Repeated localized treatment for extranodal marginal zone lymphoma--case report and review of literature.

Anticancer Res

Klinikum rechts der Isar, Klinik und Poliklinik für Strahlentherapie und Radiologische Onkologie, Technische Universität München, Ismaningerstr. 22, 81675 Munich, Germany.

Published: November 2011

AI Article Synopsis

  • Marginal zone lymphomas (MZL) are slow-growing B-cell lymphomas that typically have a good prognosis but lack extensive research on treatment options.
  • A case study of a woman with MZL showed a slow progression over 9 years, where only actively progressing areas were treated with moderate-dose radiotherapy, leading to complete regression of those lesions.
  • The findings suggest that moderate-dose radiotherapy is a safe and effective method for controlling local tumors in MZL patients.

Article Abstract

Background: Marginal zone lymphomas (MZL) are indolent B-cell lymphomas with variable symptoms related to lymphoma location. Patients with such lymphoma often have an excellent prognosis. Concerning treatment, no large prospective trials have been published, making therapeutic decisions difficult.

Case Report: The Authors present the case of a female patient with an MZL which was slowly progressive throughout 9 years after diagnosis. Only clearly progressive lymphoma manifestations were treated with moderate-dose radiotherapy (total doses between 30 and 40 Gy). All irradiated lesions showed a complete regression and relapses only occurred at non-irradiated sites. The performance status remains very good.

Conclusion: Moderate-dose radiotherapy is a safe and effective treatment to achieve local tumor control in patients with MZL.

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