Annals of Hematology

, Volume 92, Issue 9, pp 1151–1179

Clinical practice guidelines for diagnosis, treatment, and follow-up of patients with mantle cell lymphoma. Recommendations from the GEL/TAMO Spanish Cooperative Group

  • Dolores Caballero
  • Elías Campo
  • Armando López-Guillermo
  • Alejandro Martín
  • Reyes Arranz-Sáez
  • Eva Giné
  • Andrés López
  • Eva González-Barca
  • Miguel Ángel Canales
  • Marcos González-Díaz
  • Alberto Orfao
Review Article

DOI: 10.1007/s00277-013-1783-4

Cite this article as:
Caballero, D., Campo, E., López-Guillermo, A. et al. Ann Hematol (2013) 92: 1151. doi:10.1007/s00277-013-1783-4

Abstract

Mantle cell lymphoma (MCL) is considered a distinct type of B-cell lymphoma genetically characterized by the t(11;14) translocation and cyclin D1 overexpression. There is also a small subset of tumors negative for cyclin D1 expression that are morphologically and immunophenotypically indistinguishable from conventional MCL. Although in the last decades, the median overall survival of patients with MCL has improved significantly, it is still considered as one of the poorest prognoses diseases among B-cell lymphomas. Election of treatment for patients with MCL is complex due to the scarcity of solid evidence. Current available data shows that conventional chemotherapy does not yield satisfactory results as in other types of B-cell lymphomas. However, the role of other approaches such as autologous or allogenic stem cell transplantation, immunotherapy, the administration of consolidation or maintenance schedules, or the use of targeted therapies still lack clear indications. In view of this situation, the Spanish Group of Lymphomas/Autologous Bone Marrow Transplantation has conducted a series of reviews on different aspects of MCL, namely its diagnosis, prognosis, first-line and salvage treatment (both in young and elderly patients), new targeted therapies, and detection of minimal residual disease. On the basis of the available evidence, a series of recommendations have been issued with the intention of providing guidance to clinicians on the diagnosis, treatment, and monitoring of patients with MCL.

Keywords

Stem cell transplantationCyclin D1CytarabineImmunochemotherapyKi-67Maintenance therapyMantle cell lymphomaMinimal residual diseasePrognostic factorsProliferation indexSalvage therapy

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Dolores Caballero
    • 1
  • Elías Campo
    • 2
  • Armando López-Guillermo
    • 3
  • Alejandro Martín
    • 1
  • Reyes Arranz-Sáez
    • 4
  • Eva Giné
    • 3
  • Andrés López
    • 5
  • Eva González-Barca
    • 6
  • Miguel Ángel Canales
    • 7
  • Marcos González-Díaz
    • 8
  • Alberto Orfao
    • 9
  1. 1.Department of Hematology, Hospital Clínico UniversitarioInstituto de Investigación Biomédica de Salamanca (IBSAL)SalamancaSpain
  2. 2.Department of Pathology, Hospital ClínicUniversity of BarcelonaBarcelonaSpain
  3. 3.Department of Hematology, Hospital ClínicUniversity of BarcelonaBarcelonaSpain
  4. 4.Department of HematologyHospital Universitario La PrincesaMadridSpain
  5. 5.Department of HematologyHospital Vall d’HebronBarcelonaSpain
  6. 6.Institut Catalá d’OncologiaBarcelonaSpain
  7. 7.Hospital Universitario La PazMadridSpain
  8. 8.Centro de Investigación del Cáncer-IBMCC (USAL-CSIC), Molecular Biology/Histocompatibility Unit, Department of HematologyIBSAL-University HospitalSalamancaSpain
  9. 9.Department of Medicine, Cytometry Service, Cancer Research Centre (IBMCC-USAL/CSIC)University of SalamancaSalamancaSpain