Guidelines for phototherapy of mycosis fungoides and Sézary syndrome: A consensus statement of the United States Cutaneous Lymphoma Consortium.
J Am Acad Dermatol
; 74(1): 27-58, 2016 Jan.
Article
en En
| MEDLINE
| ID: mdl-26547257
ABSTRACT
BACKGROUND:
Ultraviolet light (UVL) is a long established treatment for mycosis fungoides (MF) and Sézary syndrome (SS), subtypes of cutaneous T-cell lymphoma (CTCL). Treatments have traditionally included broadband, narrowband ultraviolet B light (UVB) and psoralen plus ultraviolet A light photochemotherapy (PUVA), but more recently, treatment options have expanded to include UVA1 and excimer laser. UVL is used either as monotherapy or as an adjuvant to systemic therapy, demonstrating efficacy in many cases that equal or surpass systemic medications. Despite its utility and duration of use, the current practice of using UVL guidelines for psoriasis to treat patients with MF/SS is problematic because the goals of prolonging survival and preventing disease progression are unique to CTCL compared to psoriasis.OBJECTIVES:
We sought to develop separate guidelines for phototherapy for MF/SS for both clinical practice and for clinical trials.METHODS:
Literature review and cutaneous lymphoma expert consensus group recommendations.RESULTS:
This paper reviews the published literature for UVB and UVA/PUVA in MF/SS and suggests practical standardized guidelines for their use.LIMITATIONS:
New standardization of phototherapy.CONCLUSIONS:
These guidelines should allow the comparison of results with phototherapy in MF/SS across different stages of patients, centers, and in combination with other agents in practice and in clinical trials.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Fototerapia
/
Neoplasias Cutáneas
/
Micosis Fungoide
/
Síndrome de Sézary
/
Guías de Práctica Clínica como Asunto
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
J Am Acad Dermatol
Año:
2016
Tipo del documento:
Article