This page addresses the clinical management of primary ovarian lymphoma occurring in the specific setting of anaplastic lymphoma kinase-negative (ALK-negative) anaplastic large-cell lymphoma — a distinct pathological subtype with dedicated treatment considerations separate from ALK-positive disease.
The patient has anaplastic lymphoma kinase-negative anaplastic large-cell lymphoma (ALK-negative ALCL). The absence of ALK expression defines this subtype and shapes the treatment strategy from the outset. First-line treatment of ALK-negative ALCL establishes the baseline from which subsequent management decisions — including how to address relapsed or refractory disease — are derived.
In the relapsed or refractory setting, multiple systemic options are recognised within evidence-based guidelines for ALK-negative ALCL. The approach draws on salvage regimens with differing mechanisms, and for patients who are transplant-eligible, consolidation with stem-cell transplantation may be considered as part of the overall strategy.
First-line treatment of anaplastic lymphoma kinase (ALK)-negative anaplastic large-cell lymphoma (ALCL):
Options for r/r ALK-negative ALCL include BV, DHAP, GDP, ICE, IVAC-MTX [III, B].
For transplant-eligible patients with PTCL or ALCL, consolidation with alloSCT can be considered [II, B].
DOI: 10.1016/j.annonc.2025.07.014
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