How would you treat an elderly patient with CD30 negative PTCL NOS involving base of tongue, vallecula and bilateral cervical lymph nodes?

Topics: Hematologic Malignancies • Medical Oncology • Lymphoma • T-Cell Lymphoma

Would you utilize radiation along with systemic therapy?

Answer from: Medical Oncologist at Community Practice

This appears to be a stage II PTCL, NOS. Involvement of the tonsils, base of the tongue, and surrounding lymphoid tissue is considered nodal disease. If there is true involvement of the airway then it may be called "extranodal", but the treatment remains unchanged.Randomized studies are lacking/limi...

Comments

Medical Oncologist at Saint Vincent Cancer and Wellness Center
Thank you!

Medical Oncologist at Thedacare Regional Medical Center-Appleton,Inc.
What would you do for the very elderly (90 years o...

Medical Oncologist at Riverside Methodist Hospitals/OhioHealth
I would use CHOP. If tolerance is an issue, I woul...

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