1. Academic Validation
  2. Non-Hodgkin's lymphomas, version 4.2014

Non-Hodgkin's lymphomas, version 4.2014

  • J Natl Compr Canc Netw. 2014 Sep;12(9):1282-303. doi: 10.6004/jnccn.2014.0125.
Andrew D Zelenetz Leo I Gordon William G Wierda Jeremy S Abramson Ranjana H Advani C Babis Andreadis Nancy Bartlett John C Byrd Myron S Czuczman Luis E Fayad Richard I Fisher Martha J Glenn Nancy Lee Harris Richard T Hoppe Steven M Horwitz Christopher R Kelsey Youn H Kim Susan Krivacic Ann S LaCasce Auayporn Nademanee Pierluigi Porcu Oliver Press Rachel Rabinovitch Nishitha Reddy Erin Reid Ayman A Saad Lubomir Sokol Lode J Swinnen Christina Tsien Julie M Vose Joachim Yahalom Nadeem Zafar Mary Dwyer Hema Sundar National comprehensive cancer network
Abstract

Non-Hodgkin's lymphomas (NHL) are a heterogeneous group of lymphoproliferative disorders originating in B lymphocytes, T lymphocytes, or natural killer cells. Mantle cell lymphoma (MCL) accounts for approximately 6% of all newly diagnosed NHL cases. Radiation therapy with or without systemic therapy is a reasonable approach for the few patients who present with early-stage disease. Rituximab-based chemoimmunotherapy followed by high-dose therapy and autologous stem cell rescue (HDT/ASCR) is recommended for patients presenting with advanced-stage disease. Induction therapy followed by rituximab maintenance may provide extended disease control for those who are not candidates for HDT/ASCR. Ibrutinib, a Bruton tyrosine kinase inhibitor, was recently approved for the treatment of relapsed or refractory disease. This manuscript discusses the recommendations outlined in the NCCN Guidelines for NHL regarding the diagnosis and management of patients with MCL.

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