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Palliative Radiotherapy for Diffuse Large B-cell Lymphoma.

Christopher M Wright1, Antony I Koroulakis2, Jonathan A Baron1

  • 1Department of Radiation Oncology, University of Pennsylvania, Philadelphia, PA, USA.

Clinical Lymphoma, Myeloma & Leukemia
|June 15, 2021
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Summary
This summary is machine-generated.

Radiotherapy (RT) offers palliative care for diffuse large B-cell lymphoma (DLBCL) patients, especially those with recurrent tumors. This review highlights evolving roles for hypofractionated and low-dose RT in managing DLBCL palliation.

Keywords:
Diffuse large B-cell lymphomaLymphomaPalliationPalliative radiotherapyRadiotherapy

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Area of Science:

  • Oncology
  • Radiation Oncology
  • Hematology

Background:

  • Advances in chemoimmunotherapy, targeted agents, stem cell transplants, and cellular therapies have transformed diffuse large B-cell lymphoma (DLBCL) treatment.
  • Contemporary therapies offer curative intent even in relapsed or refractory settings, leading to improved outcomes.
  • These advancements have also increased the incidence of recurrent tumors requiring palliative care.

Purpose of the Study:

  • To review the role of radiotherapy (RT) in the palliation of diffuse large B-cell lymphoma (DLBCL).
  • To emphasize the emerging applications of hypofractionated RT and low-dose RT for DLBCL palliation.
  • To discuss commonly encountered clinical scenarios involving RT for DLBCL palliation.

Main Methods:

  • Literature review of existing studies on radiotherapy for DLBCL palliation.
  • Focus on hypofractionated and low-dose RT techniques.
  • Analysis of clinical scenarios and their management with RT.

Main Results:

  • Radiotherapy is a valuable tool for palliating recurrent DLBCL.
  • Hypofractionated and low-dose RT show promise in specific DLBCL palliation scenarios.
  • Evidence supports the use of RT in managing symptoms and improving quality of life for DLBCL patients.

Conclusions:

  • Radiotherapy plays a crucial role in the palliative management of DLBCL, particularly for recurrent disease.
  • Evolving RT techniques like hypofractionation and low-dose RT offer new avenues for effective palliation.
  • Further research into optimal RT strategies for DLBCL palliation is warranted.