Annals of Hematology

, Volume 93, Issue 6, pp 913–921 | Cite as

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)

  • Marcus Hentrich
  • Christian Hoffmann
  • Franz Mosthaf
  • Markus Müller
  • Jan Siehl
  • Christoph Wyen
  • Manfred Hensel
Review Article

Abstract

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.

Keywords

HIV-associated lymphoma AIDS-related lymphoma HIV-associated Hodgkin lymphoma HIV-related Hodgkin lymphoma 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Marcus Hentrich
    • 1
  • Christian Hoffmann
    • 2
  • Franz Mosthaf
    • 3
  • Markus Müller
    • 4
  • Jan Siehl
    • 5
  • Christoph Wyen
    • 6
  • Manfred Hensel
    • 7
  1. 1.Department of Hematology, Oncology and Palliative CareHarlaching Hospital, Academic Teaching Hospital of the University of MunichMunichGermany
  2. 2.IPM Study CenterHamburg and University of Schleswig HolsteinKielGermany
  3. 3.Hematology, Oncology and Infectious Diseases PracticeKarlsruheGermany
  4. 4.Department of Infectious DiseasesVivantes Auguste-Viktoria-HospitalBerlinGermany
  5. 5.Hematology, Oncology and Infectious Diseases PracticeBerlinGermany
  6. 6.First Department of Internal MedicineUniversity of CologneCologneGermany
  7. 7.Hematology, Oncology and Infectious Diseases PracticeMannheimGermany

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