Literature DB >> 32354938

Residual Site Radiotherapy After Immunochemotherapy in Primary Mediastinal B-Cell Lymphoma: A Monoinstitutional Retrospective Study.

Vitaliana DE Sanctis1, Alice DI Rocco2, Maria Christina Cox3, Maurizio Valeriani1, Francesca Perrone Congedi1, Dimitri Anzellini1, Maria Massaro1, Gianluca Vullo4, Giuseppe Facondo1, Flavia DE Giacomo1, Marco Alfò5, Daniela Prosperi6, Patrizia Pizzichini6, Sabrina Pelliccia3, Agostino Tafuri3,7, Maurizio Martelli2, Mattia Falchetto Osti1.   

Abstract

AIM: To evaluate the efficacy of residual site radiation therapy (RSRT) on local control (LC), progression-free (PFS) and overall (OS) survival in patients with primary mediastinal lymphoma (PMBCL), following rituximab and chemotherapy treatment (ICHT). PATIENTS AND METHODS: The study included 34 patients with PMBCL treated between 2006 and 2014 with ICHT with/without autologous stem cell transplantation and RSRT. Between the end of ICHT/stem cell transplantation and RSRT, patients were evaluated with 18F-fluorodeoxyglucose positron-emission tomography. The gross tumor volume included morphological mediastinal residual disease after ICHT/SCT. The percentage of LC, PFS and OS were assessed.
RESULTS: All patients received RSRT with a median dose of 30 Gy. Median follow-up was 82 months. One patient out of 34 (3%) showed progressive disease 9 months from diagnosis. The 10-year PFS and OS were 97% and 97% respectively.
CONCLUSION: RSRT in patients with PMBCL treated with ICHT did not impact unfavorably on LC and patient survival. Copyright
© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

Entities:  

Keywords:  Mediastinal lymphoma; hematology; radiotherapy; target volume

Mesh:

Substances:

Year:  2020        PMID: 32354938      PMCID: PMC7279787          DOI: 10.21873/invivo.11921

Source DB:  PubMed          Journal:  In Vivo        ISSN: 0258-851X            Impact factor:   2.155


  28 in total

1.  Induction chemotherapy strategies for primary mediastinal large B-cell lymphoma with sclerosis: a retrospective multinational study on 426 previously untreated patients.

Authors:  Pier Luigi Zinzani; Maurizio Martelli; Marilena Bertini; Alessandro M Gianni; Liliana Devizzi; Massimo Federico; Gerassimos Pangalis; Jorg Michels; Emanuele Zucca; Maria Cantonetti; Sergio Cortelazzo; Andrew Wotherspoon; Andrés J M Ferreri; Francesco Zaja; Francesco Lauria; Amalia De Renzo; Marina A Liberati; Brunangelo Falini; Monica Balzarotti; Antonello Calderoni; Alfonso Zaccaria; Patrizia Gentilini; Pier Paolo Fattori; Enzo Pavone; Maria K Angelopoulou; Lapo Alinari; Maura Brugiatelli; Nicola Di Renzo; Francesca Bonifazi; Stefano A Pileri; Franco Cavalli
Journal:  Haematologica       Date:  2002-12       Impact factor: 9.941

2.  Primary mediastinal large B-cell lymphoma: optimal therapy and prognostic factor analysis in 141 consecutive patients treated at Memorial Sloan Kettering from 1980 to 1999.

Authors:  Paul A Hamlin; Carol S Portlock; David J Straus; Ariela Noy; Andrew Singer; Steven M Horwitz; Owen A Oconnor; Joachim Yahalom; Andrew D Zelenetz; Craig H Moskowitz
Journal:  Br J Haematol       Date:  2005-09       Impact factor: 6.998

Review 3.  Primary mediastinal lymphoma: diagnosis and treatment options.

Authors:  Maurizio Martelli; Alice Di Rocco; Eleonora Russo; Salvatore Perrone; Robin Foà
Journal:  Expert Rev Hematol       Date:  2014-12-24       Impact factor: 2.929

4.  Involved-nodal radiation therapy leads to lower doses to critical organs-at-risk compared to involved-field radiation therapy.

Authors:  David J Mulvihill; Kevin McMichael; Sharad Goyal; Richard Drachtman; Aaron Weiss; Atif J Khan
Journal:  Radiother Oncol       Date:  2014-07-28       Impact factor: 6.280

5.  Involved field radiation therapy following high dose chemotherapy and autologous stem cell transplant benefits local control and survival in refractory or recurrent Hodgkin lymphoma.

Authors:  Tithi Biswas; Eva Culakova; Jonathan W Friedberg; Jennifer L Kelly; Sughosh Dhakal; Jane Liesveld; Gordon L Phillips; Louis S Constine
Journal:  Radiother Oncol       Date:  2012-03-05       Impact factor: 6.280

6.  Modern radiation therapy for Hodgkin lymphoma: field and dose guidelines from the international lymphoma radiation oncology group (ILROG).

Authors:  Lena Specht; Joachim Yahalom; Tim Illidge; Anne Kiil Berthelsen; Louis S Constine; Hans Theodor Eich; Theodore Girinsky; Richard T Hoppe; Peter Mauch; N George Mikhaeel; Andrea Ng
Journal:  Int J Radiat Oncol Biol Phys       Date:  2013-06-18       Impact factor: 7.038

Review 7.  The Role of Radiation Therapy in Patients With Relapsed or Refractory Hodgkin Lymphoma: Guidelines From the International Lymphoma Radiation Oncology Group.

Authors:  Louis S Constine; Joachim Yahalom; Andrea K Ng; David C Hodgson; Andrew Wirth; Sarah A Milgrom; N George Mikhaeel; Hans Theodor Eich; Tim Illidge; Umberto Ricardi; Karin Dieckmann; Craig H Moskowitz; Ranjana Advani; Peter M Mauch; Lena Specht; Richard T Hoppe
Journal:  Int J Radiat Oncol Biol Phys       Date:  2018-01-09       Impact factor: 7.038

8.  Report on the First International Workshop on Interim-PET-Scan in Lymphoma.

Authors:  Michel Meignan; Andrea Gallamini; Michel Meignan; Andrea Gallamini; Corinne Haioun
Journal:  Leuk Lymphoma       Date:  2009-08

9.  Dose-adjusted EPOCH-rituximab therapy in primary mediastinal B-cell lymphoma.

Authors:  Kieron Dunleavy; Stefania Pittaluga; Lauren S Maeda; Ranjana Advani; Clara C Chen; Julie Hessler; Seth M Steinberg; Cliona Grant; George Wright; Gaurav Varma; Louis M Staudt; Elaine S Jaffe; Wyndham H Wilson
Journal:  N Engl J Med       Date:  2013-04-11       Impact factor: 91.245

10.  Involved-field radiotherapy for advanced Hodgkin's lymphoma.

Authors:  Berthe M P Aleman; John M M Raemaekers; Umberto Tirelli; Roberto Bortolus; Mars B van 't Veer; Marnix L M Lybeert; Jo J Keuning; Patrice Carde; Théodore Girinsky; Richard W M van der Maazen; Radka Tomsic; Marjeta Vovk; Achilles van Hoof; Geertrui Demeestere; Pieternella J Lugtenburg; José Thomas; Wilfried Schroyens; Koenraad De Boeck; Johanna W Baars; Johanna C Kluin-Nelemans; Christian Carrie; Malek Aoudjhane; Dominique Bron; Houchingue Eghbali; Wilma G J M Smit; Jacobus H Meerwaldt; Anton Hagenbeek; Antonella Pinna; Michel Henry-Amar
Journal:  N Engl J Med       Date:  2003-06-12       Impact factor: 91.245

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