ESMO Consensus Conference on malignant lymphoma: management of ‘ultra-high-risk’ patients

The European Society for Medical Oncology (ESMO) consensus conference on malignant lymphoma was held on 20 June 2015 in Lugano, Switzerland, and included a multidisciplinary panel of 25 leading experts. The aim of the conference was to develop recommendations on critical subjects difficult to consid...

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Veröffentlicht in:Annals of oncology 2018-08, Vol.29 (8), p.1687-1700
Hauptverfasser: Hutchings, M., Ladetto, M., Buske, C., de Nully Brown, P., Ferreri, A.J.M., Pfreundschuh, M., Schmitz, N., Balari, A. Sureda, van Imhoff, G., Walewski, J.
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container_end_page 1700
container_issue 8
container_start_page 1687
container_title Annals of oncology
container_volume 29
creator Hutchings, M.
Ladetto, M.
Buske, C.
de Nully Brown, P.
Ferreri, A.J.M.
Pfreundschuh, M.
Schmitz, N.
Balari, A. Sureda
van Imhoff, G.
Walewski, J.
description The European Society for Medical Oncology (ESMO) consensus conference on malignant lymphoma was held on 20 June 2015 in Lugano, Switzerland, and included a multidisciplinary panel of 25 leading experts. The aim of the conference was to develop recommendations on critical subjects difficult to consider in detail in the ESMO Clinical Practice Guidelines. The following areas were identified: (1) the elderly patient, (2) prognostic factors suitable for clinical use and (3) the ‘ultra-high-risk’ group. Before the conference, the expert panel was divided into three working groups; each group focused on one of these areas in order to address clinically relevant questions relating to that topic. All relevant scientific literature, as identified by the experts, was reviewed in advance. During the consensus conference, each working group developed recommendations to address each of the questions devised by their group. These recommendations were then presented to the entire multidisciplinary panel and a consensus was reached. This manuscript presents recommendations regarding the management of the following ‘ultra-high-risk’ situations: (1) early central nervous system relapse of diffuse large B-cell lymphoma, (2) primary refractory Hodgkin lymphoma and (3) plasmablastic lymphoma. Results, including a summary of evidence supporting each recommendation, are detailed in this manuscript. All expert panel members approved this final article.
doi_str_mv 10.1093/annonc/mdy167
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subjects aggressive
Antineoplastic Combined Chemotherapy Protocols - pharmacology
Antineoplastic Combined Chemotherapy Protocols - standards
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biomarkers, Tumor - analysis
Clinical Trials as Topic
consensus
Consensus Development Conferences as Topic
Drug Resistance, Neoplasm
Europe
high-risk
Humans
lymphoma
Lymphoma - diagnosis
Lymphoma - pathology
Lymphoma - therapy
Medical Oncology - methods
Medical Oncology - standards
Neoplasm Recurrence, Local - diagnosis
Neoplasm Recurrence, Local - epidemiology
Neoplasm Recurrence, Local - therapy
Practice Guidelines as Topic
primary resistance
Prognosis
Radiotherapy, Adjuvant - methods
Radiotherapy, Adjuvant - standards
relapse
Risk Factors
Societies, Medical - standards
Treatment Outcome
title ESMO Consensus Conference on malignant lymphoma: management of ‘ultra-high-risk’ patients
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