Is there any role for post chemotherapy (R CHOP x 6) radiation therapy after a splenectomy for a stage IE diffuse large B-cell lymphoma involving only the spleen?
What if it is a young patient?
Answer from: Radiation Oncologist at Academic Institution
Quite an interesting presentation in terms of extranodal site and age. I would say no for consolidative RT here.
For Lugano PET CR after R-CHOPx6, the added benefit of ISRT in a young patient is low and counterbalanced by a real long term 2nd malignacy risk.
Other than bulky >7.5cm sites, 'spec...
Comments
Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital @Neil B. Desai, what is your approach to the splee...
Radiation Oncologist at University of Texas Southwestern @Leah Katz—I think the key question here is ...
Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital @Neil B. Desai Thanks so much for the help and wel...
Radiation Oncologist at Allegheny General Hospital-Western Pennsylvania Hospital Echoing the previous question, what if you have st...
@Neil B. Desai, what is your approach to the splee...
@Leah Katz—I think the key question here is ...
@Neil B. Desai Thanks so much for the help and wel...
Echoing the previous question, what if you have st...