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Therapy of HIV-associated lymphoma-recommendations of the oncology working group of the German Study Group of Physicians in Private Practice Treating HIV-Infected Patients (DAGNÄ), in cooperation with the German AIDS Society (DAIG).
[primary effusion lymphoma]
AIDS-related
aggressive
B
cell
lymphoma
(
HIV-NHL
)
is
the
second
most
common
HIV-associated
malignancy
.
In
contrast
,
Hodgkin-
lymphoma
(
HL
)
is
one
of
the
most
common
non-
AIDS-defining
malignancies
.
Current
evidence-based
recommendations
for
the
treatment
of
HIV-associated
lymphoma
(
HIV-
lymphoma
)
are
not
available
.
A
panel
of
experts
in
the
field
of
HIV-related
lymphoma
performed
literature
searches
of
the
PubMed
,
Medline
,
and
Cochrane
databases
.
The
consensus
process
was
carried
out
as
an
e-mail
and
meeting-based
discussion
group
.
Six
cycles
of
R-CHOP
or
R-EPOCH
are
standard
of
care
for
patients
(
pts
)
with
diffuse
large
B
cell
lymphoma
(
DLBCL
)
.
Pts
with
Burkitt
lymphoma
and
good
performance
status
should
receive
dose-intensive
regimens
such
as
the
GMALL
B-
ALL
/
NHL
protocol
.
Standard
therapy
has
not
been
defined
for
pts
with
plasmablastic
and
primary
effusion
lymphoma
.
Pts
with
lymphoma
in
sensitive
relapse
should
receive
high
-dose
chemotherapy
followed
by
autologous
stem
cell
transplantation
.
Stage
-
and
risk
adapted
treatment
yields
high
remission
and
survival
rates
in
pts
with
HIV-HL
similar
to
those
achieved
in
HIV-negative
HL
pts
.
Combination
antiretroviral
therapy
(
cART
)
should
be
applied
concurrently
to
chemotherapy
provided
that
pharmacokinetic
interactions
are
being
considered
.
Pts
with
HIV-
lymphoma
should
usually
be
treated
in
an
identical
manner
to
HIV-negative
patients
.
Diseases
Validation
Diseases presenting
"high-dose chemotherapy"
symptom
hirschsprung disease
hodgkin lymphoma, classical
primary effusion lymphoma
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