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RT in Salvage of Refractory or Relapsed patients
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Too many are “salvaged” and re-salvaged without RT and continue
to fail in a single site
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NO cross-resistant with chemotherapy (often forgotten)
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RT may ( although rarely) be curative as asingle salvage agent
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Best is to design and incorporate RT as part of the salvage protocol
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RT i may be incorporated as:
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An integral part of the response induction (into PET negative status)
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As a component of the high-dose transplant regiment (using TLI)
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As a consolidation post-transplant (to residual or bulky disease)
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