Volume 39, Issue 6 pp. 1095-1100
Original Article

Ultra–low-dose radiotherapy for definitive management of ocular adnexal B-cell lymphoma

Chelsea C. Pinnix MD, PhD

Chelsea C. Pinnix MD, PhD

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Bouthaina S. Dabaja MD

Bouthaina S. Dabaja MD

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Sarah A. Milgrom MD

Sarah A. Milgrom MD

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Grace L. Smith MD, PhD

Grace L. Smith MD, PhD

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Zeinab Abou MD

Zeinab Abou MD

Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Loretta Nastoupil MD

Loretta Nastoupil MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Jorge Romaguera MD

Jorge Romaguera MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Francesco Turturro MD

Francesco Turturro MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Nathan Fowler MD

Nathan Fowler MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Luis Fayad MD

Luis Fayad MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Jason Westin MD

Jason Westin MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Sattva Neelapu MD

Sattva Neelapu MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Michelle A. Fanale MD

Michelle A. Fanale MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Maria A. Rodriguez MD

Maria A. Rodriguez MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Frederick Hagemeister MD

Frederick Hagemeister MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Hun Ju Lee MD

Hun Ju Lee MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Yasuhiro Oki MD

Yasuhiro Oki MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Michael Wang MD

Michael Wang MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Felipe Samaniego MD

Felipe Samaniego MD

Department of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Linda Chi MD

Linda Chi MD

Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas

Search for more papers by this author
Bita Esmaeli MD

Corresponding Author

Bita Esmaeli MD

Orbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas

Corresponding author: B. Esmaeli, Orbital Oncology and Ophthalmic Plastic Surgery, Department of Plastic Surgery, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1488, Houston, TX 77030. E-mail: [email protected]Search for more papers by this author
First published: 03 April 2017
Citations: 91

This work was presented at the American Society of Radiation Oncology 57th Annual Meeting, San Antonio, Texas, October 18–21, 2015.

This article was published online on 03 April 2017. An error was subsequently identified in Figure 2. This notice is included in the online version to indicate that Figure 2 has been corrected 14 February 2018.

ABSTRACT

Background

The purpose of this study was to report the response to and toxicity of ultra–low-dose radiotherapy (RT) for B-cell ocular adnexal lymphoma (OAL).

Methods

We conducted a retrospective review of patients with indolent B-cell and mantle cell OAL treated with 4 Gy to the orbit(s) in two 2-Gy fractions. Disease response was assessed clinically and/or radiographically at 2 to 4-month intervals after RT. Data collected included rates of overall response, complete response (CR), partial response (PR), and treatment-related toxic effects.

Results

Twenty-two patients (median age, 65 years) had the following histologic subtypes: mucosa-associated lymphoid tissue (MALT; 14 patients; 64%); follicular lymphoma (5 patients; 23%); mantle cell lymphoma (MCL; 2 patients; 9%); and unclassifiable (1 patient, 4%). The overall response rate was 100%; 19 patients (86%) had a CR and 3 patients (14%) had a PR. The only acute toxic effect was grade 1 dry eye syndrome in 1 patient.

Conclusion

Ultra–low-dose RT in patients with OAL is associated with high response rates and minimal toxic effects, and is much shorter in duration and cost. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1095–1100, 2017

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.