Long-term survival after salvage pemetrexed for refractory primary T-cell lymphoma of the CNS.

Document Type

Article

Publication Date

9-1-2023

Publication Title

CNS Oncol

Keywords

california; santa monica; sjci

Abstract

Primary T-cell CNS lymphoma is a rare and aggressive malignancy. High-dose methotrexate (MTX) based chemotherapy regimens are used as standard first-line treatment, followed by consolidative strategies to improve the duration of response. Although MTX-based therapy has been shown to be efficacious, treatment options for MTX-refractory disease are not well-defined. Here, we report a case of a 38-year-old man with refractory primary T-cell CNS lymphoma who demonstrated a complete response to pemetrexed treatment. He subsequently received conditioning chemotherapy consisting of thiotepa, busulfan and cyclophosphamide followed by autologous stem cell transplantation. The patient continues to remain recurrence-free to date at 9 years post-treatment.

Clinical Institute

Neurosciences (Brain & Spine)

Clinical Institute

Cancer

Department

Oncology

Department

Neurosciences

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