Article
Anti-CD20 monoclonal antibody therapy in relapsed MALT lymphoma of the conjunctiva
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Published: | September 22, 2004 |
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Outline
Text
Objective
Low-grade Non-Hodgkin lymphomas may occur in the conjunctiva as MALT-lymphomas. First line therapy is radiotherapy and the disease may be cured by this. However, in 25% of cases recurrences occur. Complications may include sicca disease, corneal ulceration, cataract formation or retinopathy. Rituximab, a anti-CD20 monoclonal antibody has previously been shown to be effective in a variety of other B-cell non-Hodgkin's lymphomas.
Methods
Two female patients presented a relapse of a MALT lymphoma of the conjunctiva 38 and 43 months after primary treatment with radiotherapy, respectively. We treated with the anti-CD20 monoclonal antibody rituximab with 375mg/m2 intravenously once a week in a four weeks regime. We performed a clinical follow-up for 32 and 30 months, respectively.
Results
Treatment was well tolerated and resulted in one partial and one complete remission. Further recurrences have not been observed. In one patient visual acuity (VA) decreased from 0.5 before treatment to 1/20 eight months after treatment and an cataract surgery was performed which improved VA to 0.8. In the other case VA was stable at 1.0 for the time of follow-up.
Conclusions
Rituximab is a highly effective and well-tolerated treatment of conjunctival MALT lymphoma which may not only be of value in relapse, but also in cases of contraindication to radiotherapy.