Current Treatment Options in Oncology

, Volume 13, Issue 1, pp 102–121 | Cite as

Cutaneous T-Cell Lymphomas: A Review of New Discoveries and Treatments

  • Tara Bloom
  • Timothy M. Kuzel
  • Christiane Querfeld
  • Joan Guitart
  • Steven T. Rosen
Lymphomas (L Gordon, Section Editor)

Opinion statement

Treatment regimens of patients with CTCL vary widely based on clinician preference and patient tolerance. Skin directed therapies are recommended for patients with early stage IA and IB MF, with combinations used in refractory cases. While no regimen has been proven to prolong survival in advanced stages, immunomodulatory regimens should be used initially to reduce the need for cytotoxic therapies. In more advanced stages of disease, treatment efforts should strive for palliation and improvement of quality of life. With many new therapies and strategies on the horizon, the future looks promising for CTCL patients. Unfortunately, other than allogeneic HCT, there are no potential curative therapies for CTCL. Clinical trials are currently underway to identify new therapies to improve quality of life for patients, and researchers are hard at work to identify novel pathways and genes for prognostication and as targets for therapies. Importantly, collaborative clinical trials to enhance rates of accrual need to be conducted, and improved interpretation of data via standardizing end points and response criteria should be an emphasis. Recently, the International Society for Cutaneous Lymphomas (ISCL), the United States Cutaneous Lymphoma Consortium (USCLC), and the Cutaneous Lymphoma Task Force of the European Organisation for Research and Treatment of Cancer (EORTC) met to develop consensus guidelines to facilitate collaboration on clinical trials. These proposed guidelines consist of: recommendations for standardizing general protocol design; a scoring system for assessing tumor burden in skin, lymph nodes, blood, and viscera; definition of response in skin, nodes, blood, and viscera; a composite global response score; and a definition of end points. Although these guidelines were generated by consensus panels, they have not been prospectively or retrospectively validated through analysis of large patient cohorts.

Keywords

Cutaneous T-Cell lymphomas (CTLC) Cutaneous CD30+ T-cell lymphoproliferative disorders Retinoids Denileukin diftitox Treatment 

Notes

Disclosure

T. Bloom: none; T. Kuzel: has grants pending from Eli Lilly and received honoraria from Celgene; C. Querfeld: none; J. Guitart: none; S. Rosen: External advisory board member for Abbott Laboratories, Celgene and Merck US Cutaneous T-Cell Lymphoma, has consulted for Allos, CTI, and Genentech, has grants pending for Celgene, has received payment for development of educational presentations and received honoraria from Allos Therapeutics, Genzyme, Genentech, Seattle Genetics, and Therakos, and has received royalties from Human Myeloma Cell Line MM-1.

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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Tara Bloom
    • 1
  • Timothy M. Kuzel
    • 2
  • Christiane Querfeld
    • 3
  • Joan Guitart
    • 4
  • Steven T. Rosen
    • 5
  1. 1.Rush Medical CollegeChicagoUSA
  2. 2.Division of Hematology/OncologyNorthwestern UniversityChicagoUSA
  3. 3.Memorial Sloan Kettering Cancer CenterNew YorkUSA
  4. 4.Skin Cancer Institute of Northwestern UniversityChicagoUSA
  5. 5.Robert H. Lurie Comprehensive Cancer CenterNorthwestern UniversityChicagoUSA

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