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🌱 來自: mantle cell lymphoma

Initial Treatment: Transplant Ineligible Patients of mantle cell lymphoma

  • No generally accepted standard of care, & pts will have a multiply relapsing course; clinical trial enrollment encouraged
  • R-Bendamustine is a/w at least equivalent & possibly longer PFS w/ less tox c/w R-CHOP (BRIGHT Study, Blood 2014;123:2944 & STIL Study, Lancet 2013;381:1184) Multiple active regimens include rituximab in combination w/ CHOP, bendamustine, CVP, & lenalidomide
  • Maintenance rituximab improves OS after response to R-CHOP but not R-FC or BR (NEJM 2012;367:520, Rummel, ASCO, 2016). Thus, cannot be extrapolated to all regimens