Radioimmunotherapy consolidation and rituximab maintenance in the initial treatment of follicular lymphoma 英文参考文献.docVIP
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Radioimmunotherapy consolidation and rituximab maintenance in the initial treatment of follicular lymphoma 英文参考文献
BucheggerandPressEJNMMIResearch2011,1:7
/content/1/1/7
LETTER TO THE EDITOR
OpenAccess
Radioimmunotherapyconsolidationand
rituximabmaintenanceintheinitial
treatmentoffollicularlymphoma
FranzBuchegger1,2* andOliverWPress3,4
Abstract
Severalreportshavedocumentedsimilarefficaciesandtolerabletoxicitiesofradioimmunotherapy(RIT)
consolidationandrituximabmaintenanceafterinitialR-chemotherapyoffollicularlymphoma.Therelativemeritsof
thesetwointerventionsarecurrentlyunderdiscussion.WenowraisethequestionwhetherbothRITconsolidation
andrituximabmaintenanceshouldbeusedtogetheraimingtoaugmenttheresultsachievablewithR-
chemotherapy.
Keywords:Radioimmunotherapyconsolidation,Rituximabmaintenance,Follicularlymphoma
LettertotheEditor
TherecentreviewofT.M.Illidgeonradioimmunother- at 5 to 6 years was also reported for 131
apy(RIT)oflymphomahighlightedtheinherentpoten- aloneintheinitialtreatmentoffollicularlymphoma[6].
tialofthisparticular treatment[1].Whileconvincedof High efficacy of RIT with 90Y-ibritumomab has also
theefficacyofRITheregrettedthelowimplementation beenreportedrepeatedlyincludingareportdemonstrat-
ofRITincurrentclinicalpractice. ing5-yearrelapsefreesurvivalinabout20%ofrelapsed
131I-tositumomab[5].AhighnumberofpersistentCRs
I-tositumomab
We would like to elaborate further on the biological patients[7];however,10-yearobservationsarecurrently
agentsthathaveshownefficacyintreatmentoffollicular notavailabletous.
lymphoma. In a small series of relapsed indolent lym-
90Y-ibritumomab (Zevalin?, Spectrum Pharmaceuti-
phomapatientstreatedinSwitzerlandwith131I-tositu- cals, Henderson, NV, USA) is the only RIT currently
momab(Bexxar?,GlaxoSmithKline,Brentford,UK),we approvedinEurope,anditssuccessfuluseinconsolida-
experienced several long-lasting complete remissions tion treatment following chemotherapy has been well
withsixof12patients(50%)reaching10-yearsprogres- documented [8]. On the other hand, rituximab
s
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