials in CD30(+) LPDs.