Т.Т. Валиев1, Е.А. Барях2
1 НИИ детской онкологии и гематологии ФГБУ «Российский онкологический научный центр им. Н.Н. Блохина» РАМН, Москва, Российская Федерация
2 ФГБУ «Гематологический научный центр» МЗ РФ, Москва, Российская Федерация
РЕФЕРАТ
В историческом аспекте освещены вопросы диагностики и лечения наиболее агрессивной лимфоидной опухоли — лимфомы Беркитта (ЛБ). Представлены клинико-лабораторные особенности эндемического и спорадического вариантов ЛБ. Описаны возможные механизмы участия вируса Эпштейна—Барр и Plasmodium falciparum в патогенезе опухоли. Приведены основные морфологические, иммунологические и цитогенетические диагностические критерии. Рассмотрены вопросы дифференциальной диагностики с гетерогенной группой диффузных В-крупноклеточных лимфом и высокоагрессивными зрелоклеточными лимфомами из В-клеток с дополнительными аберрациями протоонкогенов («double hit» и «triple hit» лимфомы). Отдельное внимание в статье уделено вопросам терапии ЛБ и месту в ней ритуксимаба.
Ключевые слова: лимфома Беркитта, клиника, диагностика, лечение.
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