Chapter 12

Natural Killer/T-cell Lymphomas

Seok Jin Kim

Seok Jin Kim

Division of Hematology and Oncology, Sungkyunkwan, University School of Medicine, Samsung Medical Center, Seoul, Korea

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Ritsuro Suzuki

Ritsuro Suzuki

Department of Oncology and Hematology, Shimane University Hospital, Izumo, Japan

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Arnaud Jaccard

Arnaud Jaccard

Service d'Hématologie et de Thérapie Cellulaire, Hôpital Dupuytren, CHU de Limoges, Limoges, France

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Soon Thye Lim

Soon Thye Lim

Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore

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Won Seog Kim

Won Seog Kim

Division of Hematology and Oncology, Sungkyunkwan, University School of Medicine, Samsung Medical Center, Seoul, Korea

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First published: 19 February 2021

Summary

Natural killer (NK)-cell lymphomas are rare hematological malignancies. Extranodal natural killer/T-cell lymphoma is an Epstein–Barr virus-associated lymphoma with skewed geographic distribution, which is more common in East Asia and central and southern America. Extranodal NK/T-cell lymphoma (ENKTL), nasal type, and aggressive NK-cell lymphoma (ANKL) are defined in the current World Health Organization classification. During the past decade, impressive progress in the understanding of the biology, clinical features, and treatment options for ENKTL has been made. Hematopoietic stem-cell transplantation (HSCT) is not used as the first line of defense in patients with localized disease who should receive adequate treatment including radiation and chemotherapy. Patients with disseminated disease are candidates for HSCT, and intensive polychemotherapy followed by auto- or allogeneic HSCT, can be considered as standard care.

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