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NEUROLOGY 1996;46:1757-1759
© 1996 American Academy of Neurology

Therapy of primary CNS lymphoma with methotrexate-based chemotherapy and deferred radiotherapy

Preliminary results

Lawrence Cher, MD, Jon Glass, MD, Griffith R. Harsh, MD and Fred H. Hochberg, MD

From the Austin and Repatriation Medical Centre (Dr. Cher), Melbourne, Australia; New York University Medical Center (Dr. Glass), New York, NY; and Massachusetts General Hospital (Drs. Harsh and Hochberg), Boston, MA.
Presented in part at the 46th annual meeting of the American Academy of Neurology, Washington, DC, May 5, 1994.
Received June 5, 1995. Accepted in final form October 10, 1995.
Address correspondence and reprint requests to Dr. Jon Glass, 530 First Avenue, Suite 9S, New York, NY 10016.

Disease-free survival in primary CNS lymphoma has improved with the advent of methotrexate-based pre-irradiation chemotherapy. Prolonged response durations have been noted in six of eight patients refusing radiation therapy in two of our prior series. We have treated an additional 11 patients with methotrexate-based chemotherapy without subsequent planned irradiation. Some received maintenance chemotherapy. Most have had durable responses with little or no toxicity. Prolonged responses can be maintained without radiation therapy, thus avoiding potential long-term radiation toxicity.

NEUROLOGY 1996;46: 1757-1759




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