Published in:
01-09-2015 | Clinical
The importance of radiotherapy on diffuse large B cell lymphoma treatment: a current review
Authors:
Fernando Mendes, Cátia Domingues, Ricardo Teixo, Ana Margarida Abrantes, Ana Cristina Gonçalves, Inês Nobre-Gois, Miguel Jacobetty, Ana Bela Sarmento, Maria Filomena Botelho, Manuel Santos Rosa
Published in:
Cancer and Metastasis Reviews
|
Issue 3/2015
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Abstract
Diffuse large B cell lymphoma is recognized as a heterogeneous group of hematological malignancies; two main subtypes germinal center B and activated B cells are well defined although 15 % of patients remain with unclassifiable disease. R-CHOP treatment has proven to provide very effective results in limited or advanced stage of the disease. However, treatment solely involving R-CHOP submits the patient to possible chemotherapy-induced toxicities, which may be avoided with the use of radiotherapy. Patients with early stage localized disease or who are particularly unresponsive to chemotherapy may be more suitable for mixed modality treatment with R-CHOP and consolidative radiotherapy. Although radiotherapy is being slowly phased out by other treatment strategies including chemotherapy and therapeutic drugs, it is still a highly important method of treatment. The different forms of radiotherapy can be used alongside these “new-age” treatment strategies to further improve prognostic outcomes and overall survival rates. The establishment of radiotherapy as a treatment strategy provides a highly beneficial prognostic advantage in early stage, localized disease.