Limited stage grade 3 follicular lymphoma patients can experience favorable outcomes with combined modality therapy.
Zeina AyoubTherese AndraosSarah A MilgromChelsea C PinnixBouthaina S DabajaSweet Ping NgJillian R GuntherJoseph D KhouryNathan Hale FowlerSatva S NeelapuFelipe SamaniegoLuis E FayadLoretta J NastoupilPublished in: Leukemia & lymphoma (2019)
Controversy exists regarding the optimal management of limited stage grade 3 follicular lymphoma (FL3). We assessed the treatment outcomes of 190 consecutive patients with stage I-II FL. Fifty two patients had FL3 disease, in whom the median age was 55 years. At a median follow-up of 65 months, 5-year progression-free survival (PFS) and overall survival (OS) rates were 76.6% and 87.6%, respectively. Patients receiving systemic therapy followed by radiation therapy (RT) had a significantly better PFS (p=.003) than those treated with RT alone, but similar OS (p = .476). Patients treated with RT had 100% local control. Compared to 132 patients with grade 1-2 FL, those with FL3 had similar PFS (p = .493) and OS (p = .330). Patients with FL3 can experience favorable outcomes when treated with a combination of systemic therapy and RT, comparable to low grade FL.
Keyphrases
- end stage renal disease
- low grade
- newly diagnosed
- radiation therapy
- free survival
- ejection fraction
- chronic kidney disease
- prognostic factors
- squamous cell carcinoma
- high grade
- stem cells
- type diabetes
- adipose tissue
- metabolic syndrome
- skeletal muscle
- patient reported outcomes
- insulin resistance
- locally advanced
- drug induced
- patient reported
- glycemic control
- chemotherapy induced