A patient with mildly symptomatic, Stage III, Grade 2, FLIPI high-risk follicular lymphoma in partial remission after rituximab/chemotherapy


A patient with mildly symptomatic, Stage III, Grade 2, FLIPI high-risk follicular lymphoma in partial remission after rituximab/chemotherapy
Editor's comments

Dr Williams points out that 2 years of rituximab maintenance has become standard after induction rituximab/chemotherapy, and these results confirm that. However, he also notes that a survival benefit has not yet been documented, and therefore he does not hesitate to stop treatment in patients having difficulty tolerating rituximab maintenance.

 
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Arcaini L, Merli M. Rituximab maintenance in follicular lymphoma patients. World J Clin Oncol 2011;2(7):281-8. Abstract

Nabhan C et al. Maintenance rituximab in follicular non-Hodgkin lymphoma: Facts and controversies. Leuk Lymphoma 2012;53(5):770-8. Abstract

Salles GA et al. Rituximab maintenance for 2 years in patients with high tumour burden follicular lymphoma responding to rituximab plus chemotherapy (PRIMA): A phase 3, randomised controlled trial. Lancet 2011;377(9759):42-51. Abstract