A Multicenter Phase II Study of Local Radiation Therapy for Stage IEA Mucosa-Associated Lymphoid Tissue Lymphomas: A Preliminary Report From the Japan Radiation Oncology Group (JAROG)

• Published in: International journal of radiation oncology, biology, physics Vol. 69; no. 4; pp. 1181 - 1186
• Main Authors: Isobe, Koichi, Kagami, Yoshikazu, Higuchi, Keiko, Kodaira, Takeshi, Hasegawa, Masatoshi, Shikama, Naoto, Nakazawa, Masanori, Fukuda, Ichiro, Nihei, Keiji, Ito, Kana, Teshima, Teruki, Matsuno, Yoshihiro, Oguchi, Masahiko
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 15.11.2007
• Subjects: Acute toxicity; Adult; Aged; Aged, 80 and over; CATARACTS; CONJUNCTIVITIS; DERMATITIS; Disease-Free Survival; Female; Hematology, Oncology and Palliative Medicine; Humans; HYPOTHYROIDISM; Late adverse event; Local control; Lymphoma, B-Cell, Marginal Zone - mortality; Lymphoma, B-Cell, Marginal Zone - pathology; Lymphoma, B-Cell, Marginal Zone - radiotherapy; LYMPHOMAS; Male; MALT lymphoma; Middle Aged; MUCOUS MEMBRANES; Orbital Neoplasms - mortality; Orbital Neoplasms - pathology; Orbital Neoplasms - radiotherapy; PATIENTS; PNEUMONITIS; Prospective Studies; RADIATION DOSES; Radiation therapy; Radiology; RADIOLOGY AND NUCLEAR MEDICINE; RADIOTHERAPY; Radiotherapy - adverse effects; Radiotherapy Dosage; Remission Induction; Salivary Gland Neoplasms - mortality; Salivary Gland Neoplasms - pathology; Salivary Gland Neoplasms - radiotherapy; SALIVARY GLANDS; THYROID; Thyroid Neoplasms - mortality; Thyroid Neoplasms - pathology; Thyroid Neoplasms - radiotherapy; TOXICITY; MALT lymphoma; Radiation therapy; Local control; Late adverse event; Acute toxicity
• ISSN: 0360-3016; 1879-355X
• DOI: 10.1016/j.ijrobp.2007.04.029

The aim of this study was to evaluate the efficacy and toxicity of moderate dose radiation therapy (RT) for mucosa-associated lymphoid tissue (MALT) lymphoma in a prospective multicenter phase II trial. The subjects in this study were 37 patients with MALT lymphoma between April 2002 and November 2004. There were 16 male and 21 female patients, ranging in age from 24 to 82 years, with a median of 56 years. The primary tumor originated in the orbit in 24 patients, in the thyroid and salivary gland in 4 patients each, and 5 in the others. The median tumor dose was 30.6 Gy (range, 30.6–39.6 Gy), depending on the primary site and maximal tumor diameter. The median follow-up was 37.3 months. Complete remission (CR) or CR/unconfirmed was achieved in 34 patients (92%). The 3-year overall survival, progression-free survival, and local control probability were 100%, 91.9%, and 97.3%, respectively. Thirteen patients experienced Grade 1 acute toxicities including dermatitis, mucositis, and conjunctivitis. One patient developed Grade 2 taste loss. Regarding late toxicities, Grade 2 reactions including hypothyroidism, and radiation pneumonitis were observed in three patients, and Grade 3 cataract was seen in three patients. This prospective phase II study demonstrated that moderate dose RT was highly effective in achieving local control with acceptable morbidity in 37 patients with MALT lymphoma.