Table 1.
Overview of demographic and treatment characteristics.
First post VLDRT response assessment | Post-VLDRT follow-up and further treatments | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Pt | Sex | Age at VLDRT | Disease state at VLDRT | Lymphoma treatments prior to VLDRT | Duration between most recent prior biopsy and VLDRT (months) | Grade at VLDRT | Initial stage | Stage at VLDRT | Site treated with VLDRT | Max SUV on pre-VLDRT PET | LDH level prior to VLDRT | Months post VLDRT | Mode | Treatment response | Post VLDRT relapse? | Local failure | First out of VLDRT field failure | Additional therapies | Total follow-up (mos) |
1 | M | 56 | New diagnosis | none | 1 | 3a | III | III | right submandibular | 14.2 | 91 | 4.2 | CT | CR | Yes | Yes (17.1 mos)*** | 1. Observation | 21.5 | |
2 | F | 84 | New diagnosis | none | 3 | 3a | II | II | multifocal head and neck | 17.6 | n/a | 1.3 | PET-CT | PR | No | 11.0 | |||
3 | F | 52 | Post observation | 1. Observation x 7 years | 3 | 3a | III | III | right parotid | 10.9 | 190 | 2.2 | PET-CT | CR | No | 36.6 | |||
4 | F | 82 | Post observation | "1. Observation x1.5 years 2. Excisional bx of vulvar mass" | 1 | 3a | IV | IV | vulva and cervix | 6.8 | n/a | 1.6 | PET-CT | PR | Yes | Yes (1.5 mos)** | 1. Additional course of VLDRT to in field and out of field PD 2. Considered RCHOP for subsequent DLBCL transformation but lost to follow-up | 31.4 | |
5 | F | 70 | Post observation | "1. Excisional bx of hard palate 2. Observation x 3.5 years" | 1 | 3a | IV | II | right neck | 7.3 | 218 | 1.4 | clinical | CR | No | 27.4 | |||
6 | F | 73 | Relapsed | "1. Observation x5 years 2. Rituximab monotherapy 3. R-CHOPx3 cycles with rituximab maintenance 4. R-Bendamustine x 4 cycles" | 6 | 3a | IV | IV | right breast and axilla | 6.1 | 211 | 1.9 | PET-CT | CR | No | 43.4 | |||
7 | M | 92 | Relapsed | "1. 3600 to right groin 2. Rituximab monotherapy x2 3. 41.4 Gy to left groin" | 106 | 3 | II | II | right axilla, right neck, mediastinum, left neck | 12.5 | n/a | 1.0 | PET-CT | PR | Yes | Yes(6.3 mos)* | Yes (11.0 mos) | 1. Full dose RT (30 Gy) to initially treated field 2. Rituximab for subsequent out of field progression | 42.7 |
8 | F | 53 | Relapsed | "1. CHOP x 4 with high dose cyclophosphamide 2. Rituximab monotherapy 3. VLDRT to R epitrochlear region (low grade FL)" | 1 | 3a | Localized | II | right upper arm nodule, R axilla, R SCV | 8.3 | 249 | 2.3 | PET-CT | CR | No | 15.7 | |||
9 | F | 62 | Relapsed | "1. Observation x 2 years 2. Rituximab monotherapy 3. R-Bendaustine x 6 cycles 4. Rituximab monotherapy" | 6 | 3a | III | I | pericardial node | 8.0 | 186 | 2.3 | PET-CT | CR | No | 9.8 | |||
10 | M | 71 | Relapsed | "1. CHOP --> R-CHOP 2. ICE 3. Rituximab monotherapy 4. Ibritumomab tiuxetan 5. Epitholone" | 25 | 3a | I | IV | right inguinopelvic | n/a | 212 | 1.1 | PET-CT | PR | Yes | Yes (3.3 mos) | Yes (1.1 mos) | 1. VLDRT to two additional fields 2. Steroids | 7.3 |
Fine needle aspiration performed of VLDRT-treated site and cytology positive for malignant cells
First distant progression was not biopsied prior to additional RT but subsequent progression of an additional distant site which developed ~3 years after second course of VLDRT was biopsied as tranformed FL to DLBCL
Distant progressive site biopsied as FL grade 1-2