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review articles Diffuse Large B-Cell Lymphoma’s New Genomics: The Bridge and the Chasm 1 1 Jennifer L. Crombie, MD and Philippe Armand, MD, PhD 2,7 INTRODUCTION stratification tool for DLBCL and has spawned sev- 8,9 eral variants. Yet despite its powerful and re- The clinical and molecular heterogeneity of diffuse producible prognostic value, it has not, with few large B-cell lymphoma (DLBCL), even beyond the 10,11 1 exceptions, translated into therapeutic stratifica- recent WHO reclassification, is well recognized. (For tion likely because it does not align directly with the simplicity, this review will still use the term DLBCL to molecular heterogeneity of DLBCL. Indeed, in all the cover all the related WHO entities, including high- major classification studies, old and new, the genomic grade B-cell lymphoma [HGBL].) Yet, efforts to in- classification’s prognostic value is complementary, dividualize therapy on the basis of this recognition 2,3 and not substitutable, to that of the IPI. have thus far been met with limited success. Why this may be, and why this may soon change, is the The first major step toward deciphering the genomic topic of this review. Recent comprehensive multi- complexity of DLBCL was taken through the inven- platform genomic analyses
Journal of Clinical Oncology – Wolters Kluwer Health
Published: Oct 20, 2020
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