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2016 ; 9
(ä): 5507-11
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English Wikipedia
Lenalidomide, celecoxib, and azacitidine therapy for blastic plasmocytoid
dendritic cell neoplasm: a case report
#MMPMID27660468
Garcia-Recio M
; Martinez-Serra J
; Bento L
; Ramos R
; Gines J
; Daumal J
; Sampol A
; Gutierrez A
Onco Targets Ther
2016[]; 9
(ä): 5507-11
PMID27660468
show ga
Blastic plasmocytoid dendritic cell neoplasm is characterized by aggressive
behavior with a tendency for systemic dissemination and a predilection for skin,
lymph nodes, soft tissues, peripheral blood, or bone marrow. It usually occurs in
elderly patients with a mean age between 60 and 70 years. Despite initial
response to chemotherapy, the disease regularly relapses with a short median
overall survival. Better outcomes have been reported with high-dose acute
leukemia-like induction chemotherapy followed by consolidation with allogeneic
hematopoietic stem cell transplantation. However, elderly patients are not
candidates for intensive therapy or allogeneic stem cell transplantation. So, new
active and tolerable drugs are needed. Our case illustrates that one cycle of
lenalidomide and celecoxib provides at least a partial cutaneous and hematologic
response, but this regimen was discontinued due to toxicity and followed by a
consolidation/maintenance phase with azacitidine, thus achieving a final complete
response with a much higher than expected progression-free and overall survival
in an elderly patient with comorbidities. This information may be useful in the
design of treatment approaches for elderly patients with blastic plasmocytoid
dendritic cell neoplasm. However, it should be confirmed in clinical trials as
well as by optimizing the induction and extending the consolidation/maintenance
period to avoid early relapses after discontinuation and improve progression-free
survival.