Should There Be a Standard Therapy for Mantle Cell Lymphoma?

Mitchell R Smith

Disclosures

Future Oncol. 2011;7(2):227-237. 

In This Article

Conclusion

There is no standard therapy for MCL, nor should there be at this point in time. The ultimate goal is to understand the molecular pathogenesis of MCL, using our knowledge of the cyclin D1 and other involved pathways to individualize an effective targeted treatment. The current challenge to the physician is to select the optimal therapy for each individual patient. Given a relatively uncommon incurable disease, a clinical trial should always be encouraged. As appropriate choices can range from observation to variable intensity chemotherapy regimens to intensive chemotherapy with stem cell support, the choice must factor in the heterogeneity of MCL in terms of patient factors (e.g., age and comorbidites), clinical behavior (e.g., symptoms and pace of disease growth) and disease biology (e.g., proliferative rate and gene signature).

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