Would you forgo consolidation radiotherapy for a patient with stage 1EA diffuse large B cell lymphoma of the stomach who presented with a perforated ulcer?
Answer from: Radiation Oncologist at Academic Institution
Good Question! Based on recently published SWOG 1001 (Persky et al., PMID 32658627), patients can be treated for stage I/II DLBCL with RCHOPx3. If iPET is negative at that time, one more cycle of RCHOP and no RT yields excellent outcomes (5 year PFS = 87%). This is the new standard of care. Having s...