PMID- 21698087 OWN - NLM STAT- MEDLINE DCOM- 20111201 LR - 20211020 IS - 1612-3174 (Electronic) IS - 1612-3174 (Linking) VI - 9 DP - 2011 TI - Isolated central nervous system relapse of systemic lymphoma (SCNSL): clinical features and outcome of a retrospective analysis. PG - Doc11 LID - 10.3205/000134 [doi] LID - Doc11 AB - We analyzed clinical outcome of patients with an isolated central nervous system lymphoma (CNSL) relapse after systemic non-Hodgkin's lymphoma (NHL). All 23 patients with an isolated secondary CNSL (SCNSL) treated at two institutions from 04/2003-12/2007 were included into this analysis. At cerebral relapse, 15/23 patients were treated with a regimen consisting of high-dose methotrexate (Bonn protocol). After a median follow-up of 6.5 months (range 1-68), 15/23 (65%) patients with SCNSL had relapsed or progressed. HD (high-dose)- methotrexate (MTX) chemotherapy according to the Bonn protocol is effective concerning response rates; however, overall survival of patients with SCNSL seems to be impaired in comparison to relapses in primary CNSL (PCNSL). FAU - Patrij, Katrin AU - Patrij K AD - Center for Integrated Oncology, University of Bonn, Bonn, Germany. FAU - Reiser, Marcel AU - Reiser M FAU - Watzel, Luise AU - Watzel L FAU - Pels, Hendrik AU - Pels H FAU - Kowoll, Annika AU - Kowoll A FAU - Herrlinger, Ulrich AU - Herrlinger U FAU - Engert, Andreas AU - Engert A FAU - Linnebank, Michael AU - Linnebank M FAU - Schackert, Gabriele AU - Schackert G FAU - Vogt-Schaden, Marlies AU - Vogt-Schaden M FAU - Egerer, Gerlinde AU - Egerer G FAU - Lamprecht, Monika AU - Lamprecht M FAU - Batchelor, Tracy T AU - Batchelor TT FAU - Schlegel, Uwe AU - Schlegel U FAU - Schmidt-Wolf, Ingo G H AU - Schmidt-Wolf IG CN - International Primary CNS Lymphoma Collaborative Group (IPCG) LA - eng GR - R13 CA124293/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20110502 PL - Germany TA - Ger Med Sci JT - German medical science : GMS e-journal JID - 101227686 RN - 04079A1RDZ (Cytarabine) RN - 5J49Q6B70F (Vincristine) RN - 7S5I7G3JQL (Dexamethasone) RN - 8N3DW7272P (Cyclophosphamide) RN - RSA8KO39WH (Vindesine) RN - UM20QQM95Y (Ifosfamide) RN - YL5FZ2Y5U1 (Methotrexate) SB - IM MH - Adult MH - Aged MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Central Nervous System Neoplasms/*drug therapy/radiotherapy MH - Cyclophosphamide/administration & dosage MH - Cytarabine/administration & dosage MH - Dexamethasone/administration & dosage MH - Disease Progression MH - Disease-Free Survival MH - Female MH - Humans MH - Ifosfamide/administration & dosage MH - Kaplan-Meier Estimate MH - Lymphoma, Follicular/*drug therapy/radiotherapy MH - Lymphoma, Large B-Cell, Diffuse/*drug therapy/radiotherapy MH - Male MH - Methotrexate/administration & dosage MH - Middle Aged MH - Neoplasm Recurrence, Local/*drug therapy/radiotherapy MH - Retrospective Studies MH - *Salvage Therapy MH - Treatment Outcome MH - Vincristine/administration & dosage MH - Vindesine/administration & dosage PMC - PMC3118693 OTO - NOTNLM OT - CNS OT - chemotherapy OT - lymphoma OT - methotrexate OT - neoplasia OT - relapse EDAT- 2011/06/24 06:00 MHDA- 2011/12/13 00:00 PMCR- 2011/05/02 CRDT- 2011/06/24 06:00 PHST- 2010/12/27 00:00 [received] PHST- 2011/04/19 00:00 [revised] PHST- 2011/06/24 06:00 [entrez] PHST- 2011/06/24 06:00 [pubmed] PHST- 2011/12/13 00:00 [medline] PHST- 2011/05/02 00:00 [pmc-release] AID - 000134 [pii] AID - 10.3205/000134 [doi] PST - ppublish SO - Ger Med Sci. 2011;9:Doc11. doi: 10.3205/000134. Epub 2011 May 2.