This protocol addresses patients with primary central nervous system lymphoma who experience refractory disease or early relapse and are not candidates for salvage polychemotherapy. The limited tolerability of intensive re-induction regimens in this group requires an alternative treatment approach.
Options in this setting include radiotherapy directed at the brain or monotherapy with a selected single agent. The structured protocol details the specific agents, their indications, and how to choose among them.
DOI: 10.1016/j.annonc.2023.11.010
Patients with refractory or early relapsed PCNSL unfit for salvage polyChT could be treated with WBRT or with a single drug such as ibrutinib, lenalidomide or temozolomide.
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