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Impact of High-Dose Methotrexate on the Outcome of Patients with Diffuse Large B-Cell Lymphoma and Skeletal Involvement - PubMed
Source : https://pubmed.ncbi.nlm.nih.gov/34204600/
Diffuse large B-cell lymphoma (DLBCL) with extra nodal skeletal involvement is rare. It is currently unclear whether these lymphomas should be treated in the same manner as those without skeletal involvement. We retrospectively analyzed the impact of combining high-dose methotrexate (HD-MTX) with an ...
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Mark Fesler4yrPrior studies have been conflicting on skeletal involvement as an independent risk factor for cns recurrence, so many would not provide cns prophylaxis solely on that basis. While interesting, this work should be confirmed by larger series and cns ipi remains the standard risk tool for determining who should be considered for cns prophylaxis.