How would you treat a younger patient with relapsed mantle cell lymphoma after treatment with hyperCVAD?
How about if disease is found in the CSF?
2 Answers
Mednet MemberInvited Expert
Medical Oncology · Columbia University Medical Center
Answered on
In front line therapy for MCL patients, induction followed by ASCT should be the standard of care followed by rituximab maintenance and follow up for MRD.
In relapsed MCL, after anthracycline and cytrabine containing therapy, BTK inhibitors appear to be the most affective agents.
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Mednet MemberInvited Expert
Medical Oncology · City of Hope
Answered on
Agee with @Dr. First Last. The only confounder being that in some cases patients treated with R-HyperCVAD do not proceed to stem cell transplantation in first remission. In those cases you could consider salvage with another chemotherapeutic again (R-DHAP/DHAOx) to induce remission and consolidate w...
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