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Table 4 Outcome, recurrence, and side effects of systemic treatment of conjunctival lymphoma

From: Classification, diagnosis, and management of conjunctival lymphoma

Therapy type

Author

Year of publication

Number of eyes

Laterality

Percentage of cases with preexisting or concurrent systemic disease

Histologic subtype

Response rate (CR + PR)

Follow up (months)

Local recurrence rate

Side effects

Chemotherapy

Baldini et al. [53] (Chlorambucil)

1998

1

Unilateral

0%

EMZL

100%

140

0%

 

Bellisi et al. [116] (Adriamycin, Bleomycin, Cyclophosphamide, Prednisone)

1982

5

3 unilateral; 1 bilateral

0%

DWDLL (50%); DPDLL (50%) (unspecified laterality)

100%

37 (median)

20%

 

Seker et al. [39] (CVP)

2010

2

Bilateral

0%

EMZL

100%

28

0%

 

IV Rituximab

Annibali et al. [117]

2015

5

3 unilateral; 1 bilateral

0%

EMZL (100%)

100%

29 (median)

0%

VZV reactivation (1 patient)

Celiker et al. [118]

2018

2

Bilateral

0%

EMZL

100%

22

0%

 

Ferreri et al. [119]

2005

3

2 unilateral; 1 bilateral

33%

EMZL (100%)

67%

5 (median)

67%

 

Nückel et al. [120]

2004

2

Unilateral

0%

EMZL (100%)

100%

31 (median)

0%

Reactivation of hepatitis B (1 patient)

Rigacci et al. [121] (rituximab-Chlorambucil)

2007

4

Unilateral

0%

EMZL (75%); FL (25%)

100%

33 (median)

0%

 

Salepçi et al. [122]

2009

2

Bilateral

0%

EMZL

100%

16

0%

 

Sallak et al. [123] (Rituximab-Bendamustine)

2014

1

Unilateral

100%

EMZL

100%

36

0%

 

Tuncer et al. [124]

2015

6

Unilateral

0%

EMZL (83%); FL (17%)

100%

25

50%

 

Wall et al. [125]

2015

2

Bilateral

0%

FL

100%

15

0%

 

Zinzani et al. [126]

2005

1

Unilateral

0%

FL

100%

5

0%

 

90Y-ibritumomab tiuxetan

Esmaeli et al. [127]

2009

5

Unilateral

0%

EMZL (100%)

100%

27 (median)

0%

Grades I-II pancytopenia (100%), mild fatigue, nausea, headache

Oellers et al. [128]

2012

1

Unilateral

100%

EMZL

100%

3

0%

 
  1. CR= complete response; PR= partial response; EMZL= extra-nodal marginal zone lymphoma [low-grade]; FL= follicular lymphoma [low-grade]; DLBCL= diffuse large B-cell lymphoma [high-grade]; MCL= mantle cell lymphoma [high-grade]; CVP= cyclophosphamide, vincristine, prednisolone, DWDLL= diffuse well-differentiated lymphocytic lymphoma; DPDLL= diffuse poorly-differentiated lymphocytic lymphoma