Treatment Options

Until the mid-1990s, radiation was the standard therapy for patients with CNS lymphoma. Now, high-dose methotrexate-based therapy is recommended for most patients in combination with other agents such as vincristine (Oncovin) and procarbazine (Matulane) plus or minus cytarabine (Cytosar-U, plus or minus rituximab (Rituxan), or with ifosfamide (Ifex) plus or minus rituximab, or with cytararbine plus or minus rituximab, or with temozolomide (Temodar) and rituximab.

Futhermore, this initial treatment (induction) is often followed by other therapy regimens (“consolidation”) to reduce the risk of recurrence. These consolidation therapies include high-dose chemotherapy lone such as cytarabine, cytarabine and etoposide; high-dose chemotherapy with stem cell transplant; or whole brain radiation (WBRT). WBRT is seldom used in patients over the age of 65 because of progressive neurological complications (eg, loss of memory or muscle coordination). If lymphoma cells are found in the spinal fluid, chemotherapy is often delivered directly into the spinal fluid, in addition to the above chemotherapy regimens.

To learn more about CNS, view the Primary Central Nervous System Lymphoma Guide. Want to talk to someone? For answers to lymphoma-related questions 
and resources, contact our Lymphoma Resource Center at (800) 500-9976 or [email protected].