How would you approach a patient with stage I gastric MALT who achieved a complete response to chemoimmunotherapy after only 2 cycles?
No additional systemic therapy is planned. Would you consider consolidative radiation therapy? If so, what dose?
Answer from: Radiation Oncologist at Academic Institution
Although MALT lymphoma generally responds well to chemo immunotherapy, long-term cure is seldom achieved. For early-stage gastric MALT not suitable for antibiotics or failing to respond to same, radiotherapy alone is the treatment of choice, dose 24 to 30 Gray. I would not alter the radiotherapy pla...