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What would you recommend for a patient with bilateral conjunctival MALT (without systemic disease)?
In this scenario, is systemic treatment better given bilateral involvement? In a patient who has already had cataract surgery and is not at risk for cataract formation, would you opt for bilateral conjunctival RT?
Answer from: Radiation Oncologist at Academic Institution
While technically this patient is stage IVAE (>1 extranodal site is categorized as stage IV), these patients do as well as those with unilateral conjunctival MALT NHL. Bilaterality is not unusual in this disease. This is a situation where definitive treatment (24 Gy in 12) is appropriate for stag...
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