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Management of mantle cell lymphoma in fit, younger adults

Management of mantle cell lymphoma in fit, younger adults
This algorithm describes management of stage II-IV MCL in patients who are suitable for autologous HCT; refer to related UTD topic for management of asymptomatic patients with non-nodal MCL (eg, leukemic, non-nodal MCL or involvement of gastrointestinal tract-only), stage I MCL, and patients who are not suitable for transplantation. Eligibility for autologous HCT generally requires age <65 years without major organ dysfunction. Refer to related UpToDate material for details of diagnosis, staging, eligibility for transplantation, and treatment of MCL.

MCL: mantle cell lymphoma; CR: complete response; HCT: hematopoietic cell transplantation; HiDAc: high-dose cytarabine; PET: positron emission tomography.

* The preferred induction regimen varies among experts; rituximab-bendamustine and options for a more intensive, HiDAc-containing regimen are discussed in a related UpToDate topic.

¶ Restaging according to Lugano criteria.

Δ Some experts proceed to maintenance therapy after HCT without repeating PET.
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