AI Article Synopsis

  • The study focused on evaluating treatment outcomes for early stage PTCL-NOS, a rare type of lymphoma.
  • A total of 35 patients were analyzed, receiving either chemotherapy alone or a combination of chemotherapy and radiation therapy, with results showing improved survival rates for those receiving radiation.
  • The findings suggest that adding radiation therapy to treatment significantly enhances overall survival and progression-free survival, highlighting the need for integrating local radiation with systemic treatments for better patient outcomes.

Article Abstract

Purpose: Early stage peripheral T-cell lymphoma, not otherwise specified (PTCL-NOS) is rare. The purpose of this study was to evaluate the outcome of treatment as well as the potential role of radiation therapy in PTCL-NOS.

Methods And Materials: Thirty-five patients with early stage PTCL-NOS were included. There were 13 patients with stage I disease and 22 with stage II. All patients except 1 received doxorubicin-based chemotherapy alone (n=13) or a combination of chemotherapy and radiation therapy (CMT) (n=21).

Results: The 3-year overall survival (OS) and progression-free survival (PFS) rates for the entire group were 41.3% and 25.7%, respectively. The addition of radiation therapy to chemotherapy significantly improved OS and PFS in early stage PTCL-NOS. The 3-year OS and PFS rates were 49.7% and 33.3% for CMT, compared with 23.1% (P=.042) and 15.4% (P=.035) for chemotherapy alone, respectively. The prognosis for patients who achieved a complete response (CR) was significantly better than that observed in those who did not achieve a CR.

Conclusions: Despite the aggressive clinical course of early stage PTCL-NOS, additional radiation therapy has a significant impact on outcome. The integration of local radiation therapy into more effective systemic therapies may further improve survival.

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Source
http://dx.doi.org/10.1016/j.ijrobp.2012.08.015DOI Listing

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