How would you approach a patient with plasmablastic lymphoma of the nasal cavity s/p excisional biopsy to positive margins who is not a candidate for systemic therapy?

Topics: Head and Neck Cancers • Radiation Oncology

Medical Oncology did not recommend systemic therapy due to age/comorbidities. Would you consider radiation therapy? If so, what dose/fractionation?

Answer from: Radiation Oncologist at Academic Institution

Plasmablastic lymphoma is a particularly aggressive non-Hodgkin lymphoma. It commonly arises in the H&N region, often in patients who are immunosuppressed for one reason or another. Most patients present with advanced disease.For patients with stage I-II disease, a combined modality therapy appr...

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Radiation Oncologist at Regional West Physicians Clinic
Definitely a difficult situation for this gentlema...

Radiation Oncologist at Regional West Physicians Clinic
Of note, additional clinical information: HIV 1...

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