What would you recommend for a stage I diffuse large B cell lymphoma (IPI 0-1) involving a single lymph node that is completely removed with an excisional biopsy?

Topics: Hematologic Malignancies • Radiation Oncology • Hematology

Would you recommend RCHOP x 3-6 or RCHOP x 3 + ISRT? If you end up doing ISRT, would your target be any different than the principles that guide ISRT? Would you treat to a lower dose than 30 Gy?

Answer from: Radiation Oncologist at Academic Institution

Some more info woud be helpful such as age of pt, size and location of node, margins of resection. In general 6 cycles of RCHOP is prefered with RT in almost all instances. 3 cycles is reserved for the most favorable patients. I would add ISRT adhering to recent guidelines from Intl Lymphoma Ra...

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Radiation Oncologist at Virginia Commonwealth University Health System
I agree with @Leonard Prosnitz about the use ...

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