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Publication Name World Journal of Clinical Oncology
Manuscript ID 125602
DOI 10.5306/wjco.125602
Country China
Category Hematology
Manuscript Type Minireviews
Article Title Precision medicine in diffuse large B-cell lymphoma: Integrating molecular biomarkers, targeted therapies, and prognostic tools
Manuscript Source Invited Manuscript
All Author List Bing-Ling Guo, Hai-Ke Lei and Yao Liu
Funding Agency and Grant Number
Corresponding Author Yao Liu, Department of Hematology Oncology, Chongqing University Cancer Hospital, No. 181 HanYu Road, Chongqing 400030, China. liuyao77@cqu.edu.cn
Key Words Diffuse large B-cell lymphoma; Precision medicine; molecular biomarkers; Targeted therapy; prognostic models; ctDNA; Chimeric antigen receptor T-cell therapy; Genetic subtyping; Tumor microenvironment; Immunochemotherapy
Core Tip Diffuse large B-cell lymphoma (DLBCL) is a biologically heterogeneous disease requiring precision medicine approaches beyond standard rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone immunochemotherapy. This review synthesizes current evidence on integrating molecular subtyping (cell-of-origin and genetic subtypes), circulating tumor DNA monitoring, and tumor microenvironment characterization into clinical decision-making. We critically evaluate emerging targeted therapies including Bruton tyrosine kinase inhibitors, BCL-2 inhibitors, antibody-drug conjugates, bispecific T-cell engagers, and chimeric antigen receptor T-cell therapy. Prognostic models have evolved from the International Prognostic Index to dynamic, integrative nomograms incorporating molecular biomarkers. Challenges in standardization, cost-effectiveness, and equitable access are discussed alongside future directions for personalized DLBCL management.
Citation Guo BL, Lei HK, Liu Y. Precision medicine in diffuse large B-cell lymphoma: Integrating molecular biomarkers, targeted therapies, and prognostic tools. World J Clin Oncol 2026; In press
PDF 125602-in-press.pdf
Received
2026-07-28 08:13
Peer-Review Started
2026-08-06 09:07
First Decision by Editorial Office Director
Return for Revision
2026-08-20 06:02
Revised
2026-08-26 02:20
Publication Fee Transferred
Second Decision by Editor
2026-09-20 02:51
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-09-20 11:01
Articles in Press
2026-09-20 11:01
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2218-4333 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
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