Неходжкинские лимфомы (НХЛ) костей встречаются не более чем в 7% случаев всех злокачественных опухолей костей и от 3 до 7% – среди всех экстранодальных НХЛ. Авторами описаны 90 случаев лимфомы костей. Химиотерапию на основе антрациклинсодержащих режимов ± ритуксимаб получили 35 (39%) больных. Сочетание химио- и лучевой терапии использовано в 44 (49%) случаев. Ранний рецидив наблюдался у 17 (35%) больных, из них генерализованный – у 7. Поздний рецидив отмечен у 32 (65%) пациентов, из них диссеминация процесса наблюдалась у 19.
Primary bone lymphoma is a rare disease, that accounts for 7% of all bone neoplasms, 3–7% of all extranodal lymphomas. In our investigation 90 patients with primary lymphoma of bone were observed: 35 (39%) patients recieved polychemotherapy by antracyclins ± Mabthera. 44 (49%) patients were treated by radiochemotherapy. Early appearing recurrence was in 17 (35%) cases with dissemination in 7 cases. Late recurrence – in 32 (65%) with dissemination in 19 cases.
Key words: primary non-Hodgkin's bone lymphoma, polychemotherapy.
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1 ГБОУ ДПО Российская медицинская академия последипломного образования Минздравсоцразвития РФ;
2 ФГБУ Российский онкологический научный центр им. Н.Н.Блохина РАМН;
3 ГБОУ ВПО Первый МГМУ им. И.М.Сеченова Минздравсоцразвития РФ