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Is radiotherapy curative for stage I and II low-grade follicular

lymphoma?

Should RT alone remain standard of care ?

• US lymphocare 206 of 471 patients stage 1 follicular lymphoma

“rigorously staged” - Treatments given

– R-chemo (28%)

– RT (27%)

– Observation (17%)

– Systemic + RT (13%),

– rituximab monotherapy (12%), and other (3%).

• Median follow-up of 57 months, 44 (21%) progression events. PFS

significantly improved with either R-chemo or systemic and RT. No

differences in OS. (Friedberg J et al JCO 2012)