Early stage gastric diffuse large B-cell lymphomas: Results of a randomised trial comparing chemotherapy alone versus chemotherapy + involved field radiotherapy

Giovanni Martinelli, Federica Gigli, Liliana Calabrese, Pier Francesco Ferrucci, Emanuele Zucca, Cristiano Crosta, Giancarlo Pruneri, Lorenzo Preda, Gaia Piperno, Mary Gospodarowicz, Francesco Cavalli, Henry Moreno Gomez

Research output: Contribution to journalArticlepeer-review

Abstract

Here, we present the results of a randomised clinical trial carried out between 1998 and 2004, evaluating the possible role of radiotherapy (RT) as consolidation treatment after induction chemotherapy (CT) in diffuse large B-cell (DLBC) gastric lymphoma. Fifty-four patients were enrolled and all received anthracycline containing regimens as induction CT. Patients were evaluated after four to six cycles and those in complete remission (CR) were randomised to receive gastric involved field (IF) RT or two addition cycles of the same CT. Forty-five patients (83%) were randomised after the induction CT. Clinical results of patients allocated to the RT arm showed a significant reduction in incidence of local relapse versus patients who received CT alone. However, overall survival was not different between the two arms. Our results confirm that CT could be considered as first line therapy for newly diagnosed gastric DLBC lymphoma; IF RT delivered in those patients achieving CR after induction CT is able to prevent local relapse.

Original languageEnglish
Pages (from-to)925-931
Number of pages7
JournalLeukemia and Lymphoma
Volume50
Issue number6
DOIs
Publication statusPublished - 2009

Keywords

  • Diffuse large B-cell lymphoma
  • Gastric lymphoma
  • Involved field radiotherapy

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Cancer Research

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