Literature DB >> 28901817

Treatment and prognosis of stage I follicular lymphoma in the modern era - does PET matter?

Ohad S Bentur1, Ronit Gurion2,3, Anat Gafter-Gvili2,3,4, Moshe Gatt5,6, Lev Shvidel6,7, Netanel A Horowitz8, Ron Ram1,3, Yair Herishanu1,3, Nadav Sarid1, Ora Paltiel5,6, Chezi Ganzel6,9, Natalia Kreiniz10, Najib Dally11, Odit Gutwein3,12, Pia Raanani2,3, Irit Avivi1,3, Chava Perry1,3.   

Abstract

Follicular lymphoma (FL) is the most common subtype of indolent non-Hodgkin lymphoma. Patients with stage I disease are usually treated with radiotherapy (RT). In previous studies, mostly from the pre positron emission tomography-computed tomography (PET-CT) era, the 5 year progression-free survival (PFS) and overall survival (OS) rates of stage I disease were 60-80% and 80-93%, respectively. This study retrospectively evaluated the outcome of stage I FL which was treated with involved field RT in the PET-CT era between 2002 and 2015. Ninety-one patients were enrolled. Five year PFS and OS rates were 73% and 97%, respectively. Relapse occurred in 19 (21%) patients, 74% occurring outside the radiation field. In conclusion, PET-CT staging of clinical stage I FL may contribute to the improved prognosis in patients treated with RT compared to historical cohorts, possibly due to better identification of "genuine" stage I disease.

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Keywords:  Follicular lymphoma; immunotherapy; positron emission tomography; radiotherapy; rituximab

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Year:  2017        PMID: 28901817     DOI: 10.1080/10428194.2017.1375102

Source DB:  PubMed          Journal:  Leuk Lymphoma        ISSN: 1026-8022


  1 in total

1.  Outcome of patients with early-stage follicular lymphoma staged with 18F-Fluorodeoxyglucose (FDG) positron emission tomography (PET) and treated with radiotherapy alone.

Authors:  Sweet Ping Ng; Richard Khor; Mathias Bressel; Michael MacManus; John F Seymour; Rodney J Hicks; Andrew Wirth
Journal:  Eur J Nucl Med Mol Imaging       Date:  2018-08-07       Impact factor: 9.236

  1 in total

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