Would you offer rituximab maintenance for 2 years after a successful response to induction in a patient with splenic marginal zone lymphoma?
When do you consider splenectomy? Is there a role for splenic radiation in non-surgical candidates?
Answer from: at Community Practice
The answer will depend on age, performance status of the patient, thrombocytopenia, etc. No difference in OS was noted but freedom from progression was noted in rituximab group. 1 year did as good as 2 years maintenance.Kalpadakis et al., PMID 29914978
Comments
Medical Oncologist at Texas Oncology In what way would it depend on thrombocytopenia?
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Rituxan maintenance especially when done for 2 years versus 1 year can cause thrombocytopenia.
Also, patients with thrombocytopenia and mzl tend to have lower freedom from progression at 5 years (50% vs 75%).
IF your patient did not respond to Rituxan and has persistent thrombocytopenia, spl...
In what way would it depend on thrombocytopenia? ...